当前位置： SCI文献检索 > SURGERY期刊下所有文献 > Intra-abdominal hypertension in obese patients undergoing coronary surgery: A prospective observational study.

Intra-abdominal hypertension in obese patients undergoing coronary surgery: A prospective observational study.

Abstract：

BACKGROUND:Coronary artery bypass grafting surgery has an increased risk of adverse events in obese patients. This increased risk might be explained in part by an increased intra-abdominal pressure and the development of intra-abdominal hypertension. Therefore, the objective of this study was to investigate the correlation between obesity and intra-abdominal hypertension and to evaluate its possible impact after coronary artery bypass grafting. METHODS:A total of 50 consecutive patients scheduled to undergo coronary artery bypass grafting at a single center were selected prospectively before undergoing elective coronary artery bypass grafting. Based on the body mass index, 25 obese (body mass index ≥ 30) patients were matched with 25 control patients. Each patient had intra-abdominal pressure taken at baseline followed by one measurment every 4 hours until 24 hours after coronary artery bypass grafting. The serum markers for liver and kidney functions were collected once a day for 7 days after coronary artery bypass grafting. RESULTS:Obese patients had a greater (mean ± SD) peak intra-abdominal pressure (15.4 ± 1.6 mm Hg versus 10.6 ± 1.6 mm Hg; P = .011) and mean change of intra-abdominal pressure from baseline (5.1 ± 3.3 mm Hg versus 2.2 ± 2.4 mm Hg; P = .001). The mean abdominal perfusion pressure was less in the obese group (63.0 ± 8.0 mm Hg versus 70.1 ± 11 mm Hg; P = .017). The liver dysfunction, as determined by the Schindl liver function scoring system between the obese and control groups, was not statistically significant (28% vs 8%; P = .066). More patients in the obese group developed renal injury based on the calculated glomerular filtration rate (32% vs 8%; P = .034). Obesity was highly associated with developing intra-abdominal hypertension (odds ratio: 2.99; 95% confidence interval: 1.92-3.53; P < .001). CONCLUSION:Obesity is associated with the development of intra-abdominal hypertension after coronary artery bypass grafting. This effect might indirectly impair the renal and liver functions through a decrease in the abdominal perfusion pressure.

journal_name

Surgery

journal_title

Surgery

authors

Nazer R,Albarrati A,Ullah A,Alamro S,Kashour T

doi

10.1016/j.surg.2019.05.038

subject

Has Abstract

pub_date

2019-12-01 00:00:00

pages

1128-1134

issue

6

eissn

0039-6060

issn

1532-7361

pii

S0039-6060(19)30313-7

journal_volume

166

pub_type

杂志文章

相关文献

SURGERY文献大全
  • Expression of apoptosis- and cell cycle-related proteins in epidermis of venous leg and diabetic foot ulcers.

    abstract：BACKGROUND:Epithelialization of cutaneous ulcers is a long-lasting process. To study the pathomechanism of impaired epithelialization, we evaluated the role of cell cycle- and apoptosis-related proteins in the regenerating epidermis. We characterized immunohistochemically the expression of cell cycle regulators p63, CD...

    journal_title：Surgery

    pub_type： 杂志文章

    doi：10.1067/msy.2003.223

    authors： Galkowska H,Olszewsk WL,Wojewodzka U,Mijal J,Filipiuk E

    更新日期：2003-08-01 00:00:00

  • Less is more: cost-effectiveness analysis of surveillance strategies for small, nonfunctional, radiographically benign adrenal incidentalomas.

    abstract：BACKGROUND:Guidelines for management of small adrenal incidentalomas are mutually inconsistent. No cost-effectiveness analysis has been performed to evaluate rigorously the relative merits of these strategies. METHODS:We constructed a decision-analytic model to evaluate surveillance strategies for <4cm, nonfunctional,...

    journal_title：Surgery

    pub_type： 杂志文章

    doi：10.1016/j.surg.2017.07.030

    authors： Chomsky-Higgins K,Seib C,Rochefort H,Gosnell J,Shen WT,Kahn JG,Duh QY,Suh I

    更新日期：2018-01-01 00:00:00

  • Laparoscopy in 533 patients with abdominal malignancy.

    abstract：BACKGROUND:Laparoscopy in patients with intra-abdominal malignancy remains controversial. This study evaluates the incidence of tumor recurrence at the port site after laparoscopy in patients with intra-abdominal malignancy. METHODS:The medical records of all patients with nongynecologic malignancies who underwent lap...

