Morbid Obesity Causes Chronic Increase of Intraabdominal Pressure

Eldo Frezza; Khaled Shebani; Jana Robertson; Mitchell Wachtel
April 2007
Digestive Diseases & Sciences;Apr2007, Vol. 52 Issue 4, p1038
Academic Journal
Abstract  Intraabdominal hypertension and the abdominal compartment syndrome are known to deleteriously affect a wide array of organ systems. We retrospectively reviewed 62 women who underwent either laparoscopic gastric bypass surgery or adjustable gastric banding. Their age, body mass index (BMI), and race were known. Their opening abdominal pressure was recorded by connecting a Verress needle to a pressure monitor. Linear regression was used to assess the contribution of age, race, and BMI to the observed variation in opening abdominal pressure. Neither variation in age or race explained the variation in opening pressure (P> .05). By contrast, variation in BMI explained 8% of the observed variation in opening pressure (P< .05). For every 1 kg/mm2increase in BMI, there was on average a 0.07 mm Hg increase in opening pressure. Increases in BMI are associated with increases in intraabdominal pressure.


Related Articles

  • The Impact of Sleeve Gastrectomy on Hypertension: A Systematic Review. Sarkhosh, Kourosh; Birch, Daniel; Shi, Xinzhe; Gill, Richdeep; Karmali, Shahzeer // Obesity Surgery;May2012, Vol. 22 Issue 5, p832 

    Laparoscopic sleeve gastrectomy (LSG) is a relatively new bariatric surgical procedure associated with an acceptable weight loss and a relatively low morbidity. There is existing evidence suggesting bariatric surgery resolves or improves hypertension. The purpose of this study is to...

  • Baseline BMI may be strong predictor of nadir BMI after adolescent bariatric surgery.  // Endocrine Today;Jan2010, Vol. 8 Issue 1, p32 

    The article discusses research by Thomas H. Inge and colleagues on the use of body mass index (BMI) as a predictor of nadir BMI following bariatric surgery in adolescents.

  • Prevalence of obesity and hypertension among adults in Ogbomoso, Nigeria. Amole, Isaac Olusayo; OlaOlorun, Akintayo David; Owolabi, Akinwumi Olayinka // Internet Journal of Medical Update;Jul2011, Vol. 6 Issue 2, p9 

    Developing countries are now witnessing an increase in overweight; obesity and obesity-related morbidity. We determined the prevalence of obesity using the measure of body mass index (BMI) and hypertension and the association between obesity and hypertension among adults in Ogbomoso, Nigeria. A...

  • IFSO-APC Consensus Statements 2011. Kasama, Kazunori; Mui, Wilfred; Lee, Wei; Lakdawala, Muffazal; Naitoh, Takeshi; Seki, Yosuke; Sasaki, Akira; Wakabayashi, Go; Sasaki, Iwao; Kawamura, Isao; Kow, Lilian; Frydenberg, Harry; Chen, Anton; Narwaria, Mahendra; Chowbey, Pradeep // Obesity Surgery;May2012, Vol. 22 Issue 5, p677 

    Associations of BMI with body composition and health outcomes may differ between Asian and European populations. Asian populations have also been shown to have an elevated risk of type 2 diabetes, hypertension, and hyperlipidemia at a relatively low level of BMI. New surgical indication for...

  • Laparoscopic Sleeve Gastrectomy with an Extensive Posterior Mobilization: Technique and Preliminary Results. Gadiot, Ralph; Biter, Lacer; Zengerink, Hans; de Vos tot Nederveen Cappel, Robert; Elte, Jan; Castro Cabezas, Manuel; Mannaerts, Guido // Obesity Surgery;Feb2012, Vol. 22 Issue 2, p320 

    Background: Laparoscopic sleeve gastrectomy (LSG) is becoming increasingly popular as a stand-alone procedure for the treatment of morbidly obese patients. A direct posterior approach to the angle of His was developed at our department to improve visualization of the difficult dissection of the...

  • Obesity. Russell's, David; Ashby, Carrie // Pulse;Dec2015, p48 

    The article presents questions and answers on orlistat, bariatric surgery and risk factors linked with obesity, how to measure waist circumference and body mass index classification.

  • Association of Components of Metabolic Syndrome with Depression and Anxiety in Patients Undergoing Weight Reduction Surgery. Kallman, Jillian B.; Wheeler, Angela; Alathari, Husam K.; Yun Fang; Stepanova, Maria; Elrainy, Hazem; Younossi, Zobair M. // Open Obesity Journal;2010, Vol. 2, p125 

    Background: Obesity can be associated with psychiatric disorders such as depression. Aim: To determine the prevalence and association of psychiatric disorders in patients with excess body weight. Methods: Patients scheduled for weight reduction surgery were included. For each patient,...

  • Diabetic and bariatric surgery: A review of the recent trends. Rao, Raghavendra; Kini, Subhash // Surgical Endoscopy;Apr2012, Vol. 26 Issue 4, p893 

    Introduction: Bariatric surgery is currently the most effective treatment for diabetes associated with morbid obesity. Methods: A Pubmed search was made for all articles on bariatric surgery and diabetes from 2009 to present (March 2011) in order to identify the recent advances in this field....

  • Clinical digest. Gastric banding surgery is effective treatment for moderate and morbid obesity.  // Nursing Standard;5/29/2013, Vol. 27 Issue 39, p15 

    The article discusses research which was reported in the article "Lap-Band for Lower BMI: 2 Year Results From the Multicenter Pivotal Study" by Michaelson et al., was published in the journal "Obesity" and found that gastric banding surgery is effective in treating moderate and morbid obesity.


Read the Article


Sign out of this library

Other Topics