在食道切除术后,肠道食期间腹的临床影响
Ryoma Haneda1, Yoshihiro Hiramatsu2,3, Sanshiro Kawata1
1Department of Surgery, Hamamatsu University School of Medicine, Hamamatsu, Shizuoka, Japan.
International journal of clinical oncology
|November 23, 2023
概括
消化管切除术后肠道食 (EF) 期间的腹与更糟糕的结果有关,特别是在老年患者中. 这种并发症可能会增加营养不良的风险,并对生存率产生负面影响.
科学领域:
- 在瘤学瘤学.
- 胃肠病学 胃肠病学
- 手术营养是指手术营养.
背景情况:
- 肠道养 (EF) 对于食道切除术后的营养支持至关重要.
- 腹是EF的常见并发症,可能会影响患者的康复.
研究的目的:
- 调查经过食道切除术的患者EF期间腹的临床和预后意义.
主要方法:
- 分析了152名接受过横胸腔食道切除术的患者.
- 用国王的便图来评估便的特征.
- 在EF期间,与腹和没有腹的患者之间的结局进行了比较.
主要成果:
- 腹与更高的消化不良评分和营养标志物 (总蛋白质,白蛋白,胆酶,预后营养指数) 的更大恶化有关.
- 患有腹的患者的整体存活率 (OS) 和无复发存活率 (RFS) 显著降低.
- 腹对OS的负面影响在老年患者中尤为明显.
结论:
- 在EF食道切除术后的腹是营养不良的重要危险因素.
- 经历腹的老年患者在食管切除术后风险较高,预后不佳,存活率降低.
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