    journal_title：Surgery

    pub_type： 杂志文章

    doi：

    authors： Pearlstone DB,Mansfield PF,Curley SA,Kumparatana M,Cook P,Feig BW

    更新日期：1999-01-01 00:00:00

  • Effects of perfluorocarbon exchange transfusion on reducing myocardial infarct size in a primate model of ischemia-reperfusion injury: a prospective, randomized study.

    abstract：BACKGROUND:This study was undertaken to test the hypothesis that perfluorocarbons were able to reduce myocardial infarct size in a baboon model of ischemia-reperfusion injury. Exchange transfusion of perfluorocarbons has been shown to reduce myocardial infarct size in the dog, who, unlike the baboon, has an extensive c...

    journal_title：Surgery

    pub_type： 杂志文章

    doi：10.1016/s0039-6060(95)80011-5

    authors： Premaratne S,Harada RN,Chun P,Suehiro A,McNamara JJ

    更新日期：1995-06-01 00:00:00

  • Sepsis and endotoxemia stimulate intestinal interleukin-6 production.

    abstract：BACKGROUND:Endotoxemia stimulates tumor necrosis factor (TNF) and interleukin-1 (IL-1) production in mucosa of the small intestine, but the effect on IL-6 production is not known. Intestinal IL-6 may be especially important, considering its role in the acute phase response. We tested the influence of endotoxemia and se...

    journal_title：Surgery

    pub_type： 杂志文章

    doi：10.1016/s0039-6060(05)80342-3

    authors： Meyer TA,Wang J,Tiao GM,Ogle CK,Fischer JE,Hasselgren PO

    更新日期：1995-08-01 00:00:00

  • Cost of surgery in a low-income setting in eastern Uganda.

    abstract：BACKGROUND:Operative interventions have traditionally been seen as expensive; therefore, surgery has been given low priority in global health care planning in low-income countries. A growing body of evidence indicates that surgery can also be highly cost effective in low-income settings, but our current knowledge of th...

    journal_title：Surgery

    pub_type： 杂志文章

    doi：10.1016/j.surg.2015.01.026

    authors： Löfgren J,Mulowooza J,Nordin P,Wladis A,Forsberg BC

    更新日期：2015-06-01 00:00:00

  • Hepatic resection for hepatocellular carcinoma.

    abstract：:Between July 1973 and September 1988, 119 patients with hepatocellular carcinoma underwent hepatic resection at Keio University Hospital, Tokyo. Hepatic resection was performed not only for patients with liver cirrhosis and obstructive jaundice but also for patients with advanced disease. Eighty (67.2%) of the 119 pat...

    journal_title：Surgery

    pub_type： 杂志文章

    doi：

    authors： Tsuzuki T,Sugioka A,Ueda M,Iida S,Kanai T,Yoshii H,Nakayasu K

    更新日期：1990-05-01 00:00:00

  • Ileoanal anastomosis with proximal ileal reservoir: an experimental study.

    abstract：:Endorectal ileoanal anastomosis with proximal interposition of an ileal reservoir was evaluated experimentally in dogs as an approach to retain sphincteric control of defecation after proctocolectomy. Two months after the operative procedure, eight animals with a reservoir had four to eight semisolid stools per day an...

    journal_title：Surgery

    pub_type： 杂志文章

    doi：

    authors： Schraut WH,Block GE

    更新日期：1982-03-01 00:00:00

  • Serum aldosterone is correlated positively to parathyroid hormone (PTH) levels in patients with primary hyperparathyroidism.

    abstract：BACKGROUND:Primary hyperparathyroidism is associated with an increased cardiovascular morbidity and mortality. However, mechanisms underlying this association are currently unclear. As there is clear evidence of the independent role of aldosterone on the cardiovascular system, the aim of this study was to evaluate aldo...

    journal_title：Surgery

    pub_type： 杂志文章

    doi：10.1016/j.surg.2009.09.041

    authors： Brunaud L,Germain A,Zarnegar R,Rancier M,Alrasheedi S,Caillard C,Ayav A,Weryha G,Mirallie E,Bresler L

    更新日期：2009-12-01 00:00:00

  • National variation in opioid prescribing after pediatric umbilical hernia repair.

