Annals of Coloproctology

Original Article

Distribution and Impact of the Visceral Fat Area in Patients With Colorectal Cancer: Hyeon Yu, Yong-Geul Joh, Gyung-Mo Son, Hyun-Sung Kim, Hong-Jae Jo, Hae-Young Kim; Ann Coloproctol. 2016;32(1):20-26. Published online February 29, 2016; DOI: https://doi.org/10.3393/ac.2016.32.1.20

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21 Citations

Purpose

The purposes of this study were to investigate the distribution of the visceral fat area (VFA) and general obesity and to compare visceral and general obesity as predictors of surgical outcomes of a colorectal cancer resection.

Methods

The prospectively collected data of 102 patients with preoperatively-diagnosed sigmoid colon or rectal cancer who had undergone a curative resection at Pusan National University Yangsan Hospital between April 2011 and September 2012 were reviewed retrospectively. Men with a VFA of >130 cm² and women with a VFA of >90 cm² were classified as obese (VFA-O, n = 22), and the remaining patients were classified as nonobese (VFA-NO, n = 80).

Results

No differences in morbidity, mortality, postoperative bowel recovery, and readmission rate after surgery were observed between the 2 groups. However, a significantly higher number of harvested lymph nodes was observed in the VFA-NO group compared with the VFA-O group (19.0 ± 1.0 vs. 13.5 ± 1.2, respectively, P = 0.001).

Conclusion

Visceral obesity has no influence on intraoperative difficulties, postoperative complications, and postoperative recovery in patients with sigmoid colon or rectal cancer.

