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Intra‐abdominal pressure, sagittal abdominal diameter and obesity comorbidity
Open accessAbstract
Objectives. To determine relationship of intraabdominal pressure to central obesity and the comorbidity of obesity. Design. Non‐randomized, prospective. Setting. University hospital, operating room. Subjects. Eighty‐four anaesthetized consecutive patients prior to gastric bypass for morbid obesity and five non‐obese patients before colectomy for ulcerative colitis. Main outcome measures. Weight, body mass index (BMI), co‐morbid history, sagittal abdominal diameter, waist:hip (W∶H) ratio and urinary bladder pressure, as an estimate of intra‐abdominal pressure. Results. Urinary bladder pressure was greater in the obese than the non‐obese (18±0.7 vs. 7±1.6 cm H 2 O, P < 0.001), correlated with sagittal abdominal diameter (r = +0.67, P < 0.001) and was greater (P < 0.05) in patients with, than those without, morbidity probably (hypoventilation, gastroesophageal reflux, venous stasis, stress incontinence, incisional hernia) or possibly (hypertension, diabetes) due to increased abdominal pressure. W∶H ratio correlated with urinary bladder pressure in men (r = +0.6, P < 0.05) but not women (r = −0.3). Conclusions. Increased sagittal abdominal diameter was associated with increased intraabdominal pressure which contributed to obesity‐related comorbidity. W∶H ratio was not a reliable indicator of intraabdominal pressure for women who often have both peripheral and central obesity. Further studies are needed to evaluate the relationship between intraabdominal pressure and Type II diabetes and hypertension.
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“In patients with visceral obesity, intra-abdominal pressure rises in proportion to sagittal abdominal diameter, reaching levels as high as 35–40 mmHg27.”
From Obesity-Induced Hypertension: Interaction of Neurohumoral and Renal Mechanisms (2015) · cites this paper as [27]
Experimental — accuracy not yet measuredIn the citing paper
“Pressure in the abdominal cavity may be elevated to >40 cm H20 in patients with large sagittal abdominal diameters52.”
From Obesity, kidney dysfunction and hypertension: mechanistic links (2019) · cites this paper as [52]
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Items 101–200 of 487
Obesity and Female Stress Urinary Incontinence
Osborn, D. J., Strain, M., Gomelsky, A., Rothschild, J. G., & Dmochowski, R. R. (2013) · Urology · doi:10.1016/j.urology.2013.06.020 · Cited by 78
Ahmad, A., & Oparil, S. (2018) · Springer eBooks · doi:10.1007/978-3-319-71135-5_3 · Cited by 78
Friedman, D. I. (2006) · Journal of Neuro-Ophthalmology · doi:10.1097/01.wno.0000204663.33559.1e · Cited by 76
“Patients with morbid obesity were studied to determine the relationship between sagittal abdominal diameter (central obesity) and intra-abdominal pressure (10).”
BackgroundResultDerzie, A., Silvestri, F., Liriano, E., et al. (2000) · Journal of the American College of Surgeons · doi:10.1016/s1072-7515(00)00353-7 · Cited by 77
Rectal compliance, capacity, and rectoanal sensation in fecal incontinence
Salvioli, B., Bharucha, A. E., Rath, D. M., Pembérton, J. H., & Phillips, S. F. (2001) · The American Journal of Gastroenterology · doi:10.1111/j.1572-0241.2001.03954.x · Cited by 91
“The association between BMI and rectal compliance could be explained by higher intra-abdominal pressure in obese subjects (31), thereby impeding expansion of an intrarectal balloon.”
Backgroundlaet, I. E. D., Ravyts, M., Vidts, W., et al. (2008) · Langenbeck s Archives of Surgery · doi:10.1007/s00423-008-0347-x · Cited by 76
Malbrain, M. L. N. G., Keulenaer, B. L. D., Oda, J., laet, I. D., Waele, J. J. D., Roberts, D. J., Kirkpatrick, A. W., Kimball, E. J., & Ivatury, R. R. (2015) · Anestezjologia, Intensywna Terapia · doi:10.5603/ait.a2015.0021 · Cited by 73
“Some have introduced the term “syndrome X” [28].”
BackgroundIliofemoral Venous Pressure Correlates with Intraabdominal Pressure in Morbidly Obese Patients
Arfvidsson, B., Eklöf, B., & Balfour, J. (2005) · Vascular and Endovascular Surgery · doi:10.1177/153857440503900607 · Cited by 72
Lower Extremity Superficial Venous Aneurysms
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Improved renal function 12 months after bariatric surgery
Hou, C.-C., Shyu, R.-S., Lee, W., Ser, K., Lee, Y.-C., & Chen, S.-C. (2012) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2012.10.005 · Cited by 72
Richter, H. E., Creasman, J. M., Myers, D. L., Wheeler, T. L., Burgio, K. L., & Subak, L. L. (2008) · International Urogynecology Journal · doi:10.1007/s00192-008-0694-8 · Cited by 71
“The association of BMI and waist-to-hip ratio with Pabd has been described in the surgical literature [29, 30].”
BackgroundBrækkan, S. K., Hald, E. M., Mathiesen, E. B., Njølstad, I., Wilsgaard, T., Rosendaal, F. R., & Hansen, J. (2011) · Arteriosclerosis Thrombosis and Vascular Biology · doi:10.1161/atvbaha.111.237545 · Cited by 71
Bariatric Surgery and Hypertension
Owen, J., Yazdi, F., & Reisin, E. (2017) · American Journal of Hypertension · doi:10.1093/ajh/hpx112 · Cited by 70
Hong, Y.-H., Kim, S.-K., Hwang, J., et al. (2021) · World Neurosurgery · doi:10.1016/j.wneu.2021.01.086 · Cited by 67
Anthropometric Measures of Obesity and Risk of Venous Thromboembolism
Borch, K. H., Brækkan, S. K., Mathiesen, E. B., Njølstad, I., Wilsgaard, T., Störmer, J., & Hansen, J. (2009) · Arteriosclerosis Thrombosis and Vascular Biology · doi:10.1161/atvbaha.109.188920 · Cited by 67
Willenberg, T., Clemens, R. K. J., Haegeli, L., Amann-Vesti, B. R., Baumgärtner, I., & Husmann, M. J. W. (2011) · European Journal of Vascular and Endovascular Surgery · doi:10.1016/j.ejvs.2011.02.015 · Cited by 64
Can the abdominal perimeter be used as an accurate estimation of intra-abdominal pressure?*
Malbrain, M. L. N. G., laet, I. D., Regenmortel, N. V., Schoonheydt, K., & Dits, H. (2008) · Critical Care Medicine · doi:10.1097/ccm.0b013e318192678e · Cited by 64
Effect of obesity on chronic venous insufficiency treatment outcomes
Deol, Z. K., Lakhanpal, S., Franzon, G., & Pappas, P. J. (2020) · Journal of Vascular Surgery Venous and Lymphatic Disorders · doi:10.1016/j.jvsv.2020.04.006 · Cited by 66
laet, I. D., Citerio, G., & Malbrain, M. L. N. G. (2007) · Acta Clinica Belgica · doi:10.1179/acb.2007.62.s1.012 · Cited by 64
“Acta Clinica Belgica, 2007; 62-Supplement 1 IAP leading to idiopathic ICH and pseudotumor cerebri (35-38).”
BackgroundKirkpatrick, A. W., Pelosi, P. P., Waele, J. J. D., Malbrain, M. L. N. G., Ball, C. G., Meade, M. O., Stelfox, H. T., & Laupland, K. B. (2010) · Critical Care · doi:10.1186/cc9099 · Cited by 63
“Although IAP was not a focus, these studies provide the best guidance regarding proning with IAH, as obesity is well linked to chronic IAH, which compresses the lungs and decreases forced residual capacity [72].”
BackgroundKreislaufstillstand in besonderen Situationen
Truhlář, A., Deakin, C. D., Soar, J., Khalifa, G. E. A., Alfonzo, A. V. M., Bierens, J. J. L. M., Brattebø, G., Brugger, H., Dunning, J., Hunyadi-Antičević, S., et al. (2015) · Notfall + Rettungsmedizin · doi:10.1007/s10049-015-0096-7 · Cited by 62
Cuicchi, D., Lombardi, R., Cariani, S., Leuratti, L., Lecce, F., & Cola, B. (2011) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2011.08.013 · Cited by 63
Intra-Abdominal Pressure and the Morbidly Obese Patients: The Effect of Body Mass Index
Wilson, A. M., Longhi, J. J., Goldman, C. D., et al. (2010) · The Journal of Trauma: Injury, Infection, and Critical Care · doi:10.1097/ta.0b013e3181e05a79 · Cited by 62
Influence of Semi-Recumbent Position on Intra-Abdominal Pressure as Measured by Bladder Pressure
Vasquez, D. G., Berg-Copas, G. M., & Wetta‐Hall, R. (2006) · Journal of Surgical Research · doi:10.1016/j.jss.2006.10.023 · Cited by 61
“The effect of raising the HOB was even more pronounced in the patients with higher BMI, which is consistent with the findings by others [18–20, 26, 27].”