    abstract：BACKGROUND:Pediatric umbilical hernia repair is a common procedure that requires minimal tissue disruption. We examined variation in opioid prescription fills after repair of uncomplicated umbilical hernias to characterize the types and doses of medication used and persistent postsurgical use. METHODS:Using the Truven...

    journal_title：Surgery

    pub_type： 杂志文章

    doi：10.1016/j.surg.2018.10.029

    authors： Cartmill RS,Yang DY,Fernandes-Taylor S,Kohler JE

    更新日期：2019-04-01 00:00:00

  • Mortality in sporadic primary hyperparathyroidism: nationwide cohort study of multiple parathyroid gland disease.

    abstract：BACKGROUND:The risk of dying from primary hyperparathyroidism (pHPT) is controversial and has been explored mainly in single parathyroid gland disease. The present study investigates mortality in pHPT due to multiple parathyroid gland disease. METHODS:We used the nationwide Swedish In-patient Register and Cause-of-Dea...

    journal_title：Surgery

    pub_type： 杂志文章,多中心研究

    doi：10.1016/j.surg.2004.05.044

    authors： Nilsson IL,Wadsten C,Brandt L,Rastad J,Ekbom A

    更新日期：2004-11-01 00:00:00

  • Reappraisal of timing for exploration of civilian peripheral nerve injuries.

    abstract：:Operative as well as electrophysiologic experience with 213 major nerve injuries over the last 8 years and primate experiments form the basis of this reappraisal. Those lesions in continuity resected (58 of 172) usually had no response to stimulation or nerve action potential (NAP) at 8 weeks or longer after injury bu...

    journal_title：Surgery

    pub_type： 杂志文章

    doi：

    authors： Kline DG,Hackett ER

    更新日期：1975-07-01 00:00:00

  • Adenosine scavenging: a novel mechanism of chloride secretory control in intestinal epithelial cells.

    abstract：BACKGROUND:Adenosine released by cells during ischemia typically serves as a feedback inhibitor of further organ work. However, in ischemic intestine, adenosine appears to act via stimulatory A2b receptors to increase work in the form of chloride ion (Cl-) secretion. This unusual response may contribute to luminal flui...

    journal_title：Surgery

    pub_type： 杂志文章

    doi：10.1016/s0039-6060(96)80295-9

    authors： Tally KJ,Hrnjez BJ,Smith JA,Mun EC,Matthews JB

    更新日期：1996-08-01 00:00:00

  • Liver stiffness measurement by transient elastography predicts late posthepatectomy outcomes in patients undergoing resection for hepatocellular carcinoma.

    abstract：BACKGROUND:Postoperative hepatic decompensation is a serious complication of liver resection in patients undergoing hepatectomy for hepatocellular carcinoma. Liver fibrosis and clinical significant portal hypertension are well-known risk factors for hepatic decompensation. Liver stiffness measurement is a noninvasive m...

    journal_title：Surgery

    pub_type： 杂志文章

    doi：10.1016/j.surg.2017.06.006

    authors： Rajakannu M,Cherqui D,Ciacio O,Golse N,Pittau G,Allard MA,Antonini TM,Coilly A,Sa Cunha A,Castaing D,Samuel D,Guettier C,Adam R,Vibert E

    更新日期：2017-10-01 00:00:00

  • The necessity of mandatory exploration of penetrating zone II neck injuries.

    abstract：:To reevaluate the validity of our policy of mandatory surgical exploration of penetrating zone II neck injuries, the charts of 110 patients who underwent surgical exploration for such injuries were reviewed. Fifty-three percent of the patients had normal findings at exploration, whereas 33% had injuries involving vasc...

    journal_title：Surgery

    pub_type： 杂志文章

    doi：

    authors： Bishara RA,Pasch AR,Douglas DD,Schuler JJ,Lim LT,Flanigan DP

    更新日期：1986-10-01 00:00:00

  • Estimation of hepatic blood flow by hydrogen gas clearance.

    abstract：:The hydrogen gas clearance technique was evaluated to estimate regional hepatic blood flow. Initially, the H2 gas method was compared to the indocyanine green clearance in mini pigs. The blood flow measured by the H2 gas method (0.49 +/- 0.03 ml/min/gm) was only 39% of the calculated blood flow by the indocyanine gree...

    journal_title：Surgery

    pub_type： 杂志文章

    doi：

    authors： Gouma DJ,Coelho JC,Schlegel J,Fisher JD,Li YF,Moody FG

    更新日期：1986-04-01 00:00:00

  • The mechanism of recurrent laryngeal nerve injury during thyroid surgery--the application of intraoperative neuromonitoring.

