| Exercise performance testing in patients with pectus excavatum before and after Nuss procedure. | |
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MedLine Citation:
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PMID: 20532529 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: To assess the changes in lung function and exercise performance due to minimal invasive pectus repair. METHODS: Fifty-nine patients with an average age of 16 years were included in this prospective investigation. After determination of body mass index (BMI) and body fat patients were subjected to pre-OP, post-OP and post-implant removal spirometry and bicycle ergospirometry. Forced vital capacity (FVC), performance capacity (PC) and relative oxygen uptake were determined. RESULTS: Post-OP FVC significantly decreased from 91% of normal value to 79%, but again increased to 88% after implant removal. PC showed a significant reduction (105-97% of normal value). Likewise, the relative oxygen uptake showed a significant decrease (43.8-42.2 ml/kg per min). These findings correlated to a significant increase of BMI and body fat. When calculating oxygen uptake per kilogram lean body weight, there were no significant changes (49.8 to 49.8 ml/kg per min). CONCLUSIONS: Pectus repair resulted in a temporary reduction of FVC, which resolved after implant removal. The drop in oxygen uptake and PC could be related to a significant increase of BMI and body fat. According to our data pectus repair is not followed by improvements in lung function and exercise performance. |
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Authors:
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Christoph Castellani; J Windhaber; P H Schober; M E Hoellwarth |
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Publication Detail:
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Type: Journal Article Date: 2010-06-08 |
Journal Detail:
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Title: Pediatric surgery international Volume: 26 ISSN: 1437-9813 ISO Abbreviation: Pediatr. Surg. Int. Publication Date: 2010 Jul |
Date Detail:
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Created Date: 2010-06-18 Completed Date: 2010-09-17 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8609169 Medline TA: Pediatr Surg Int Country: Germany |
Other Details:
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Languages: eng Pagination: 659-63 Citation Subset: IM |
Affiliation:
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Department of Pediatric and Adolescent Surgery, Medical University of Graz, Auenbruggerplatz 34, 8036, Graz, Austria. christoph.castellani@medunigraz.at |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Body Composition Body Mass Index Child Exercise Test Female Funnel Chest / physiopathology, surgery* Humans Lung / physiopathology* Male Oxygen Consumption / physiology* Prospective Studies Prostheses and Implants / adverse effects Spirometry Treatment Outcome Vital Capacity / physiology* Young Adult |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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