TY - JOUR
T1 - Postoperative Changes in Body Composition After Pancreaticoduodenectomy Using Multifrequency Bioelectrical Impedance Analysis
AU - Mikamori, Manabu
AU - Miyamoto, Atsushi
AU - Asaoka, Tadafumi
AU - Maeda, Sakae
AU - Hama, Naoki
AU - Yamamoto, Kazuyoshi
AU - Hirao, Motohiro
AU - Ikeda, Masataka
AU - Sekimoto, Mitsugu
AU - Doki, Yuichiro
AU - Mori, Masaki
AU - Nakamori, Shoji
N1 - Funding Information:
This study was supported in part by the National Cancer Center Research and Development Fund (25-A-5 26-A-4).
Publisher Copyright:
© 2015, The Society for Surgery of the Alimentary Tract.
PY - 2016/3/1
Y1 - 2016/3/1
N2 - Background: Nutritional status is one of the most important clinical determinants of outcome after surgery. The aim of this study was to compare changes in the body composition of patients undergoing pancreaticoduodenectomy (PD), distal gastrectomy (DG), or total gastrectomy (TG). Methods: The parameters of body composition were measured using multifrequency bioelectrical impedance analysis with an inBody 720 (Biospace Inc. Tokyo. Japan) in 60 patients who had undergone PD (n = 18), DG (n = 30), or TG (n = 12). None of the patients had recurrence or were treated with chemotherapy. Changes between the preoperative data and results and those obtained 12 months after surgery were evaluated. Results: Twelve months after surgery, the body weight change in the PD group was significantly lower than in the TG and DG groups (−1.2 ± 3.8 vs −7.4 ± 4.4 and −4.0 ± 3.2 kg, respectively; p < 0.01 vs TG, p < 0.05 vs DG). The body weight change correlated with the fat mass change in all groups. Conclusions: The type and extent of surgery has a different effect on long-term body weight and body composition. Bioelectric impedance analysis can be used to assess body composition and may be useful for nutritional assessment in patients who have undergone these surgeries.
AB - Background: Nutritional status is one of the most important clinical determinants of outcome after surgery. The aim of this study was to compare changes in the body composition of patients undergoing pancreaticoduodenectomy (PD), distal gastrectomy (DG), or total gastrectomy (TG). Methods: The parameters of body composition were measured using multifrequency bioelectrical impedance analysis with an inBody 720 (Biospace Inc. Tokyo. Japan) in 60 patients who had undergone PD (n = 18), DG (n = 30), or TG (n = 12). None of the patients had recurrence or were treated with chemotherapy. Changes between the preoperative data and results and those obtained 12 months after surgery were evaluated. Results: Twelve months after surgery, the body weight change in the PD group was significantly lower than in the TG and DG groups (−1.2 ± 3.8 vs −7.4 ± 4.4 and −4.0 ± 3.2 kg, respectively; p < 0.01 vs TG, p < 0.05 vs DG). The body weight change correlated with the fat mass change in all groups. Conclusions: The type and extent of surgery has a different effect on long-term body weight and body composition. Bioelectric impedance analysis can be used to assess body composition and may be useful for nutritional assessment in patients who have undergone these surgeries.
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U2 - 10.1007/s11605-015-3055-1
DO - 10.1007/s11605-015-3055-1
M3 - Article
C2 - 26691149
AN - SCOPUS:84958214476
VL - 20
SP - 611
EP - 618
JO - Journal of Gastrointestinal Surgery
JF - Journal of Gastrointestinal Surgery
SN - 1091-255X
IS - 3
ER -