Impact of perioperative nutrition and transfusion on postoperative complication in gastric surgery
Korean Journal of Clinical Oncology
; (2): 97-103, 2016.
Article
en Ko
| WPRIM
| ID: wpr-787991
Biblioteca responsable:
WPRO
ABSTRACT
PURPOSE: The aim of this study was to evaluate the impact of perioperative nutrition and transfusion affecting postoperative complications in gastric surgery.METHODS: From January through December in 2013, 181 patients who underwent curative gastrectomy for gastric adenocarcinoma at Korea University Guro Hospital were included. We collected general information, nutritional parameters (serum hemoglobin, albumin, total lymphocyte counts, and body mass index), operative method, perioperative transfusion and postoperative complications. The patients were divided into two groups by Clavien-Dindo classification: group I, no complication and Grade I complication; group II, above Grade II complication.RESULTS: The mean age of patients was 62.06 years, and 119 (65.7%) patients were men. The number of patients who suffered complications was 81 (44.8%), group I was 38 (21.0%) and group II was 33 (18.2%). According to the results of univariate analysis, sex, age, comorbidities, the American Society Anesthesiologists (ASA) classification and operative method had no significant effect on postoperative complications. Also in nutritional factors, serum hemoglobin, albumin, total lymphocyte counts, body mass index had no significant correlation with postoperative complications. The only independent factor correlated with postoperative complications was perioperative transfusion (odds ratio [OR], 2.424, 95% confidence interval [CI], 1.064–5.525; P=0.035) and operation time (OR, 1.007; 95% CI, 1.001–1.013; P=0.027) according to univariate analysis as well as multivariate analysis.CONCLUSION: This study suggests that perioperative transfusion may play a significant role in the development of postoperative complications.
Palabras clave
Texto completo:
1
Banco de datos:
WPRIM
Asunto principal:
Complicaciones Posoperatorias
/
Neoplasias Gástricas
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Transfusión Sanguínea
/
Adenocarcinoma
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Índice de Masa Corporal
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Comorbilidad
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Estado Nutricional
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Análisis Multivariante
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Clasificación
/
Recuento de Linfocitos
Límite:
Humans
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Male
País como asunto:
Asia
Idioma:
Ko
Año:
2016
Tipo del documento:
Article