ResultViscoelastic properties of the human colon
Bharucha, A. E., Hubmayr, R. D., Ferber, I. J., & Zinsmeister, A. R. (2001) · American Journal of Physiology-Gastrointestinal and Liver Physiology · doi:10.1152/ajpgi.2001.281.2.g459 · Cited by 60
Treatment of Intracranial Hypertension Using Nonsurgical Abdominal Decompression
Saggi, B. H., Bloomfield, G. L., Sugerman, H. J., et al. (1999) · doi:10.1097/00005373-199904000-00014 · Cited by 60
Self-citationAbdominal signs and symptoms in intensive care patients
Blaser, A. R., Starkopf, J., & Malbrain, M. L. N. G. (2015) · Anestezjologia, Intensywna Terapia · doi:10.5603/ait.a2015.0022 · Cited by 67
Pathophysiology and treatment of obesity‐related hypertension
Chrysant, S. G. (2019) · Journal of Clinical Hypertension · doi:10.1111/jch.13518 · Cited by 66
Portal Vein Hemodynamics in Patients with Non-Alcoholic Fatty Liver Disease
Erdoğmus, B., Tamer, A., Büyükkaya, R., Yazıcı, B., Büyükkaya, A., Korkut, E., Alçelik, A., & Korkmaz, U. (2008) · The Tohoku Journal of Experimental Medicine · doi:10.1620/tjem.215.89 · Cited by 58
“The role of the intra-abdominal pressure in the magnitude of venous modulation is evidenced by a decrease in venous pulsatility when the patient is sitting and during deep inspiration, maneuvers known to increase intra-abdominal pressure (Sugerman et al. 1997).”
BackgroundSahuquillo, J., Arikán, F., Poca, M. A., et al. (2008) · Neurosurgery · doi:10.1227/01.neu.0000311071.33615.e1 · Cited by 57
“IAP might be higher than expected in normal patients and significantly increased in moderately overweight or obese patients (28, 29, 31).”
BackgroundInfluentialBody Mass Index and Urinary Symptoms in Women
Elia, G., Dye, T., & Scariati, P. D. (2001) · International Urogynecology Journal · doi:10.1007/pl00004043 · Cited by 57
“The clearly demonstrated association between BMI and urinary incontinence is consistent with the findings of other studies [4,5,11,12].”
BackgroundResultImpact of adipose tissue in chronic kidney disease development (Review)
Miricescu, D., Bălan, D., Tulin, A. D., Ştiru, O., Văcăroiu, I. A., Mihai, D. A., Popa, C. O., Enyedi, M., Nedelea, A., Nica, A. E., et al. (2021) · Experimental and Therapeutic Medicine · doi:10.3892/etm.2021.9969 · Cited by 61
“Increased sagittal abdominal diameter is associated with increased intra‐abdominal pres‐ sure which leads to obesity‐related comorbidity, such as type II diabetes, hypertension, and CKD (39).”
BackgroundAcute intestinal distress syndrome: the importance of intra-abdominal pressure.
Malbrain, M. L. N. G., Vidts, W., Ravyts, M., et al. (2008) · PubMed · Cited by 55
Measurement of intra-abdominal pressure in term pregnancy: a pilot study
Chun, R., Baghirzada, L., Tiruta, C., et al. (2012) · International Journal of Obstetric Anesthesia · doi:10.1016/j.ijoa.2011.10.010 · Cited by 55
Shimizu, A., Tani, M., Kawai, M., Hirono, S., Miyazawa, M., Uchiyama, K., & Yamaue, H. (2011) · Journal of Gastrointestinal Surgery · doi:10.1007/s11605-011-1436-7 · Cited by 56
Smit, M., Werner, M. J. M., Lansink‐Hartgring, A. O., et al. (2016) · Annals of Intensive Care · doi:10.1186/s13613-016-0195-8 · Cited by 54
“Hence, this study does not match with findings from previous studies in the morbidly obese [13, 14].”
