Cited by 487Bariatric Surgery and OutcomesAbdominal Surgery and ComplicationsObesity, Physical Activity, Diet

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Intra‐abdominal pressure, sagittal abdominal diameter and obesity comorbidity

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SUGERMAN, H., WINDSOR, A., BESSOS, M., WOLFE, L.·1997·Journal of Internal Medicine

DOI 10.1046/j.1365-2796.1997.89104000.x

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Abstract

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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Self-citation
Abdominal Compartment Syndrome
Saleem, T. B., & Ahmed, I. (2006) · Irish Journal of Medical Science (1971 -) · doi:10.1007/bf03169004 · Cited by 3
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“To be precise, higher body mass and sitting increase intra-thoracic, intra-abdominal, and intra-pelvic pressures [64]—and increased pressure correlates with comorbidities [65].”
Background
Prevalence, Predictors and Decompressive Laparotomy in Abdominal Compartment Syndrome in Patients Requiring Extracorporeal Membrane Oxygenation
Lubnow, M., Koch, C., Malfertheiner, M. V., et al. (2025) · Journal of Clinical Medicine · doi:10.3390/jcm14030855 · Cited by 2
“…for ACS: in the case of a positive clinical assessment (tense abdominal distension or deteriorating renal function, hemodynamics, or ventilation) or sings of ACS in abdominal imaging (PAR, round belly sign [19,20], intra-abdominal pressure (IAP) was measured with the trans-bladder technique [8].”
Influential
Hernias after Bariatric Surgery
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“The results of the present study are same with previous study done by Sugerman et al., 1997, and Durgesh et al. 20138,9.”
Result
Solving a complex, rare, and challenging scenario in a normal pressure hydrocephalus with recurrent shunt dysfunction and multiple revisions – The opposing role of evolving low-pressure hydrocephalus and idiopathic raised intra-abdominal pressure
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“Shunt dysfunction has been noted due to raised IAP in patients with obesity, chronic constipation, chronic urinary retention, and bowel inflammation.[9] What had happened in this case?”
Background
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Lateral tilt position for obese patients
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“An increased intra-abdominal pressure in morbidly obese patients can also be obscured [6–8].”
Background
The Swollen Optic Disc in Children
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Intra-abdominal Pressure Can Be Estimated Inexpensively by the Sagittal Abdominal Diameter
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[Relationship between body composition and the risk of non-communicable chronic diseases in active older women from Chillán (Chile).]
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SIGNIFICANCE OF INTRAABDOMINAL COMPARTMENT PRESSURES FOLLOWING TRAM FLAP BREAST RECONSTRUCTION
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Self-citation

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
DOI: 10.1046/j.1365-2796.1997.89104000.x
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
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor, 2494 d)
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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Intra‐abdominal pressure, sagittal abdominal diameter and obesity comorbidity

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