Our Summary

This research paper looked at the connection between body mass index (BMI), a measure of body fat based on height and weight, and the risk of infection after colorectal surgery. After reviewing over 2000 studies involving more than 15,000 patients, they found that patients who were obese (as defined by a BMI of 30 or above) had a significantly higher risk of getting a wound infection after surgery. The risk was also higher for those who were just overweight (with a BMI of 25 or above). In simpler terms, the more a person weighed in relation to their height, the more likely they were to get an infection after having colorectal surgery.

FAQs

  1. What is the connection between body mass index (BMI) and the risk of infection after colorectal surgery?
  2. How does being overweight or obese impact the risk of getting a wound infection after colorectal surgery?
  3. What was the sample size of the study that found a correlation between BMI and infection risk after colorectal surgery?

Doctor’s Tip

Therefore, one helpful tip a doctor might tell a patient about colorectal surgery is to try to maintain a healthy weight and BMI before the surgery. Losing weight or maintaining a healthy weight can help reduce the risk of infection and improve overall surgical outcomes. Additionally, following a healthy diet and regular exercise routine can also help support a successful recovery after surgery. It’s important to discuss any concerns or questions about weight management and surgery with your healthcare provider before undergoing colorectal surgery.

Suitable For

Patients who are recommended for colorectal surgery typically include those with colorectal cancer, inflammatory bowel disease (such as Crohn’s disease or ulcerative colitis), diverticulitis, colorectal polyps, and other conditions affecting the colon and rectum. Additionally, patients with severe hemorrhoids or rectal prolapse may also be recommended for colorectal surgery. It is important for patients to discuss their individual medical history and condition with their healthcare provider to determine if colorectal surgery is the best treatment option for them.

Timeline

Before colorectal surgery:

  1. Patient meets with surgeon to discuss the need for surgery and risks and benefits.
  2. Patient undergoes pre-operative testing and preparation, including blood work, imaging studies, and possibly a bowel prep.
  3. Patient may need to change their diet and medications in preparation for surgery.
  4. Patient receives instructions on what to expect during and after surgery, including potential complications.

After colorectal surgery:

  1. Patient undergoes surgery, which may be done laparoscopically or through open surgery.
  2. Patient is monitored closely in the recovery room for any immediate complications.
  3. Patient may stay in the hospital for several days to recover, depending on the extent of the surgery.
  4. Patient will be given pain medication and instructions on how to care for their incision site.
  5. Patient will gradually resume eating and drinking, starting with clear liquids and advancing to solid foods as tolerated.
  6. Patient may be discharged from the hospital with instructions on wound care, activity restrictions, and follow-up appointments.
  7. Patient may experience pain, fatigue, and changes in bowel habits as they recover from surgery.
  8. Patient will follow up with their surgeon for post-operative appointments to monitor their recovery and address any concerns.

What to Ask Your Doctor

  1. What are the specific risks and complications associated with colorectal surgery for someone with my BMI?
  2. How can I reduce my risk of infection after surgery, given my BMI?
  3. Are there any special precautions or considerations that need to be taken during surgery due to my BMI?
  4. How will my BMI affect my recovery time and overall outcome of the surgery?
  5. Are there any specific dietary or lifestyle changes I should make before or after surgery to improve my outcomes?
  6. Will my BMI affect the type of anesthesia or pain management that will be used during surgery?
  7. How will my BMI affect the long-term success of the surgery and my overall health?

Reference

Authors: Liu J, Li G, Chen Z, Jiang H. Journal: Int Wound J. 2023 Aug;20(6):2151-2158. doi: 10.1111/iwj.14091. Epub 2023 Mar 1. PMID: 36860168