    abstract：BACKGROUND:Identification of recurrent laryngeal nerve (RLN) has decreased the rates of permanent RLN palsy during thyroid operations; however, unexpected RLN palsy still occurs, even though the visual integrity was assured and most nerve injuries were not recognized intraoperatively. The aim of this study is to determ...

    journal_title：Surgery

    pub_type： 临床试验,杂志文章

    doi：10.1016/j.surg.2008.02.006

    authors： Chiang FY,Lu IC,Kuo WR,Lee KW,Chang NC,Wu CW

    更新日期：2008-06-01 00:00:00

  • Enhanced isolated pancreatic islet recovery and functionality in rats by 17beta-estradiol treatment of brain death donors.

    abstract：BACKGROUND:Current isolation techniques recover only 20% to 50% of the pancreatic islets. Brain death (BD) is characterized by activation of proinflammatory cytokines (PICs) with reduced islet yields and functionality. We previously reported that 17beta-estradiol (E2) induces cytoprotection to human islets exposed to P...

    journal_title：Surgery

    pub_type： 杂志文章

    doi：10.1016/j.surg.2004.05.009

    authors： Eckhoff DE,Eckstein C,Smyth CA,Vilatoba M,Bilbao G,Rahemtulla FG,Young CJ,Anthony Thompson J,Chaudry IH,Contreras JL

    更新日期：2004-08-01 00:00:00

  • Rates of secondary hyperparathyroidism after bypass operation for super-morbid obesity: An overlooked phenomenon.

    abstract：BACKGROUND:With over 110,000 bariatric operations performed in the United States annually, it is important to understand the biochemical abnormalities causing endocrine dysfunction associated with these procedures. Here we compare 2 malabsorptive procedures, duodenal switch and Roux-en-Y gastric bypass, to determine th...

    journal_title：Surgery

    pub_type： 杂志文章

    doi：10.1016/j.surg.2016.08.046

    authors： White MG,Ward MA,Applewhite MK,Wong H,Prachand V,Angelos P,Kaplan EL,Grogan RH

    更新日期：2017-03-01 00:00:00

  • Can ultrasound be used to predict malignancy in patients with a thyroid nodule and an indeterminate fine-needle aspiration biopsy?

    abstract：PURPOSE:The purpose of this study was to evaluate whether ultrasonography is helpful in predicting malignancy in patients with a thyroid nodule and atypia/follicular lesion of undetermined significance (AFLUS). METHODS:All patients with a preoperative ultrasound who underwent thyroidectomy for a nodule with AFLUS comp...

    journal_title：Surgery

    pub_type： 杂志文章

    doi：10.1016/j.surg.2014.06.043

    authors： Khoncarly SM,Tamarkin SW,McHenry CR

    更新日期：2014-10-01 00:00:00

  • Correlation between telomerase reverse transcriptase messenger RNA expression and survival of patients with papillary thyroid carcinoma.

    abstract：BACKGROUND:Telomerase reverse transcriptase promoter mutations were recently found to be associated with poorer prognosis in patients with papillary thyroid carcinoma. Correlation between telomerase reverse transcriptase messenger RNA expression and survival of patients with papillary thyroid carcinoma has not been det...

    journal_title：Surgery

    pub_type： 杂志文章

    doi：10.1016/j.surg.2020.04.054

    authors： Kwon JH,Yi JW

    更新日期：2021-01-01 00:00:00

  • Effects of trehalose in canine lung preservation.

    abstract：BACKGROUND:The effect of trehalose on the preservation of canine lungs was studied with the use of Euro-Collins solution (ECS). METHODS:In group 1, five lungs were perfused and preserved with a modified ECS in which trehalose (35.0 gm/L) was used instead of glucose. In group 2, six lungs were perfused and preserved wi...

    journal_title：Surgery

    pub_type： 杂志文章

    doi：

    authors： Hirata T,Fukuse T,Liu CJ,Muro K,Yokomise H,Yagi K,Inui K,Hitomi S,Wada H

    更新日期：1994-01-01 00:00:00

  • Hyperfunctioning intrathyroid parathyroid gland: a potential cause of failure in parathyroidectomy.

    abstract：BACKGROUND:The surgical success rate of parathyroidectomy is 95%. However, in rare patients, ectopic hyperfunctioning parathyroid glands may be located in the thyroid but missed on imaging studies or during surgery. The aim of the present study was to evaluate the perioperative findings in 6 patients with intrathyroid ...

