The Interaction between Diabetes, Body Mass Index, Hepatic Steatosis, and Risk of Liver Resection : Insulin Dependent Diabetes Is the Greatest Risk for Major Complications
المؤلفون المشاركون
Stell, D. A.
Shahtahmassebi, G.
Bowles, M. J.
Aroori, S.
Wiggans, M. G.
Lordan, Jeffrey T.
المصدر
العدد
المجلد 2014، العدد 2014 (31 ديسمبر/كانون الأول 2014)، ص ص. 1-10، 10ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2014-08-14
دولة النشر
مصر
عدد الصفحات
10
التخصصات الرئيسية
الملخص EN
Background.
This study aimed to assess the relationship between diabetes, obesity, and hepatic steatosis in patients undergoing liver resection and to determine if these factors are independent predictors of major complications.
Materials and Methods.
Analysis of a prospectively maintained database of patients undergoing liver resection between 2005 and 2012 was undertaken.
Background liver was assessed for steatosis and classified as <33% and ≥33%.
Major complications were defined as Grade III–V complications using the Dindo-Clavien classification.
Results.
504 patients underwent liver resection, of whom 56 had diabetes and 61 had steatosis ≥33%.
Median BMI was 26 kg/m2 (16–54 kg/m2).
94 patients developed a major complication (18.7%).
BMI ≥ 25 kg/m2 (P=0.001) and diabetes (P=0.018) were associated with steatosis ≥33%.
Only insulin dependent diabetes was a risk factor for major complications (P=0.028).
Age, male gender, hypoalbuminaemia, synchronous bowel procedures, extent of resection, and blood transfusion were also independent risk factors.
Conclusions.
Liver surgery in the presence of steatosis, elevated BMI, and non-insulin dependent diabetes is not associated with major complications.
Although diabetes requiring insulin therapy was a significant risk factor, the major risk factors relate to technical aspects of surgery, particularly synchronous bowel procedures.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Wiggans, M. G.& Lordan, Jeffrey T.& Shahtahmassebi, G.& Aroori, S.& Bowles, M. J.& Stell, D. A.. 2014. The Interaction between Diabetes, Body Mass Index, Hepatic Steatosis, and Risk of Liver Resection : Insulin Dependent Diabetes Is the Greatest Risk for Major Complications. HPB Surgery،Vol. 2014, no. 2014, pp.1-10.
https://search.emarefa.net/detail/BIM-482910
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Wiggans, M. G.…[et al.]. The Interaction between Diabetes, Body Mass Index, Hepatic Steatosis, and Risk of Liver Resection : Insulin Dependent Diabetes Is the Greatest Risk for Major Complications. HPB Surgery No. 2014 (2014), pp.1-10.
https://search.emarefa.net/detail/BIM-482910
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Wiggans, M. G.& Lordan, Jeffrey T.& Shahtahmassebi, G.& Aroori, S.& Bowles, M. J.& Stell, D. A.. The Interaction between Diabetes, Body Mass Index, Hepatic Steatosis, and Risk of Liver Resection : Insulin Dependent Diabetes Is the Greatest Risk for Major Complications. HPB Surgery. 2014. Vol. 2014, no. 2014, pp.1-10.
https://search.emarefa.net/detail/BIM-482910
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-482910
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر