Weight change after colectomy for ulcerative colitis

被引:1
作者
Kouki, Matthieu [1 ]
Caron, Benedicte [2 ,3 ]
Malgras, Aurelie [4 ]
Ayav, Ahmet [1 ]
Peyrin-Biroulet, Laurent [2 ,3 ]
Germain, Adeline [1 ]
机构
[1] Univ Nancy, Dept Hepatobiliary Colorectal & Digest Surg, CHU Nancy Brabois, Nancy, France
[2] Univ Lorraine, Nancy Univ Hosp, Dept Gastroenterol, Vandoeuvre Les Nancy, France
[3] Univ Lorraine, Nancy Univ Hosp, Inserm NGERE U1256, Vandoeuvre Les Nancy, France
[4] Nancy Univ Hosp, Dept Nutr, Vandoeuvre Les Nancy, France
关键词
Ulcerative colitis; surgery; colectomy; weight; EVIDENCE-BASED CONSENSUS; PARENTERAL-NUTRITION; SURGERY;
D O I
10.1080/00365521.2022.2089537
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Background and objective Weight change after colectomy for ulcerative colitis is unknown. The main objective of this study was to describe weight change during surgical management of ulcerative colitis. Methods All patients, underwent a subtotal colectomy, then a proctectomy with J ileal pouch anal anastomosis protected by an ileostomy, and finally an ileostomy closure in the context of ulcerative colitis at the Nancy University Hospital from May 2014 to October 2020, were included. For each patient, his healthy weight, preoperative weight and postoperative weight were recorded for each step of surgery. Results Twenty-six patients were included. The median body mass index of healthy weight was 23.3 kg/m(2). Before subtotal colectomy, the median body mass index decreased to 21.3 kg/m(2), a reduction of 8.5%. One month after subtotal colectomy, the median body mass index was at its lowest level of 20.8 kg/m(2), which represented a 10.7% decrease from the healthy weight. Thereafter a significant increase in body mass index was observed before the proctectomy, reaching the threshold of 22.8 kg/m(2), an increase of 8.7% from the lowest level. After the last surgical time, which corresponds to the ileostomy closure, the body mass index was 23.2 kg/m(2), this threshold was comparable to the healthy weight body mass index. Conclusion Our study showed for the first time that after colectomy for ulcerative colitis, patients regained their healthy weight, which constitutes a reassuring message for patients before surgery.
引用
收藏
页码:1331 / 1333
页数:3
相关论文
共 50 条
[41]   The fate of the rectal stump after subtotal colectomy for ulcerative colitis [J].
Boehm, G. ;
O'Dwyer, S. T. .
INTERNATIONAL JOURNAL OF COLORECTAL DISEASE, 2007, 22 (03) :277-282
[42]   FATE OF THE RECTUM AFTER COLECTOMY WITH ILEORECTAL ANASTOMOSIS IN ULCERATIVE COLITIS [J].
Lepisto, A. ;
Jarvinen, H. J. .
SCANDINAVIAN JOURNAL OF SURGERY, 2005, 94 (01) :40-42
[43]   The fate of the rectal stump after subtotal colectomy for ulcerative colitis [J].
G. Böhm ;
S. T. O’Dwyer .
International Journal of Colorectal Disease, 2007, 22 :277-282
[44]   Less adhesiolysis and hernia repair during completion proctocolectomy after laparoscopic emergency colectomy for ulcerative colitis [J].
Bartels, Sanne A. L. ;
Vlug, Malaika S. ;
Henneman, Daan ;
Ponsioen, Cyriel Y. ;
Tanis, Pieter J. ;
Bemelman, Willem A. .
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2012, 26 (02) :368-373
[45]   Outcomes for Ulcerative Colitis With Delayed Emergency Colectomy Are Worse When Controlling for Preoperative Risk Factors [J].
Leeds, Ira L. ;
Sundel, Margaret H. ;
Gabre-Kidan, Alodia ;
Safar, Bashar ;
Truta, Brindusa ;
Efron, Jonathan E. ;
Fang, Sandy H. .
DISEASES OF THE COLON & RECTUM, 2019, 62 (05) :600-607
[46]   Early thiopurine maintenance is associated with reduced proximal disease progression and colectomy rate in ulcerative colitis [J].
Kariyawasam, Viraj C. ;
Mourad, Fadi H. ;
Mitrev, Nikola ;
Paramsothy, Sudarshan ;
Selinger, Christian P. ;
Katelaris, Peter H. ;
Jones, Brian ;
McDonald, Charles ;
Barr, Gavin ;
Chapman, Grace ;
Cowlishaw, James ;
Andrews, Jane ;
Leong, Rupert W. .
EUROPEAN JOURNAL OF GASTROENTEROLOGY & HEPATOLOGY, 2021, 33 (12) :1524-1532
[47]   Incidence Rates and Predictors of Colectomy for Ulcerative Colitis in the Era of Biologics: Results from a Provincial Database [J].
Abou Khalil, Maria ;
Boutros, Marylise ;
Nedjar, Hacene ;
Morin, Nancy ;
Ghitulescu, Gabriela ;
Vasilevsky, Carol-Ann ;
Gordon, Philip ;
Rahme, Elham .
JOURNAL OF GASTROINTESTINAL SURGERY, 2018, 22 (01) :124-132
[48]   Impact of anti-TNF-alpha therapy on colectomy rate and indications for colectomy in ulcerative colitis: comparison of two patient cohorts from 2005 to 2007 and from 2014 to 2016 [J].
Kolehmainen, Sara ;
Lepisto, Anna ;
Farkkila, Martti .
SCANDINAVIAN JOURNAL OF GASTROENTEROLOGY, 2019, 54 (06) :707-711
[49]   Ulcerative colitis-related severe enteritis: an infrequent but serious complication after colectomy [J].
Atsushi Kohyama ;
Kazuhiro Watanabe ;
Akira Sugita ;
Kitaro Futami ;
Hiroki Ikeuchi ;
Ken-ichi Takahashi ;
Yasuo Suzuki ;
Kouhei Fukushima .
Journal of Gastroenterology, 2021, 56 :240-249
[50]   Risk of Rectal Cancer After Colectomy for Patients With Ulcerative Colitis: A National Cohort Study [J].
Abdalla, Maie ;
Landerholm, Kalle ;
Andersson, Peter ;
Andersson, Roland E. ;
Myrelid, Par .
CLINICAL GASTROENTEROLOGY AND HEPATOLOGY, 2017, 15 (07) :1055-+