Waist Circumference is an Independent Risk Factor for the Development of Parastomal Hernia After Permanent Colostomy

Raet, Jan De; Delvaux, Georges; Haentjens, Patrick; Nieuwenhove, Yves Van

doi:10.1007/s10350-008-9366-5

Cited by 112 publications

(91 citation statements)

References 18 publications

(9 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Structural characteristics such as stoma type, size, and location on the abdominal plane can affect the seal of the pouching system, and a poor fit can result in leakage and consequently irritation of the skin. 1,2,[6][7][8]11,15,16 Loop ileostomies represent the greatest proportion of peristomal skin complications in patients. In one study, 79% of the patients with a loop ileostomy suffered from a peristomal skin complication.…”

Section: Causes Of Peristomal Skin Complicationsmentioning

confidence: 99%

Peristomal skin complications: causes, effects, and treatments

Doctor¹,

Colibaseanu²

2016

CWCMR

View full text Add to dashboard Cite

Enterostomal formation remains a necessary part of multiple types of surgeries. Stomal difficulties can be a source of frustration for patients; however, a properly functioning stoma in a patient educated in its care can result in a highly functional individual, with a high quality of life, comparable to a person without a stoma. Correct surgical technique is vital to creating a stoma that is sufficiently everted, and in a good anatomical location. Loop ileostomies have a higher chance of complications, thus care in their formation is especially important. Systemic disease (inflammatory conditions, and autoimmune diseases especially) as well as local conditions (pyoderma gangrenosum, infections, and fistulas, among others) can be the causes for difficult-to-treat peristomal complications. Accurate diagnosis is essential in order to be able to address the underlying disease. Choosing the appropriate products to care for the stoma is often a process of trial and error, and is best done under the guidance of an enterostomal therapist. This is especially true for stomas in overweight individuals or stomas that have become flush with the skin with time and changing body habitus. Inattention to care can result in problems that range from simple mucocutaneous separations (separation of the bowel edge from the surrounding skin) to large and difficult-to-heal ulcers. This article provides a systematic review of the most common challenges that patients with stoma are faced with, and offers solutions based on up-to-date review of the literature.

show abstract

Section: Causes Of Peristomal Skin Complicationsmentioning

confidence: 99%

Peristomal skin complications: causes, effects, and treatments

Doctor¹,

Colibaseanu²

2016

CWCMR

View full text Add to dashboard Cite

show abstract

“…Concerning the influence of obesity in surgery outcomes, WC proved to be an independent risk factor for the development of parastomal hernia after permanent colostomy [14]. Another study published in 2013 proved that waist-hip-ration (as a measure of central obesity) had a significant influence in negative outcomes after CRC surgery, namely reoperation, medical complications, intraoperative complications and conversion to open approach, being this prediction effect superior to the one verified when measuring BMI and or WC [15].…”

Section: Introductionmentioning

confidence: 97%

The influence of metabolic syndrome in the outcomes of colorectal cancer patients

Goulart

Varejão

Nogueira

et al. 2017

Diabetes & Metabolic Syndrome: Clinical Research & Revi

View full text Add to dashboard Cite

A B S T R A C TAims: Determine the influence of metabolic syndrome and its different components in the outcomes of colorectal cancer surgery at 30 days. Materials and methods: Prospective study that included all patients submitted to elective colorectal cancer surgery between August 2015 and August 2016 at Hospital de Braga. Clinical and laboratory parameters evaluated pre-operatively were: central obesity, blood pressure, fasting glucose, triglycerides levels and HDL cholesterol levels. Any complications during the first 30-days after surgery were recorded (readmission, reintervention, anastomotic dehiscence, morbimortality). Results: One hundred and thirty-four patients were included. Metabolic syndrome was diagnostic in 40.7% of patients with the ATPIII definition, 67.5% with the AHA definition and 67.0% with the IDF definition. At 30 days after colorectal cancer surgery, 73.1% patients don't have any complication, 15.7% have minor complications (grade I/II of Clavien-Dindo classification), 11.1% have major complications (grade III/IV/V of Clavien-Dindo classification) and 1.5% have died from surgical complications (grade V of Clavien-Dindo classification). The statistic analysis didn't reveal any association between MS, or it's different components, and surgical outcomes. Conclusion: This study seems to indicate that metabolic syndrome don't have any influence in surgical outcomes of colorectal cancer surgery.