Citations

Citations to this article as recorded by

Preoperative body composition metrics as predictors for outcomes in colorectal cancer surgeries
Dorsa Salabat, Asma Mousavi, Shayan Shojaei, Razman Arabzadeh Bahri, Hanieh Radkhah
Annals of Medicine & Surgery.2025; 87(4): 2243. CrossRef
Impact of visceral obesity on postoperative outcomes in colorectal cancer: a systematic review and meta-analysis
Yulong Wang, Xijuan Liu, Xiao Feng, Xing Jiang, Lili Huang
Frontiers in Oncology.2025;[Epub] CrossRef
Impact of visceral fat area on short-term outcomes in robotic surgery for mid and low rectal cancer
Shuai Zhao, Yue Ma, Ruiqi Li, Jiajie Zhou, Longhe Sun, Qiannan Sun, Wei Wang, Daorong Wang
Journal of Robotic Surgery.2024;[Epub] CrossRef
Does the visceral fat area impact the histopathology specimen metrics after total mesorectal excision for distal rectal cancer?
M Gachabayov, DM Felsenreich, S Bhatti, R Bergamaschi, Seon-Hahn Kim, Guglielmo Niccolo Piozzi, Rosa Jimenez-Rodriguez, Li-Jen Kuo, Tomohiro Yamaguchi, Fabio Cianchi, Oktar Asoglu, Vusal Aliyev, Dejan Ignjatovic, Yosef Nasseri, Moshe Barnajian, Dorin E. P
Langenbeck's Archives of Surgery.2023;[Epub] CrossRef
Visceral obesity and anastomotic leakage rates in colorectal cancer: a systematic review and meta-analysis
Linchong Yu, Wenjiang Wu, Shijun Xia, Yue Li, Zhigang Xu
Frontiers in Oncology.2023;[Epub] CrossRef
Research Progress in the Application of Visceral Fat in Gastric Cancer
桂芳崔
Advances in Clinical Medicine.2023; 13(12): 20585. CrossRef
Impact of Preoperative Visceral Fat Area Measured by Bioelectrical Impedance Analysis on Clinical and Oncologic Outcomes of Colorectal Cancer
Kyeong Eui Kim, Sung Uk Bae, Woon Kyung Jeong, Seong Kyu Baek
Nutrients.2022; 14(19): 3971. CrossRef
Computed Tomography Assessment of Fat Distribution and Staple-Line Leak Risk After Sleeve Gastrectomy
Martin Gaillard, Antonio Esposito, Panagiotis Lainas, Pauline Cerbelaud, Cosmin Sebastian Voican, Rodi Courie, Pierre Chague, Gabriel Perlemuter, Laurence Rocher, Ibrahim Dagher, Hadrien Tranchart
Obesity Surgery.2021; 31(5): 2011. CrossRef
Visceral Fat and Anastomotic Leakage After Colon Cancer Resection
Wouter M. Verduin, Anne-Loes K. Warps, Rick van den Helder, Hieronymus J. Doodeman, Alexander P.J. Houdijk
Diseases of the Colon & Rectum.2021; 64(2): 163. CrossRef
Visceral obesity is associated with lower stage colon tumors in males without survival advantage
Ana Silva, Francisco Gomes, Sofia S. Pereira, Mariana P. Monteiro, António Araújo, Gil Faria
Surgical Oncology.2021; 37: 101606. CrossRef
The Relationship Between Colorectal Cancer and Abdominal Adipose Tissue Distribution
Fatma Esra BAHADIR ÜLGER, Ümit AKYÜZ
Journal of Contemporary Medicine.2021; 11(3): 288. CrossRef
Impact of subcutaneous and visceral fat adiposity in patients with colorectal cancer
Jin-Mok Kim, Eric Chung, Eun-Suk Cho, Jae-Hoon Lee, Su-Jin Shin, Hye Sun Lee, Eun Jung Park, Seung Hyuk Baik, Kang Young Lee, Jeonghyun Kang
Clinical Nutrition.2021; 40(11): 5631. CrossRef
Impact of Visceral Fat Area Measured by Bioelectrical Impedance Analysis on Clinico-Pathologic Outcomes of Colorectal Surgery
Kyeong Eui Kim, Woo Jin Song, Minji Seok, Sung Uk Bae, Woon Kyung Jeong, Seong Kyu Baek
Journal of Clinical Nutrition.2021; 13(1): 17. CrossRef
Impact of adiposity on staging and prognosis of colorectal cancer
Ana Silva, Gil Faria, António Araújo, Mariana P. Monteiro
Critical Reviews in Oncology/Hematology.2020; 145: 102857. CrossRef
Impact of visceral obesity and sarcobesity on surgical outcomes and recovery after laparoscopic resection for colorectal cancer
C. Pedrazzani, C. Conti, G.A. Zamboni, M. Chincarini, G. Turri, A. Valdegamberi, A. Guglielmi
Clinical Nutrition.2020; 39(12): 3763. CrossRef
Which obesity-associated parameters can better reflect the risk of the occurrence of the anastomotic leakage?
Zeyang Chen, Jiejin Yang, Zining Liu, Yuyang Zhang, Jiali Sun, Pengyuan Wang
Scandinavian Journal of Gastroenterology.2020; 55(4): 466. CrossRef
BMI May Be a Prognostic Factor for Local Advanced Rectal Cancer Patients Treated with Long-Term Neoadjuvant Chemoradiotherapy

