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ID 114075
Title Alternative
Prediction of POPF using CRP after LG
Author
Yagi, Shigehiko Ehime Prefectural Central Hospital
Sato, Koichi Ehime Prefectural Central Hospital
Shin’e, Mikiya Ehime Prefectural Central Hospital
Sakamoto, Akimasa Ehime Prefectural Central Hospital
Utsunomiya, Daichi Ehime Prefectural Central Hospital
Okikawa, Shohei Ehime Prefectural Central Hospital
Aibara, Norimasa Ehime Prefectural Central Hospital
Watanabe, Miya Ehime Prefectural Central Hospital
Obatake, Masayoshi Ehime Prefectural Central Hospital
Ono, Riki Ehime Prefectural Central Hospital
Fujii, Masahiko Ehime Prefectural Central Hospital
Otani, Hiromi Ehime Prefectural Central Hospital
Kawasaki, Hideki Ehime Prefectural Central Hospital
Keywords
laparoscopic gastrectomy
postoperative pancreatic fistula
C-reactive protein
Content Type
Journal Article
Description
Purpose : Postoperative pancreatic fistula (POPF) is a serious complication after gastrectomy for gastric cancer. The purpose of this study is to identify the risk factor of POPF and evaluate C-reactive protein on postoperative day 1 (POD1) as the predictor for POPF after laparoscopic gastrectomy (LG). Methods : Between May 2013 and September 2016, 226 patients who underwent LG for gastric cancer were investigated. Patients were divided into 2 groups; POPF group (n = 17) and control group (n = 209). Clinicopathological factors were compared between 2 groups. Results : In POPF group, there are more male patients (p = 0.003) compared with control group. Preoperative factors, such as age, BMI, and prevalence of previous operation and comorbidity showed no significant difference between 2 groups. Regarding tumor factors and perioperative data such as blood loss and operative time, there were also no significant difference between 2 groups. POPF group showed longer postoperative hospital stay, and higher serum CRP level on POD1 (p < 0.0001). Multivariate analysis revealed that high CRP level on POD1 ( ≥ 3mg/dl) was independent risk factor of POPF. Conclusions : High serum CRP level on POD1 can predict the occurrence of POPF.
Journal Title
The Journal of Medical Investigation
ISSN
13496867
13431420
NCID
AA12022913
AA11166929
Publisher
Tokushima University Faculty of Medicine
Volume
66
Issue
3-4
Start Page
285
End Page
288
Sort Key
285
Published Date
2019-08
DOI (Published Version)
URL ( Publisher's Version )
FullText File
language
eng
TextVersion
Publisher
departments
University Hospital