show abstract

“…56 Short-term morbidity for rectal cancer resection seems to be increased with obesity. In addition, obesity is reported to be significantly associated with rates of anastomotic leak, 57,58 parastomal hernia, 59 wound infection, 60,61 length of laparoscopic surgery according to BMI, [46][47][48]60 length of laparoscopic surgery according to visceral adipose area, 62,63 overall and systemic complications, 62 more frequent conversion to laparotomy, 46,64 more blood loss, 47,58,63 and longer hospital stay. 48 In addition, obese patients undergoing laparoscopic colorectal surgery are at an increased risk for conversion to open operation and operative times are significantly increased for obese patients having rectal cancer surgery.…”

Section: Obesity and Colorectal Surgery Outcomesmentioning

confidence: 99%

Obesity and Colorectal Cancer

Myung

2012

Korean J Gastroenterol

View full text Add to dashboard Cite

Obesity is a risk factor for colorectal cancer based on its molecular and metabolic effects on insulin and IGF-1, leptin, adipocytokines, and sex hormones. Obese men have a higher risk of colorectal cancer compared with normal weight men, but the association between obesity and rectal cancer is weaker than with colon cancer. There is a weaker association between obesity and colon cancer in women than in men, and no appreciable association between obesity and rectal cancer in women. Although obesity does not seem to have an effect on the number of lymph nodes harvested with resection, obesity does seem to be associated with more-aggressive colorectal cancers in a handful of studies. Survival and local recurrence studies are contradictory with no conclusive evidence that obesity predisposes to worse overall survival or increased recurrence in colon and rectal cancers. The literature is not definitive as far as overall morbidity and mortality rates in the obese are concerned, though obese rectal cancer patients seem to incur proportionally more morbidity and mortality. Preexisting steatosis or steatohepatitis in obese colorectal cancer patients or chemotherapy-induced liver dysfunction may lead to an increased mortality in obese patients with colorectal liver metastases. Diabetes may cause poorer response to neoadjuvant therapy in rectal cancer and contribute to higher mortality and recurrence in colon cancer.KEYWORDS: Obesity, colon cancer, rectal cancer, diabetes, men, women Objectives: After reading this review, the reader should be able to summarize how and why obesity is a risk factor for colorectal cancer, and have an appreciation for how definitions of obesity vary and impact study results. In addition, the reader should also understand the impact of obesity on colorectal cancer short-term outcomes, long-term oncologic outcomes, and how obesity can impact the chemotherapeutic treatment of metastatic disease.Colorectal cancer (CRC) is a major cause of cancer death in Western societies and it is well known that this elevated risk is related to an imbalance between neoplasia promoting and protective dietary and lifestyle factors. Among the factors that tend to elevate risk are a high intake of animal fat, high calorie intake, high intake of processed foods with low fiber content, limited physical activity, excess alcohol intake, and finally obesity.What follows is a discussion on how and why obesity is a risk factor for colorectal cancer and how obesity influences short-and long-term oncologic outcomes from a surgical, pathologic, radiotherapy, and chemotherapeutic perspective. The data leads one to conclude that obesity has implications in all aspects of the care of colorectal cancer patients, from screening to surgical treatment to adjuvant or neoadjuvant treatments.

show abstract

Waist Circumference is an Independent Risk Factor for the Development of Parastomal Hernia After Permanent Colostomy

Abstract: Abdominal obesity increases the risk of developing a parastomal hernia, therefore, it might be advisable to place a prophylactic mesh during colostomy formation when the patient's waist exceeds 100 cm.

Cited by 112 publications

References 18 publications

Peristomal skin complications: causes, effects, and treatments

Peristomal skin complications: causes, effects, and treatments

The influence of metabolic syndrome in the outcomes of colorectal cancer patients

Obesity and Colorectal Cancer

Contact Info

Product

Resources

About