You have accessJournal of UrologyAdrenal1 Apr 2015PD3-10 PREOPERATIVE BODY MASS INDEX PREDICTS THE NEED OF POSTOPERATIVE CATECHOLAMINE SUPPORT IN PHEOCHROMOCYTOMA PATIENTS Takeshi Namekawa, Nobushige Takeshita, Ken Wakai, Miki Fuse, Shinichi Sakamoto, Koji Kawamura, Takashi Imamoto, and Tomohiko Ichikawa Takeshi NamekawaTakeshi Namekawa More articles by this author , Nobushige TakeshitaNobushige Takeshita More articles by this author , Ken WakaiKen Wakai More articles by this author , Miki FuseMiki Fuse More articles by this author , Shinichi SakamotoShinichi Sakamoto More articles by this author , Koji KawamuraKoji Kawamura More articles by this author , Takashi ImamotoTakashi Imamoto More articles by this author , and Tomohiko IchikawaTomohiko Ichikawa More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2015.02.297AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Patients with pheochromocytoma are susceptible to the development of hypotension and need catecholamine support after tumor resection, in spite of adequate fluid replacement therapy. The objective of this study was to identify a predictor for postoperative catecholamine support in patient with pheochromocytoma. METHODS We retrospectively examined 81 patients who underwent unilateral aderenalectomy for pheochromocytoma between April 1998 and August 2014 at Chiba University Hospital. The patients were divided into two groups according to whether catecholamine support was necessary or not after surgery. Preoperative and intraoperative data, including clinical and biochemical variables, were assessed. We also evaluated correlation between clinical factors and duration of postoperative catecholamine support. RESULTS After surgery, 46.9% patients required continuous catecholamine support due to keep blood pressure normal. Multivariate analysis shows that preoperative body mass index (BMI) (Odds ratio: 0.77, p=0.016) and intraoperative catecholamine index (Odds ratio: 1.05, p=0.021) were independent predictive factors for postoperative catecholamine support. And each preoperative catecholamine level was not independent factor (Table). Urinary noradrenaline level significantly correlated with the duration of postoperative catecholamine support (r=0.373, p=0.025) (Figure). CONCLUSIONS Although urinary noradrenaline level was correlated factor with duration of postoperative catecholamine support, the dominance of catecholamine was unable to estimate the need for catecholamine support in patients with pheochromocytoma. Our data indicated that patients who have low BMI tend to need catecholamine support. This finding may be explained by the hypothesis that low BMI in pheochromocytoma is caused by chronic catecholamine overproduction. Thus, for underweight patient, we should prepare intensive care including careful monitoring of circulation and continuous use of catecholamine. © 2015 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 193Issue 4SApril 2015Page: e85 Peer Review Report Advertisement Copyright & Permissions© 2015 by American Urological Association Education and Research, Inc.MetricsAuthor Information Takeshi Namekawa More articles by this author Nobushige Takeshita More articles by this author Ken Wakai More articles by this author Miki Fuse More articles by this author Shinichi Sakamoto More articles by this author Koji Kawamura More articles by this author Takashi Imamoto More articles by this author Tomohiko Ichikawa More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...