Abstract
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].
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Barrera F, Reindeberg NN, Winters WL (1967) Pulmonary function in the obese patients. Am J Med Sci 35: 785–795
Ray CS, Sue DY, Bray G, Hansen JE, Wasserman K (1983) Effects of obesity on respiratory function. Am Rev Respir Dis 128: 501–506
Sackner MA (1980) Monitoring of ventilation without physical connection to the airway. In: Sackner MA (ed) Diagnostic technique in pulmonary disease. Marcel Dekker, New Yourk, pp 503–537
Kriege BP, Chediak A, Gazeroglu HB, Bizousky FP, Feinerman D (1988) Variability of the breathing pattern before and after extubation. Chest 93: 767–771
Seidell JC, Bjorntorp P, Sjostrom L, Kvist H, Sannerstedt R (1990) Visceral fat accumulation in men is positively associated with insulin, glucose, and C-peptide levels, but negatively with testosterone levels. Metabolism 39: 897–901
Tokunaga K, Matsuzawa Y, Ishikawa K, Tarui S (1983) A novel technique for the determination of body fat by computed tomography. Int J Obesity 7: 437–445
Peiris AN, Sothmann MS, Hoffmann RG, Hennes MI, Wilson CR, Gustafson AB, Kissebah AH (1989) Adiposity, fat distribution, and cardiovascular risk. Ann Intern Med 110: 867–872
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1993 Springer-Verlag Tokyo
About this paper
Cite this paper
Kitagawa, Y., Ando, N., Ozawa, S., Kitajima, M. (1993). Contribution of Obesity and Intra-Abdominal Fat Accumulation to Postoperative Respiratory Disorders in Patients with Esophageal Carcinoma. In: Nabeya, Ki., Hanaoka, T., Nogami, H. (eds) Recent Advances in Diseases of the Esophagus. Springer, Tokyo. https://doi.org/10.1007/978-4-431-68246-2_126
Download citation
DOI: https://doi.org/10.1007/978-4-431-68246-2_126
Publisher Name: Springer, Tokyo
Print ISBN: 978-4-431-68248-6
Online ISBN: 978-4-431-68246-2
eBook Packages: Springer Book Archive