BackgroundResultInfluentialBariatric surgery improves urinary incontinence in morbidly obese individuals
Kuruba, R., Almahmeed, T., Arredondo Martínez, F., Torrella, T., Haines, K., Nelson, L. G., Gallagher, S. F., & Murr, M. M. (2007) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2007.08.007 · Cited by 54
Wasserberg, N., Haney, M., Petrone, P., Crookes, P. F., Rosca, J., Ritter, M., & Kaufman, H. S. (2008) · International Journal of Colorectal Disease · doi:10.1007/s00384-007-0432-6 · Cited by 53
“that underlie the contribution of central obesity to UI include chronically increased intra-abdominal pressure [ 11 ] and obesity-related nerve conduction abnormalities and intervertebral disc herniation [12].”
BackgroundAre Commercial Negative Pressure Systems Worth the Cost in Open Abdomen Management?
Frazee, R. C., Abernathy, S. W., Jupiter, D. C., et al. (2013) · Journal of the American College of Surgeons · doi:10.1016/j.jamcollsurg.2012.12.035 · Cited by 52
Laboratory parameters and nutritional status in patients with functional dyspepsia
Filipović, B. F., Randjelović, T., Kovacevic, N., et al. (2011) · European Journal of Internal Medicine · doi:10.1016/j.ejim.2011.01.012 · Cited by 52
“Most of the authors have reported dyspeptic symptoms in more than 30% patients after ingestion of wheat-containing foods, particularly pasta, bread and cakes [7,26,27].”
BackgroundNoninvasive Assessment of Intra-Abdominal Pressure by Measurement of Abdominal Wall Tension
van Ramshorst, G. H., Salih, M., Hop, W. C. J., et al. (2010) · Journal of Surgical Research · doi:10.1016/j.jss.2010.02.007 · Cited by 52
“pressures in the obese compared with the non-obese [16].”
BackgroundDaníelsson, G., Arfvidsson, B., Eklöf, B., et al. (2004) · Vascular and Endovascular Surgery · doi:10.1177/153857440403800303 · Cited by 52
RISK FACTORS FOR VENOUS THROMBOEMBOLISM FOLLOWING PROLONGED AIR TRAVEL
Arfvidsson, B., Eklöf, B., Kistner, R. L., et al. (2000) · Hematology/Oncology Clinics of North America · doi:10.1016/s0889-8588(05)70140-4 · Cited by 52
Joint Effects of Obesity and Body Height on the Risk of Venous Thromboembolism
Borch, K. H., Nyegaard, C., Hansen, J., Mathiesen, E. B., Njølstad, I., Wilsgaard, T., & Brækkan, S. K. (2011) · Arteriosclerosis Thrombosis and Vascular Biology · doi:10.1161/atvbaha.110.218925 · Cited by 50
Stadler, D. L., McEvoy, R. D., Bradley, J., Paul, D., & CATCHESIDE, P. G. (2010) · Journal of Applied Physiology · doi:10.1152/japplphysiol.01397.2009 · Cited by 53
“However, despite obesity and substantially raised intra-abdominal pressure, consistent with previous reports (23, 29), there was no evidence for a greater overall sleep onset-related reduction in lung volume, end-expiratory Pga, or end-expiratory Pdi in obese OSA patients compared with healthy-weight controls.”
ResultContinuous negative abdominal pressure device to treat pseudotumor cerebri
Sugerman, H. J., Felton, W., III, Sismanis, A. A., et al. (2001) · International Journal of Obesity · doi:10.1038/sj.ijo.0801519 · Cited by 50
Self-citationKreislaufstillstand unter besonderen Umständen
Lott, C., Truhlář, A., Alfonzo, A., Barelli, A., Salvado, V. G., Hinkelbein, J., Nolan, J. P., Paal, P., Perkins, G. D., Thies, K., et al. (2021) · Notfall + Rettungsmedizin · doi:10.1007/s10049-021-00891-z · Cited by 52
Fatty kidney disease: The importance of ectopic fat deposition and the potential value of imaging
Mende, C. W., & EINHORN, D. F. (2021) · Journal of Diabetes · doi:10.1111/1753-0407.13232 · Cited by 52
“The renal hilum is especially sensitive to pressure as it is not covered by the renal capsule, thus allowing the elevated pressures to be directly transmitted to the medulla.(11,29) Because of the absence of the renal capsule at the hilum, fat accumulation around the hilum and sinus directly compresses arterial and ve…”
BackgroundVissers, D. K., Neels, H., Vermandel, A., Wachter, S. D., Tjalma, W. A. A., Wyndaele, J.-J., & Taeymans, J. (2014) · Obesity Reviews · doi:10.1111/obr.12170 · Cited by 49
“It has been hypothesized that obesity increases abdominal pressure, thereby stressing the pelvic floor and contributing to UI (36,37).”
