The American Journal of Surgery
Volume 197, Issue 4 , Pages 455-458, April 2009

The association between body mass index and the severity of cholecystitis

  • Hyeon Kook Lee, M.D., Ph.D.

      Affiliations

    • Department of Surgery, Ewha Womans University School of Medicine, Seoul, Korea
    • ,
  • Ho-Seong Han, M.D., Ph.D.

      Affiliations

    • Department of Surgery, Seoul National University College of Medicine, Seoul National University Bundang Hospital, 300 Gumi-dong, Bundang-gu, Seongnam-si, Gyeonggi-do, 463-707 Korea
    • Corresponding Author InformationCorresponding author. Tel.: +82-31-787-7091; fax: +82-31-787-4055
    • ,
  • Seog Ki Min, M.D., Ph.D.

      Affiliations

    • Department of Surgery, Ewha Womans University School of Medicine, Seoul, Korea

Received 25 October 2007; received in revised form 16 January 2008 published online 01 September 2008.

Abstract 

Background

Severe cholecystitis occurs more frequently in males, and the cause of this discrepancy is unknown.

Methods

A retrospective study was performed on 910 consecutive patients who underwent laparoscopic cholecystectomy for cholecystitis. The patients were classified according to body mass index (BMI) as obese (n = 354, BMI ≥25 kg/m2) and nonobese (n = 556; BMI <25).

Results

In males, there was a significant negative correlation between the BMI and the severity of cholecystitis; the proportion of complicated acute cholecystitis was higher in the nonobese patients (21.5%) compared with the obese patients (8.1%) (P = .007) but not for the females (P = .80). A BMI <25 (odds ratio [OR] = 1.92, P = .01), advanced age (OR = 2.52, P < .001), male sex (OR = 1.74, P = .022), and leukocytosis (OR = 1.92, P = .024) were independent predictors for the development of complicated acute cholecystitis.

Conclusion

There is a negative association between BMI and the inflammation severity of cholecystitis in males, which resulted in a higher incidence of severe cholecystitis in the nonobese male patients.

Keywords: Cholecystectomy, Severity, Empyema, Laparoscopy, Outcome

To access this article, please choose from the options below

Login to an existing account or Register a new account.

  • Purchase this article for 31.50 USD (You must login/register to purchase this article)

    Online access for 24 hours. The PDF version can be downloaded as your permanent record.

  • Subscribe to this title

    Get unlimited online access to this article and all other articles in this title 24/7 for one year.

  • Claim access now

    For current subscribers with Society Membership or Account Number.

  • Visit SciVerse ScienceDirect to see if you have access via your institution.
 

PII: S0002-9610(08)00460-1

doi:10.1016/j.amjsurg.2008.01.029

The American Journal of Surgery
Volume 197, Issue 4 , Pages 455-458, April 2009

Article Tools