Contribution of Obesity and Intra-Abdominal Fat Accumulation to Postoperative Respiratory Disorders in Patients with Esophageal Carcinoma

  • Yuko Kitagawa
  • Nobutoshi Ando
  • Soji Ozawa
  • Masaki Kitajima
Conference paper


Recently, the number of obese patients has been increasing in the field of gastrointestinal surgery because of progress in early diagnosis of gastrointestinal cancer and changes in dietary habits among Japanese. There are many difficulties in postoperative respiratory management in obese patients, especially in thoracic and upper abdominal surgery such as radical esophagectomy with thoracotomy and laparotomy. Previously, the fact that massive obesity is often associated with abnormalities in respiratory function has been demonstrated [1]. Modifications in thoracic compliance, diaphragmatic function, gas exchange, and extrathoracic airway patency have been reported [2].


Obese Patient Continuous Positive Airway Pressure Esophageal Carcinoma Pulmonary Capillary Wedge Pressure Breathing Pattern 
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Copyright information

© Springer-Verlag Tokyo 1993

Authors and Affiliations

  • Yuko Kitagawa
  • Nobutoshi Ando
  • Soji Ozawa
  • Masaki Kitajima
    • 1
  1. 1.Department of SurgeryKeio University School of MedicineShinjuku-ku, Tokyo, 160Japan

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