BackgroundMorejón, C. D. D. S., & Barbeito, T. O. T. (2012) · Annals of Intensive Care · doi:10.1186/2110-5820-2-s1-s22 · Cited by 48
“[11] found significant differences between IAP in male and female patients.”
BackgroundAl-Bahrani, A. Z., Abid, G. H., Sahgal, E., et al. (2007) · Clinical Radiology · doi:10.1016/j.crad.2006.11.006 · Cited by 48
Hypertension in obesity: is leptin the culprit?
Simonds, S. E., & Cowley, M. A. (2013) · Trends in Neurosciences · doi:10.1016/j.tins.2013.01.004 · Cited by 50
Hypothesis: Preeclampsia is a venous disease secondary to an increased intra-abdominal pressure
Sugerman, H. J. (2011) · Medical Hypotheses · doi:10.1016/j.mehy.2011.07.051 · Cited by 48
Self-citationGastrointestinal disorders and symptoms: does body mass index matter?
van Oijen, M. G. H., Josemanders, D. F. G. M., Laheij, R. J. F., et al. (2006) · PubMed · Cited by 47
Salpietro, V., Mankad, K., Kinali, M., et al. (2013) · Journal of Pediatric Endocrinology and Metabolism · doi:10.1515/jpem-2013-0156 · Cited by 47
“It has been suggested that pressure effects of centrally distributed adiposity elevates indirectly intracranial pressure (28); such hypothesis, however, does not explain why, despite ubiquitous elevation of intra-abdominal pressure”
BackgroundMende, C. W., & EINHORN, D. F. (2019) · Endocrine Practice · doi:10.4158/ep-2018-0568 · Cited by 51
Neff, K., Baud, G., Raverdy, V., Caiazzo, R. J., Verkindt, H., Noël, C., le Roux, C. W., & Pattou, F. N. (2016) · Obesity Surgery · doi:10.1007/s11695-016-2333-7 · Cited by 45
“Data from the LABS consortium report a 3-year hypertension remission rate of 38 % after RYGB and 17 % in LAGB [26].”
MethodAirway Dysfunction in Obesity: Response to Voluntary Restoration of End Expiratory Lung Volume
Oppenheimer, B. W., Berger, K. I., Segal, L. N., et al. (2014) · PLoS ONE · doi:10.1371/journal.pone.0088015 · Cited by 45
Effects of bariatric surgery on pelvic floor disorders in obese women: a meta-analysis
Lian, W.-Q., Zheng, Y.-Q., Huang, H., Chen, L., & Cao, B. (2017) · Archives of Gynecology and Obstetrics · doi:10.1007/s00404-017-4415-8 · Cited by 46
de Cleva, R., da Silva, F. P., Zilberstein, B., et al. (2001) · Revista do Hospital das Clínicas · doi:10.1590/s0041-87812001000400006 · Cited by 45
Pulmonary function in the morbidly obese
Saliman, J. A., Benditt, J. O., Flum, D. R., Oelschlager, B. K., Dellinger, E. P., & Goss, C. H. (2008) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2008.06.010 · Cited by 46
“The effect on lung function could partly be explained by the increased intra-abdominal pressure associated with OHS; the degree of central obesity as measured by the sagittal diameter has been associated with increasing intra-abdominal pressure in morbidly obese patients [40].”
