Unique ID issued by UMIN | UMIN000025994 |
---|---|
Receipt number | R000029873 |
Scientific Title | Does the visceral obesity predict perioperative outcomes for ulcerative colitis? |
Date of disclosure of the study information | 2017/02/10 |
Last modified on | 2024/02/09 09:11:31 |
Does the visceral obesity predict perioperative outcomes for ulcerative colitis?
Visceral obesity in ulcerative colitis
Does the visceral obesity predict perioperative outcomes for ulcerative colitis?
Visceral obesity in ulcerative colitis
Japan |
Ulcerative colitis
Gastrointestinal surgery |
Others
NO
In general, obese patients are at increased surgical risk for perioperative complications. In recent years, a tendency towards obesity in patients with inflammatory bowel disease (IBD) has been reported. However, the relationship between obesity and the progress of IBD is not fully understood and there are limited data on the effect of obesity on perioperative outcomes in IBD patients. In obese patients undergoing surgery for ulcerative colitis (UC), there is a risk of increased operative time and hemorrhage. Another potential problem is difficulty in the pouch reaching the anus, owing to a thick intestinal membrane and a narrow pelvis in males. Whether the pouch will reach the anus cannot be predicted before surgery.
It has been reported recently that obesity does not impact perioperative or postoperative outcomes in patients with IBD. However, BMI does not necessarily reflect visceral obesity. Furthermore, IBD patients are at increased risk of central obesity as a result of the use of corticosteroids. Overall, there is a need for alternative measures to BMI for evaluating obesity. There have been reports that visceral obesity is a more accurate predictor of perioperative complications than BMI in patients with colon or gastric cancer. Regarding IBD, it has been reported that visceral obesity is a predictive factor of perioperative complications in Crohn's disease, but this has not been reported for UC. Therefore, our aim is to investigate whether visceral obesity predicts perioperative outcomes in patients with UC.
Efficacy
Is visceral obesity a predictive factor in whether the pouch can reach the anus?
Patient characteristics, pre-operative pharmacotherapies, surgical outcomes such as operative time and hemorrhage, post-operative complications.
Interventional
Single arm
Non-randomized
Open -no one is blinded
Uncontrolled
NO
NO
Institution is not considered as adjustment factor.
NO
No need to know
1
Diagnosis
Device,equipment |
CT(Computed tomography) scan before surgery.
Measurement of visceral obesity.
15 | years-old | <= |
70 | years-old | > |
Male and Female
UC patients undergoing elective total proctocolectomy and ileal pouch anal anastomosis (IPAA) or total proctocolectomy and ileal pouch anal canal anastomosis (IACA) are included in the series.
UC patient undergoing panproctocolectomy with end ileostomy and emergency/urgent surgical cases (Including IPAA or IACA) are excluded from the series. Patient with a diagnosis or suspicion of Crohn's disease based on histological findings are also excluded.
300
1st name | Hiroki |
Middle name | |
Last name | Ikeuchi |
Hyogo College of Medicine
Department Inflammatory Bowel Disease
663-8501
1-1, Mukogawa-cho, Nishinomiya Hyogo 663-8501, Japan
0798456372
yu-horio@hyo-med.ac.jp
1st name | Yuki |
Middle name | |
Last name | Horio |
Hyogo College of Medicine
Department Inflammatory Bowel Disease
663-8501
1-1, Mukogawa-cho, Nishinomiya Hyogo 663-8501, Japan
0798456372
yu-horio@hyo-med.ac.jp
Hyogo College of Medicine
Hyogo College of Medicine
Other
Hyogo College of Medicine
1-1, Mukogawa-cho, Nishinomiya Hyogo 663-8501, Japan
0798456066
rinri@hyo-med.ac.jp
NO
2017 | Year | 02 | Month | 10 | Day |
Unpublished
Open public recruiting
2017 | Year | 02 | Month | 01 | Day |
2017 | Year | 03 | Month | 23 | Day |
2017 | Year | 04 | Month | 01 | Day |
2025 | Year | 03 | Month | 31 | Day |
2025 | Year | 03 | Month | 31 | Day |
2017 | Year | 02 | Month | 03 | Day |
2024 | Year | 02 | Month | 09 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000029873