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Impact of oedema on recovery after major abdominal surgery and potential value of multifrequency bioimpedance measurements

Impact of oedema on recovery after major abdominal surgery and potential value of multifrequency bioimpedance measurements
Impact of oedema on recovery after major abdominal surgery and potential value of multifrequency bioimpedance measurements
Background: The consequences of generalized oedema following major abdominal surgery are under-recognized, and its causes are poorly understood.
Methods: Thirty-eight patients (21 men and 17 women) were observed for the occurrence of oedema after major abdominal surgery. Oedema formation was related to fluid balance, changes in whole-body bioimpedance (Z) measured at four frequencies (5, 50, 100 and 200 kHz), and clinical outcome.
Results: The 20 patients who developed oedema were older than those who did not (mean(s.d.) 73(9) versus 63(14) years; P = 0·007). Fluid intake over the first 5 days after surgery was similar in both groups, but those with oedema excreted less total fluid (16·9(2·4) versus 19·7(3·5) litres; P = 0·022). Oedema was associated with a delay in tolerating solid food (P = 0·001) and opening bowels (P = 0·020), a prolonged hospital stay (median 17 (range 8-59) versus 9 (range 4-27) days; P = 0·001) and more postoperative complications (13 of 20 versus four of 18 patients; P = 0·011). The preoperative ratio of whole-body impedance at 200 kHz to that at 5 kHz was higher in those who subsequently developed oedema (0·81(0·03) versus 0·78(0·02); P = 0·015).
Conclusion: The development of oedema after major abdominal surgery is associated with increased morbidity. Age and reduced ability to excrete administered fluid load are significant aetiological factors and bioimpedance analysis can potentially identify patients at risk.
354-361
Itobi, E.
59becaf1-ba3a-4637-8320-68fab4f1c0be
Stroud, M.A.
1665ae65-0898-4848-bf0d-baec8f2bb078
Elia, M.
964bf436-e623-46d6-bc3f-5dd04c9ef4c1
Itobi, E.
59becaf1-ba3a-4637-8320-68fab4f1c0be
Stroud, M.A.
1665ae65-0898-4848-bf0d-baec8f2bb078
Elia, M.
964bf436-e623-46d6-bc3f-5dd04c9ef4c1

Itobi, E., Stroud, M.A. and Elia, M. (2006) Impact of oedema on recovery after major abdominal surgery and potential value of multifrequency bioimpedance measurements. British Journal of Surgery, 93 (3), 354-361. (doi:10.1002/bjs.5259).

Record type: Article

Abstract

Background: The consequences of generalized oedema following major abdominal surgery are under-recognized, and its causes are poorly understood.
Methods: Thirty-eight patients (21 men and 17 women) were observed for the occurrence of oedema after major abdominal surgery. Oedema formation was related to fluid balance, changes in whole-body bioimpedance (Z) measured at four frequencies (5, 50, 100 and 200 kHz), and clinical outcome.
Results: The 20 patients who developed oedema were older than those who did not (mean(s.d.) 73(9) versus 63(14) years; P = 0·007). Fluid intake over the first 5 days after surgery was similar in both groups, but those with oedema excreted less total fluid (16·9(2·4) versus 19·7(3·5) litres; P = 0·022). Oedema was associated with a delay in tolerating solid food (P = 0·001) and opening bowels (P = 0·020), a prolonged hospital stay (median 17 (range 8-59) versus 9 (range 4-27) days; P = 0·001) and more postoperative complications (13 of 20 versus four of 18 patients; P = 0·011). The preoperative ratio of whole-body impedance at 200 kHz to that at 5 kHz was higher in those who subsequently developed oedema (0·81(0·03) versus 0·78(0·02); P = 0·015).
Conclusion: The development of oedema after major abdominal surgery is associated with increased morbidity. Age and reduced ability to excrete administered fluid load are significant aetiological factors and bioimpedance analysis can potentially identify patients at risk.

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Published date: March 2006

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Local EPrints ID: 40654
URI: http://eprints.soton.ac.uk/id/eprint/40654
PURE UUID: 519e1888-c85d-4743-9779-903be402a3f0

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Date deposited: 07 Jul 2006
Last modified: 15 Mar 2024 08:21

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Contributors

Author: E. Itobi
Author: M.A. Stroud
Author: M. Elia

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