BackgroundEffect of laparoscopic gastric bypass surgery on urinary incontinence in morbidly obese women
Laungani, R. G., Seleno, N., & Carlin, A. M. (2008) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2008.12.003 · Cited by 45
Sušić, D., & Varagić, J. (2016) · Medical Clinics of North America · doi:10.1016/j.mcna.2016.08.008 · Cited by 45
Martin, W. P., Docherty, N. G., & le Roux, C. W. (2018) · Expert Review of Endocrinology & Metabolism · doi:10.1080/17446651.2018.1518130 · Cited by 45
“For example, reduced RAAS activity may be explained by reduced renin release in response to lower intra-abdominal pressure [63] decreased leptin”
BackgroundPrevalence and Etiology of Obesity - An Overview
., A. K. A., & Khan, A. (2003) · Pakistan Journal of Nutrition · doi:10.3923/pjn.2004.14.25 · Cited by 44
“…or she is not (NIH, 2001). abdominal fat, usually called as Central obesity o r In recent years, body mass index (BMI) also called Android obesity (Sugerman et al., 1997; Pouliot et al., Quetelet Index (initially described by Quetelet in 1869), 1992; Ducimetiere and Richard, 1989; Despres et al.,…”
BackgroundEarly and Mid-term Outcomes of Single-Stage Laparoscopic Sleeve Gastrectomy
Srinivasa, S., Hill, L. S., Sammour, T., et al. (2010) · Obesity Surgery · doi:10.1007/s11695-010-0267-z · Cited by 42
“Obese women have a high prevalence of SUI due to chronically elevated intra-abdominal and intravesical pressures and constant stress on the pelvic floor contributing to organ prolapse [16–18].”
BackgroundLeng, Y., Zhang, K., Fan, J., Yi, M., Ge, Q., Chen, L., Zhang, L., & Yao, G. (2014) · PLoS ONE · doi:10.1371/journal.pone.0109350 · Cited by 41
Sitting and Supine Esophageal Pressures in Overweight and Obese Subjects
Owens, R. L., Campana, L. M., Hess, L. B., Eckert, D. J., Loring, S. H., & Malhotra, A. (2012) · Obesity · doi:10.1038/oby.2012.120 · Cited by 41
“Again, these findings may further emphasize the importance of intra-abdominal pressure on intrathoracic pressures, since measurements of abdominal girth, including waist–hip ratio and sagittal abdominal diameter, have been previously found to correlate with intra-abdominal pressure (28,29).”
BackgroundYamazaki, H., Slingsby, B. T., Takahashi, M., Hayashi, Y., Sugimori, H., & Nakayama, T. (2009) · PubMed · Cited by 40
Clinical Relevance of Intraperitoneal Pressure in Peritoneal Dialysis Patients
Castellanos, L. B., Clemente, E. P., Cabañas, C. B., et al. (2017) · Peritoneal Dialysis International · doi:10.3747/pdi.2016.00267 · Cited by 41
“Intraperitoneal pressure was also associated with waist circumference, an indicative parameter of central obesity, and never previously studied in PD patients, while it was related to IAP in critical and surgical patients (23).”
BackgroundResultKayode, J., Adediran, O. S., Steven, A. S., & Olayinka, A. O. (2011) · Annals of African Medicine · doi:10.4103/1596-3519.82081 · Cited by 41
“Mortality and morbidity ratio varies with the distribution of body fat, with the highest risk linked to excessive abdominal fat, usually called central obesity or android/visceral obesity.[21,22] Studies indicate that intra-abdominal fat/android obesity (characterized by increased WC) is associated with an increased r…”
BackgroundMechanical characterisation of porcine rectus sheath under uniaxial and biaxial tension
Lyons, M., Winter, D. C., & Simms, C. K. (2014) · Journal of Biomechanics · doi:10.1016/j.jbiomech.2014.03.009 · Cited by 39
“This results in a minimal variation of IAP during normal breathing of ca. 1 kPa (Malbrain et al., 2004; Sanchez et al., 2001; Sugerman et al., 1997).”
