Incidence and Factors of Prolonged Postoperative Ileus in Gastric Cancer Surgery

Cancer studies and therapeutics Pub Date : 2021-02-03 DOI:10.31038/cst.2021612

W. Ning, Chen Runkai, Cui Hao, Zheng Yiqiong

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Abstract

Objective to analyze the influence of various factors the of Abstract Objective: Prolonged Postoperative Ileus (PPOI) is a common complication after abdominal surgery, but data about incidence and risk factors of PPOI for patients with gastric cancer are rare. We sought to investigate the incidence and related incidental factors of PPOI. Methods: A retrospective cohort study was carried out using a registry database consecutively collected from June 2016 to October 2016. The incidence and incidental factors of PPOI after gastric cancer surgery were calculated and analyzed. Results: There were 22 patients diagnosed with PPOI. The incidence of PPOI after gastric cancer surgery was 26.5%. There were significant differences in the PPOI among ages, postoperative body temperature, postoperative opioid agents use (Dezocine) (P<0.05). Logistic regression analysis results showed the age ≥65 years, postoperative temperature ≥38 ℃ the use of Dezocine after surgery were the independent risk factors of PPOI after gastric cancer surgery. Conclusion: The of after cancer relationship surgery. We may accelerate the course of convalescence by strengthening the management of perioperative periodandtaking reasonable measures to against the risk factors.

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胃癌术后延长性肠梗阻的发生率及影响因素

摘要目的:术后延长性肠梗阻(PPOI)是腹部手术后常见的并发症，但有关胃癌患者术后延长性肠梗阻发生率及危险因素的资料较少。我们试图调查PPOI的发病率和相关的偶然因素。方法:采用2016年6月至2016年10月连续收集的注册数据库进行回顾性队列研究。计算并分析胃癌术后PPOI的发生率及偶发因素。结果:22例患者诊断为PPOI。胃癌术后PPOI发生率为26.5%。PPOI在年龄、术后体温、术后阿片类药物(地佐辛)使用等因素间差异有统计学意义(P<0.05)。Logistic回归分析结果显示，年龄≥65岁、术后体温≥38℃、术后使用地佐辛是胃癌术后PPOI的独立危险因素。结论:癌症关系手术后的预后。通过加强围手术期的管理，采取合理的措施对抗危险因素，可以加快患者的康复进程。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Cancer studies and therapeutics

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