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Malnutrition-Related Factors Increased the Risk of Anastomotic Leak for Rectal Cancer Patients Undergoing Surgery
المؤلفون المشاركون
المصدر
العدد
المجلد 2020، العدد 2020 (31 ديسمبر/كانون الأول 2020)، ص ص. 1-6، 6ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2020-05-02
دولة النشر
مصر
عدد الصفحات
6
التخصصات الرئيسية
الملخص EN
Objective.
To study the possible risk factors and related prediction indexes of anastomotic leakage (AL) in patients with rectal cancer during the perioperative period and to provide effective indexes for predicting whether AL will occur in postoperative patients with rectal cancer and whether early nutritional support is needed.
Background.
AL after rectal cancer surgery is a common and serious complication.
Many of the risk factors for AL have been confirmed.
Nevertheless, the evidence of the effect of perioperative malnutrition on AL is still insufficient.
This article will make a further study on this point.
Methods.
We collected perioperative clinical data from 382 patients with rectal cancer who underwent surgery from September 2015 to May 2017.
After 1 month of follow-up, relevant risk factor data were collected and analyzed.
Results.
Data analysis showed that the incidence of AL was 14.65%.
In single factor analysis, patients with high score of NRS-2002, high score of PG-SGA, diabetes, perioperative blood transfusion, postoperative diarrhea, later tumor stage, high score of ASA, low postoperative albumin, and rectal cancer patients with tumor close to the anus may led to AL.
Multivariate analysis revealed that low postoperative albumin (p=0.044), tumor close to the anus (p=0.004), diabetes (p=0.003), perioperative blood transfusion (p<0.001), diarrhea (p=0.005), later tumor stage, and high score of PG-SGA (p<0.001) were the independent risk factors for postoperative AL.
Conclusions.
AL in rectal cancer operation is a common postoperative complication.
Patients with diabetes or high PG-SGA score or low perioperative albumin will have increased risk factors of AL, which should be paid enough attention in the perioperative period and nutritional support should be provided as soon as possible.
Patients who have incomplete intestinal obstruction but can make effective intestinal preparation or who receive neoadjuvant chemotherapy have no increased risk of AL.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Xu, Hao& Kong, Fanmin. 2020. Malnutrition-Related Factors Increased the Risk of Anastomotic Leak for Rectal Cancer Patients Undergoing Surgery. BioMed Research International،Vol. 2020, no. 2020, pp.1-6.
https://search.emarefa.net/detail/BIM-1134425
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Xu, Hao& Kong, Fanmin. Malnutrition-Related Factors Increased the Risk of Anastomotic Leak for Rectal Cancer Patients Undergoing Surgery. BioMed Research International No. 2020 (2020), pp.1-6.
https://search.emarefa.net/detail/BIM-1134425
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Xu, Hao& Kong, Fanmin. Malnutrition-Related Factors Increased the Risk of Anastomotic Leak for Rectal Cancer Patients Undergoing Surgery. BioMed Research International. 2020. Vol. 2020, no. 2020, pp.1-6.
https://search.emarefa.net/detail/BIM-1134425
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1134425
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر
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