BackgroundChronically increased intra-abdominal pressure produces systemic hypertension in dogs
Bloomfield, G. L., Sugerman, H. J., Blocher, C., Gehr, T. W. B., & Sica, D. A. (2000) · International Journal of Obesity · doi:10.1038/sj.ijo.0801234 · Cited by 38
Self-citationImpact of Age, Sex and Body Mass Index on Outcomes at Four Years after Gastric Banding
Branson, R., Potoczna, N., Brunotte, R., Piec, G., Ricklin, T. P., Steffen, R., & Horber, F. (2005) · Obesity Surgery · doi:10.1381/0960892054222605 · Cited by 39
Wei, C.-N., Zhang, Y., Feng, X., et al. (2017) · International Journal of Obstetric Anesthesia · doi:10.1016/j.ijoa.2017.02.002 · Cited by 38
The impact of bariatric surgery on pulmonary function: a meta-analysis
Alsumali, A., Al-Hawag, A., Bairdain, S., & Eguale, T. (2017) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2017.09.533 · Cited by 40
Wei, Y.-F., Tseng, W., Huang, C., Tai, C., Hsuan, C., & Wu, H. (2011) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2011.04.221 · Cited by 38
DETERMINING NORMAL VALUES FOR INTRA‐ABDOMINAL PRESSURE
Chionh, J., Wei, B. P. C., Martin, J. A., et al. (2006) · ANZ Journal of Surgery · doi:10.1111/j.1445-2197.2006.03849.x · Cited by 38
Schlosser, K. A., Maloney, S. R., Prasad, T., et al. (2019) · Surgical Endoscopy · doi:10.1007/s00464-019-07181-3 · Cited by 37
Pediatric Obesity-Related Asthma: The Role of Nutrition and Nutrients in Prevention and Treatment
Calcaterra, V., Verduci, E., Ghezzi, M., Cena, H., Pascuzzi, M. C., Regalbuto, C., Lamberti, R., Rossi, V., Manuelli, M. C., Bosetti, A., et al. (2021) · Nutrients · doi:10.3390/nu13113708 · Cited by 42
BEDSIDE OPEN ABDOMINAL SURGERY
Mayberry, J. C. (2000) · Critical Care Clinics · doi:10.1016/s0749-0704(05)70102-0 · Cited by 37
Doppler waveform of the hepatic veins in an obese population
Karabulut, N., Kazil, S., Yağcı, B., & Sabir, N. (2004) · European Radiology · doi:10.1007/s00330-004-2423-0 · Cited by 36
“Second, we did not monitor the intra-abdominal pressure during Doppler examination, which is likely increased in obesity [16], and may cause a reduction in hepatic venous pulsatility with loss of flow reversal [2].”
BackgroundManagement of abdominal compartment syndrome in acute pancreatitis
Siebert, M. A., Fouler, A. L., Sitbon, N., Cohen, J., Abba, J., & Poupardin, É. (2021) · Journal of Visceral Surgery · doi:10.1016/j.jviscsurg.2021.01.001 · Cited by 36
Three-dimensional hernia analysis: the impact of size on surgical outcomes
Schlosser, K. A., Maloney, S. R., Prasad, T., et al. (2019) · Surgical Endoscopy · doi:10.1007/s00464-019-06931-7 · Cited by 35
Abdel‐Razeq, S. S., Campbell, K. H., Funai, E. F., et al. (2010) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2010.02.055 · Cited by 35
Intra-abdominal hypertension and abdominal compartment syndrome
Sieh, K.-M., Chu, K., & Wong, J. (2001) · Langenbeck s Archives of Surgery · doi:10.1007/s004230000185 · Cited by 35
“Table 1 Factors predisposing to increased intra-abdominal pressure [8, 12, 13,14,15, 16]”
BackgroundObesity and risk of bleeding: the SMART study.
Brækkan, S. K., van der Graaf, Y., Visseren, F. L. J., & Algra, A. (2015) · Journal of Thrombosis and Haemostasis · doi:10.1111/jth.13184 · Cited by 34
“Obesity is associated with low-grade inflammation, atherosclerosis, immobility and stasis, which may all potentially lead to thrombosis [4,5].”
Fuganti, P. E., Gowdy, J. M., & Santiago, N. C. (2011) · International braz j urol · doi:10.1590/s1677-55382011000400013 · Cited by 34
“In contrast to baseline intravesical resting pressures in obese patients is about 11cmH2O higher than non-obese patients (9), we showed that obese women had CIPP values 45cmH2O greater than non-obese women.”
ResultGlobal Prevalence and Impact of Rumination Syndrome
Josefsson, A., Hreinsson, J. P., Simrén, M., Tack, J. F., Bangdiwala, S. I., Sperber, A. D., Palsson, O. S., & Törnblom, H. (2021) · Gastroenterology · doi:10.1053/j.gastro.2021.11.008 · Cited by 34
Alveolar-Membrane Diffusing Capacity Improves in the Morbidly Obese after Bariatric Surgery
Zavorsky, G. S., Kim, D. J., Sylvestre, J.-L., et al. (2008) · Obesity Surgery · doi:10.1007/s11695-007-9294-9 · Cited by 34
“Because increases in intra-abdominal pressure correlate with the waist circumference and poorly with the waist-to-hip ratio [24] (due to the dilutional effect of the hip circumference in obese patients who have both central and peripheral obesity), it may be assumed then that the waist circumference would be a better…”
BackgroundBariatric surgery and hypertension
Bueter, M., Ahmed, A. R., Ashrafian, H., & le Roux, C. W. (2009) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2009.03.218 · Cited by 34
No More Venous Ulcers—What More Can We Do?
