Evaluation of anemia as a postoperative risk factor in the evolution of patients with gastric resection for malignancies

Introduction. Gastric cancer remains among the top three digestive diseases with the highest mortality rates in the world. Treatment of gastric cancer is multidisciplinary, gastric resection being essential for the best result. Anemia is one of the most common comorbidities present in patients diagn...

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Autores principales:	Bogdan Dumitriu, Sebastian Valcea, Gabriel Andrei, Mircea Beuran
Formato:	article
Lenguaje:	EN
Publicado:	Digital ProScholar Media 2021
Materias:	anemia postoperative risk factors gastric resection gastric cancer Medicine R
Acceso en línea:	https://doaj.org/article/ca2c5174d18c49c694b31b5f1b15d463
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spelling	oai:doaj.org-article:ca2c5174d18c49c694b31b5f1b15d4632021-11-23T17:17:39ZEvaluation of anemia as a postoperative risk factor in the evolution of patients with gastric resection for malignancies10.25083/2559.5555/6.2.82559-5555https://doaj.org/article/ca2c5174d18c49c694b31b5f1b15d4632021-11-01T00:00:00Zhttps://www.e-repository.org/jcis/6/2/8.pdfhttps://doaj.org/toc/2559-5555Introduction. Gastric cancer remains among the top three digestive diseases with the highest mortality rates in the world. Treatment of gastric cancer is multidisciplinary, gastric resection being essential for the best result. Anemia is one of the most common comorbidities present in patients diagnosed with gastric cancer. Materials and Methods. This is a retrospective analytical study over a period of 6 years (2014-2019). It is based on 114 consecutive gastric resections for cancer performed by a single team using exclusively resection and reconstruction stapling methods. The study aims to investigate a correlation between the presence of preoperative anemia and the incidence of postoperative morbidity and mortality. Results. Preoperative anemia was found in 70% of patients, with about half of these patients presenting with mild anemia. Most postoperative complications were grade I and II according to the Clavien Dindo scale. Anemia was correlated with an increase in infectious complications, anastomotic leaks and secondary peritoneal abscesses, pancreatic complications after multivisceral resection and length of hospital stay. Conclusions. Preoperative anemia is a risk factor that exposes the cancer patient to an increased incidence of life-threatening postoperative complications. In addition, it also extends the length of hospital stay and costs. Therefore, special attention should be paid to the identification and reduction of anemia before extensive gastric surgery in order to obtain the best possible therapeutic result.Bogdan DumitriuSebastian ValceaGabriel AndreiMircea BeuranDigital ProScholar Mediaarticleanemiapostoperative risk factorsgastric resectiongastric cancerMedicineRENJournal of Clinical and Investigative Surgery, Vol 6, Iss 2, Pp 136-140 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	anemia postoperative risk factors gastric resection gastric cancer Medicine R
spellingShingle	anemia postoperative risk factors gastric resection gastric cancer Medicine R Bogdan Dumitriu Sebastian Valcea Gabriel Andrei Mircea Beuran Evaluation of anemia as a postoperative risk factor in the evolution of patients with gastric resection for malignancies
description	Introduction. Gastric cancer remains among the top three digestive diseases with the highest mortality rates in the world. Treatment of gastric cancer is multidisciplinary, gastric resection being essential for the best result. Anemia is one of the most common comorbidities present in patients diagnosed with gastric cancer. Materials and Methods. This is a retrospective analytical study over a period of 6 years (2014-2019). It is based on 114 consecutive gastric resections for cancer performed by a single team using exclusively resection and reconstruction stapling methods. The study aims to investigate a correlation between the presence of preoperative anemia and the incidence of postoperative morbidity and mortality. Results. Preoperative anemia was found in 70% of patients, with about half of these patients presenting with mild anemia. Most postoperative complications were grade I and II according to the Clavien Dindo scale. Anemia was correlated with an increase in infectious complications, anastomotic leaks and secondary peritoneal abscesses, pancreatic complications after multivisceral resection and length of hospital stay. Conclusions. Preoperative anemia is a risk factor that exposes the cancer patient to an increased incidence of life-threatening postoperative complications. In addition, it also extends the length of hospital stay and costs. Therefore, special attention should be paid to the identification and reduction of anemia before extensive gastric surgery in order to obtain the best possible therapeutic result.
format	article
author	Bogdan Dumitriu Sebastian Valcea Gabriel Andrei Mircea Beuran
author_facet	Bogdan Dumitriu Sebastian Valcea Gabriel Andrei Mircea Beuran
author_sort	Bogdan Dumitriu
title	Evaluation of anemia as a postoperative risk factor in the evolution of patients with gastric resection for malignancies
title_short	Evaluation of anemia as a postoperative risk factor in the evolution of patients with gastric resection for malignancies
title_full	Evaluation of anemia as a postoperative risk factor in the evolution of patients with gastric resection for malignancies
title_fullStr	Evaluation of anemia as a postoperative risk factor in the evolution of patients with gastric resection for malignancies
title_full_unstemmed	Evaluation of anemia as a postoperative risk factor in the evolution of patients with gastric resection for malignancies
title_sort	evaluation of anemia as a postoperative risk factor in the evolution of patients with gastric resection for malignancies
publisher	Digital ProScholar Media
publishDate	2021
url	https://doaj.org/article/ca2c5174d18c49c694b31b5f1b15d463
work_keys_str_mv	AT bogdandumitriu evaluationofanemiaasapostoperativeriskfactorintheevolutionofpatientswithgastricresectionformalignancies AT sebastianvalcea evaluationofanemiaasapostoperativeriskfactorintheevolutionofpatientswithgastricresectionformalignancies AT gabrielandrei evaluationofanemiaasapostoperativeriskfactorintheevolutionofpatientswithgastricresectionformalignancies AT mirceabeuran evaluationofanemiaasapostoperativeriskfactorintheevolutionofpatientswithgastricresectionformalignancies
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Evaluation of anemia as a postoperative risk factor in the evolution of patients with gastric resection for malignancies

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