Visceral fat-to-muscle ratio is associated with inflammatory ileus after excision of intestinal fistula with severe abdominal adhesions.

ABSTRACT:

Background

Postoperative inflammatory ileus (PII) is characterised by long-term re-obstruction, following temporary defecation. An intestinal fistula excision (IFE) with severe abdominal adhesions could increase the risk of PII in patients with sarcopenia. On the other hand, the postoperative outcomes are negatively impacted owing to chronic preoperative inflammation, as measured by the visceral fat area (VFA) and the total abdominal muscle area index (TAMAI) ratio. This study aims to evaluate the predictability of VFA/TAMAI for postoperative PII after IFE.

Methods

Four tertiary centres participated in this retrospective cohort study. Patients with sarcopenia who underwent IFE between January 2018 and October 2022 were enrolled. VFA/TAMAI was evaluated as a risk factor for P

SUBMITTER: Yang F 

PROVIDER: S-EPMC12628599 | biostudies-literature | 2025 Nov

REPOSITORIES: biostudies-literature