Hengchang Liu, Ran Wei, Chunxiang Li, Zhixun Zhao, Xu Guan, Ming Yang, Zheng Liu, Xishan Wang, Zheng Jiang
Cancer Management and Research.2020; Volume 12: 10321. CrossRef
Influence of Visceral Fat in the Outcomes of Colorectal Cancer
André Goulart, Nuno Malheiro, Hugo Rios, Nuno Sousa, Pedro Leão
Digestive Surgery.2019; 36(1): 33. CrossRef
Visceral fat area, not body mass index, predicts postoperative 30-day morbidity in patients undergoing colon resection for cancer
Benjamin A. Kuritzkes, Emmanouil P. Pappou, Ravi P. Kiran, Onur Baser, Liqiong Fan, Xiaotao Guo, Binsheng Zhao, Stuart Bentley-Hibbert
International Journal of Colorectal Disease.2018; 33(8): 1019. CrossRef
Assessment of Computed Tomography (CT)-Defined Muscle and Adipose Tissue Features in Relation to Short-Term Outcomes After Elective Surgery for Colorectal Cancer: A Multicenter Approach
Lisa Martin, Jessica Hopkins, Georgios Malietzis, J. T. Jenkins, Michael B. Sawyer, Ron Brisebois, Anthony MacLean, Gregg Nelson, Leah Gramlich, Vickie E. Baracos
Annals of Surgical Oncology.2018; 25(9): 2669. CrossRef
Impact of Visceral Fat Area in Colorectal Surgery
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Annals of Coloproctology.2016; 32(1): 3. CrossRef

Case Report

Adult Intussusception due to Cecal Lymphangioma: A Case Report: Dong Il Kim, Hyung Il Seo, Jae Hun Kim, Hyun Sung Kim, Hong Jae Jo; J Korean Soc Coloproctol. 2011;27(2):99-101. Published online April 30, 2011; DOI: https://doi.org/10.3393/jksc.2011.27.2.99

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30 Download
7 Citations

Abstract PDF

We present a rare case of adult intussusception due to cecal lymphangioma. A 30-year-old female was admitted to our hospital with abdominal pain and a palpatable mass on the right lower quadrant. Preoperative radiologic studies by ultrasound and computed tomography showed ileocolic intussusception with a multiseptated cystic tumor as a leading point on the cecum. An ileocecectomy was performed, and the postoperative course was uneventful. Histopathology showed a cecal lymphangioma. Although endoscopic polypectomy or endoscopic mucosal resection is recommended for pedunculated or semi-pedunculated colonic lymphangiomas less than 2 cm in size, it is proper to treat large or symptomatic colonic lymphangiomas with limited a bowel resection or a tumor resection.

Citations

Citations to this article as recorded by

An Incidental Finding of a Cecal Lymphangioma Managed Conservatively
Richard Mitchell, Jonathan Reyes, Vennis Lourdusamy, Raghav Bansal
Cureus.2024;[Epub] CrossRef
A Case of Colonic Intussusception Caused by Cecal Lymphangioma and Requiring Emergency Surgery
Mitsutoshi Okuda, Takahiro Yoshioka, Ryosuke Tsunemitsu, Hiroaki Inoeu, Ryo Inada
Cureus.2024;[Epub] CrossRef
Cystic Lymphangioma of Rectum-A Case Report and Review of Literature
Govindraj S Dessai, Nikhil Kumar Soni, Sharvari Pujari, Ramkrishna Prabhu, Chetan V Kantharia
The Korean Journal of Gastroenterology.2023; 82(2): 91. CrossRef
Cystic lymphangioma causing intussusception of the right colon: a case report and review of current literature
Jae Hyun Park, Jesung Park, Ga Yoon Ku, Do Kyoon Moon, Jong Sung Ahn, Hyo Jun Kim, Min Jung Kim, Ji Won Park, Seung-Bum Ryoo, Seung-Yong Jeong, Kyu Joo Park
Journal of Surgical Case Reports.2023;[Epub] CrossRef
Imaging features, complications and differential diagnoses of abdominal cystic lymphangiomas
M. Raufaste Tistet, O. Ernst, M. Lanchou, M. Vermersch, P. Lebert
Abdominal Radiology.2020; 45(11): 3589. CrossRef
Colonic lymphangioma presenting with intermittent pain and intussusception
Mark M G Ly, Marie Shella De Robles, Catriona Mckenzie, Christopher J Young
Journal of Surgical Case Reports.2019;[Epub] CrossRef
A Case of Adult Intussusception Secondary to Lymphangioma of the Cecum
Seong Wook Hwang
Soonchunhyang Medical Science.2019; 25(2): 139. CrossRef

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