    journal_title：Surgery

    pub_type： 杂志文章

    doi：10.1016/j.surg.2005.11.009

    authors： Bahar G,Feinmesser R,Joshua BZ,Shpitzer T,Morgenstein S,Popovtzer A,Shvero J

    更新日期：2006-06-01 00:00:00

  • The definitive value of active-specific immunotherapy for experimental carcinoma of the colon.

    abstract：:Active-specific immunotherapy with concanavalin A or with neuraminidase-modified syngeneic tumor cells has been studied in an experimental model of colon cancer. Systemic immunotherapy with concanavalin A-modified tumor cells or with neuraminidase-modified tumor cells has resulted in up to 70 percent cure of rats rece...

    journal_title：Surgery

    pub_type： 杂志文章

    doi：

    authors： Enker WE,Jacobitz JL

    更新日期：1976-08-01 00:00:00

  • Nasogastric tube "suction-buster holes" release mucosal occlusion despite high suction.

    abstract：:Aspiration devices can persistently malfunction if moderate (not just high) suction causes mucosal occlusion of every opening. The standard pattern of uniformly large orifices was modified by supplementing half the nasal tubes with smaller (one tenth of the area) openings. Ten pairs of postoperative patients sipped wa...

    journal_title：Surgery

    pub_type： 杂志文章

    doi：

    authors： Moss G

    更新日期：1992-07-01 00:00:00

  • Total and active T cell dynamics in renal allograft recipients.

    abstract：:Serial determinations of human thymus-dependent (T) and bone marrow-dependent (B) peripheral blood lymphocytes were performed to detect changes in activity of these rosette-forming cells in five groups of patients: controls; chronic renal failure (CRF) patients; dialysis patients receiving pretransplant splenectomy; 5...

    journal_title：Surgery

    pub_type： 杂志文章

    doi：

    authors： Kerman RH,Geis WP

    更新日期：1976-04-01 00:00:00

  • Tissue sealants in endoscopic applications for anastomotic leakage during a 25-year period.

    abstract：BACKGROUND:Anastomotic leakage after gastrointestinal operation is a complication difficult to manage because conservative therapy and/or reoperation may be unsuccessful and carry the risk of increased morbidity and mortality. The endoscopic use of tissue sealants appears to be a promising alternative to avoid operatio...

    journal_title：Surgery

    pub_type： 杂志文章

    doi：10.1016/j.surg.2014.06.002

    authors： Kotzampassi K,Eleftheriadis E

    更新日期：2015-01-01 00:00:00

  • Should the greater saphenous vein be preserved in patients requiring arterial outflow reconstruction in the lower extremity?

    abstract：:Two patient groups were studied to determine the need to preserve the greater saphenous vein during femoral outflow reconstruction for later aortocoronary bypass procedures. First, 74 patients were followed to the time of death or to a minimum of 5 years after femoral outflow reconstruction was performed. Only four pa...

    journal_title：Surgery

    pub_type： 杂志文章

    doi：

    authors： Houser SL,Hashmi FH,Jaeger VJ,Chawla SK,Brown L,Kemler RL

    更新日期：1984-04-01 00:00:00

  • Treatment of superficial cancer of the esophagus: a summary of responses to a questionnaire on superficial cancer of the esophagus in Japan.

    abstract：BACKGROUND:Histopathologic characteristics and optimal treatment modality for superficial esophageal cancer were reevaluated on the basis of 2418 patients from 143 institutions through a nationwide questionnaire to the members of the Japanese Society for Esophageal Diseases. METHODS:A questionnaire was designed for pa...

    journal_title：Surgery

    pub_type： 杂志文章

    doi：

    authors： Kodama M,Kakegawa T

    更新日期：1998-04-01 00:00:00

  • Novel approach to iatrogenic bile peritonitis.

    abstract：:Bile peritonitis after injury to the biliary tree is a serious complication that requires exploratory laparotomy. Our patient had an obstructing ampullary carcinoma, and generalized bile peritonitis developed from attempted percutaneous transhepatic cholangiography. The patient's condition was managed by peritoneal la...

    journal_title：Surgery

    pub_type： 杂志文章

    doi：

    authors： McAneny DB,Gibran NS,Braasch JW

    更新日期：1991-06-01 00:00:00