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Impact of BMI on complications of gastric endoscopic submucosal dissection

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dc.contributor.authorKim, NY-
dc.contributor.authorLee, HS-
dc.contributor.authorLee, KY-
dc.contributor.authorJeon, S-
dc.contributor.authorChoi, SY-
dc.contributor.authorJoo, HJ-
dc.contributor.authorKim, JE-
dc.contributor.authorKim, SY-
dc.date.accessioned2023-01-05T03:03:13Z-
dc.date.available2023-01-05T03:03:13Z-
dc.date.issued2021-
dc.identifier.issn0257-2753-
dc.identifier.urihttp://repository.ajou.ac.kr/handle/201003/23638-
dc.description.abstractBackground: Gastric endoscopic submucosal dissection (ESD) has a high rate of complications. However, it is unclear whether BMI affects ESD complications. We aimed to investigate the impact of BMI on ESD complications. Methods: A total of 7,263 patients who underwent gastric ESD were classified into 3 groups according to the Asia-Pacific classification of BMI: normal (BMI <23 kg/m2, n = 2,466), overweight (BMI 23-24.9 kg/m2, n = 2,117), and obese (BMI ≥25 kg/m2, n = 2,680). Adjusted logistic regression analyses were conducted to assess the association between BMI and ESD complications. Results: Compared to the normal group, a lower incidence of perforation and a higher incidence of pneumonia and leukocytosis were found in the overweight and obese groups, and intra-ESD desaturation and hypertension were more frequent in the obese group. After adjustment for confounders, the risk of perforation significantly decreased in the overweight (odds ratio [OR] = 0.24, 95% confidence interval [CI]: 0.17-0.33) and obese (OR = 0.12, 95% CI: 0.08-0.18) groups compared to that in the normal group. Meanwhile, the risk of pneumonia significantly increased in the overweight (OR = 11.04, 95% CI: 6.31-19.31) and obese (OR = 10.71, 95% CI: 6.14-18.66) groups compared to the normal group. During sedation, the obese group had a significantly increased risk of desaturation (OR = 2.81, 95% CI: 1.18-6.69) and hypertension (OR = 1.35, 95% CI: 1.11-1.63) compared to the normal group. Conclusions: High BMI was significantly associated with ESD complications. More caution is needed in cases of obese patients undergoing ESD.-
dc.language.isoen-
dc.subject.MESHAdult-
dc.subject.MESHAged-
dc.subject.MESHBody Mass Index-
dc.subject.MESHEndoscopic Mucosal Resection-
dc.subject.MESHGastric Mucosa-
dc.subject.MESHHumans-
dc.subject.MESHIncidence-
dc.subject.MESHLogistic Models-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHObesity-
dc.subject.MESHPostoperative Complications-
dc.subject.MESHRetrospective Studies-
dc.subject.MESHTreatment Outcome-
dc.titleImpact of BMI on complications of gastric endoscopic submucosal dissection-
dc.typeArticle-
dc.identifier.pmid33166954-
dc.identifier.urlhttps://www.karger.com/?DOI=10.1159/000512899-
dc.subject.keywordBMI-
dc.subject.keywordComplication-
dc.subject.keywordEndoscopic submucosal dissection-
dc.subject.keywordGastric neoplasm-
dc.contributor.affiliatedAuthorKim, JE-
dc.type.localJournal Papers-
dc.identifier.doi10.1159/000512899-
dc.citation.titleDigestive diseases (Basel, Switzerland)-
dc.citation.volume39-
dc.citation.number4-
dc.citation.date2021-
dc.citation.startPage301-
dc.citation.endPage309-
dc.identifier.bibliographicCitationDigestive diseases (Basel, Switzerland), 39(4). : 301-309, 2021-
dc.embargo.liftdate9999-12-31-
dc.embargo.terms9999-12-31-
dc.identifier.eissn1421-9875-
dc.relation.journalidJ002572753-
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Anesthesiology & Pain Medicine
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