Stanek, A., Mosti, G. B., Nematillaevich, T., Valesky, E. M., Ručigaj, T. P., Boucelma, M., Marakomichelakis, G., Liew, A., Fazeli, B., Catalano, M., et al. (2023) · Journal of Clinical Medicine · doi:10.3390/jcm12196153 · Cited by 34
“Several studies have shown that obesity correlates with increased intra-abdominal pressure and a concomitant increase in pressure in the external iliac and femoral veins, resulting in a reduced flow velocity in the femoral vein [201–204].”
Nakahara, K., Shimizu, S., Oka, H., et al. (2009) · Neurologia medico-chirurgica · doi:10.2176/nmc.49.490 · Cited by 33
Candidates for Bariatric Surgery: Morbidly Obese Patients with Pulmonary Dysfunction
Wei, Y., & Wu, H. (2012) · Journal of Obesity · doi:10.1155/2012/878371 · Cited by 33
“78), which was primarily responsible for obesity hypoventilation due to elevation of the diaphragm [35].”
BackgroundDistal airway dysfunction in obese subjects corrects after bariatric surgery
Oppenheimer, B. W., Macht, R. D., Goldring, R. M., Stabile, A., Berger, K. I., & Parikh, M. (2011) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2011.08.004 · Cited by 33
Intra-Abdominal Hypertension and the Abdominal Compartment Syndrome
Ball, C., & Kirkpatrick, A. (2007) · Scandinavian Journal of Surgery · doi:10.1177/145749690709600303 · Cited by 12
Obesity and renovascular disease
Zhang, X., & Lerman, L. O. (2015) · American Journal of Physiology-Renal Physiology · doi:10.1152/ajprenal.00547.2014 · Cited by 34
Bariatric Surgery Improves Urinary Incontinence but Not Anorectal Function in Obese Women
Scozzari, G., Rebecchi, F., Giaccone, C., et al. (2013) · Obesity Surgery · doi:10.1007/s11695-013-0880-8 · Cited by 31
“In the normalweight adult, the intra-abdominal pressure shows values ranging between 5 and 6 mmHg, while in the obese this pressure is increased in 77 % of cases to over 7 mmHg [42], until mean values of 13 mmHg in the study by Sugerman [43].”
BackgroundRaj, P. P., Bhattacharya, S. S., Kumar, S. S., et al. (2019) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2019.04.027 · Cited by 30
Range of adiposity and cardiorenal syndrome
Pazos, F. (2020) · World Journal of Diabetes · doi:10.4239/wjd.v11.i8.322 · Cited by 32
Metadata
- Authors
- SUGERMAN, H., WINDSOR, A., BESSOS, M., & WOLFE, L.
- Affiliations
- Virginia Commonwealth University (US)
- Corresponding author
- SUGERMAN, H.
- ORCID
- WINDSOR, A.
- Venue
- Journal of Internal Medicine
- Publisher
- Wiley
- Published
- 1997-01
- Volume
- 241
- Issue
- 1
- Pages
- 71-79
- ISSN
- 0954-6820 (ISSN-L)
- 1365-2796
- OpenAlex
- W1976707172
- Cited by
- 486
- References
- 0
- Citations by year
- 2026: 8 · 2025: 9 · 2024: 13 · 2023: 15 · 2022: 9 · 2021: 25 · 2020: 14 · 2019: 16 · 2018: 19 · 2017: 18 · 2016: 20 · 2015: 30 · 2014: 19 · 2013: 16 · 2012: 21
- FWCI
- 11.11
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Internal Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Bariatric Surgery and Outcomes
- Health Sciences › Medicine › Surgery › Abdominal Surgery and Complications
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Keywords
- intra-abdominal pressure, sagittal abdominal diameter, obesity-related comorbidities, abdominal obesity, bladder pressure, waist-to-hip ratio, morbid obesity, gastric bypass, ulcerative colitis, colectomy, obesity-related morbidity, sex differences
- MeSH terms
- Abdomen, Adult, Urinary Bladder, Female, Humans, Male, Obesity, Morbid, Prospective Studies
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