Complicações pós-operatórias após gastrectomia total no câncer gástrico: análise de 300 doentes

Andreollo, Nelson Adami; Lopes, Luiz Roberto; Neto, João de Souza Coelho

doi:10.1590/s0102-67202011000200007

Cited by 21 publications

(21 citation statements)

References 18 publications

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“…As risk factors, the list includes age, lung condition, cardiovascular, and nutritional status . For gastric tumors, the main curative alternative is also surgical treatment . Gastrectomy is a highly complex procedure with considerable morbidity and mortality rates.…”

Section: Introductionmentioning

confidence: 99%

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Prognostic value of muscle depletion assessed by computed tomography for surgical outcomes of cancer patients undergoing total esophagectomy and gastrectomy

Menezes

Dias²,

Reis

et al. 2020

Journal of Surgical Oncology

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Introduction Considering the high morbimortality rate in oncologic surgeries of the gastrointestinal tract, especially in patients with malnutrition, the use of predictive tools is necessary, since preoperative strategies could improve postoperative outcomes. Objectives To evaluate body composition by computed tomography and its association with morbimortality post esophagectomy and total gastrectomy. Methods Prospective cohort study (n = 80). Sociodemographic, diagnostic, treatment and postoperative data were collected. Anthropometric and biochemical (hemoglobin, transferrin, and albumin) data were evaluated. The muscle mass was calculated through two methods, the muscle mass index (MMI) and the psoas total area (PTA). For postoperative complications classification, the Clavien‐Dindo scale was used. Results The prevalence of muscle depletion found was 33.8% by MMI and 61% by PTA (poor agreement, kappa = 0.25). Complication rates were 18.5% in gastrectomies and 50% in esophagectomies. No statistically significant difference was found between the presence of muscle depletion and complications. However, when stratified by surgery, a borderline association was found between the MMI and post esophagectomies complications (P = .05). Conclusion Despite the high prevalence of muscle loss, it was not possible to correlate it with surgical outcomes for gastrectomies, but for esophagectomies, there may be relevance due to borderline association, although patients received nutritional therapy.

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Section: Introductionmentioning

confidence: 99%

“…This high risk is often due to the patient's clinical and nutritional conditions, comorbidities, tumor location, length of surgery, and age . Among major complications there are fistula and anastomotic dehiscence (7%‐15%), which may increase the risk of mortality, reaching up to 30% in some series …”

Section: Introductionmentioning

confidence: 99%

Prognostic value of muscle depletion assessed by computed tomography for surgical outcomes of cancer patients undergoing total esophagectomy and gastrectomy

Menezes

Dias²,

Reis

et al. 2020

Journal of Surgical Oncology

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“…A incidência de comprometimento pulmonar de relevância clínica varia de 5% a 30% no pós-operatório (PO) de cirurgias abdominais 1,4 , e a taxa de prevalência das complicações respiratórias varia de 17 a 88% nas cirurgias abdominais altas [5][6][7] . Os principais processos cirúrgicos na porção superior do abdômen são: a gastrectomia (utilizada para remoção de câncer gástrico, apresentando alta complexidade e elevada taxa de mortalidade) 8,9 ; laparotomia (como secção abdominal para acesso a órgãos intra-abdominais ou como método para diagnóstico) 9,10 ; colecistectomia (cirurgia para tratamento de alterações na vesícula biliar e que dentre as cirurgias abdominais é a mais frequente, apresentando baixos índices de mortalidade e de complicações) 1,9 ; colecistectomia laparoscópica (variação da colecistectomia, sendo minimamente invasiva, apresentando tempo reduzido de cirurgia e permanência hospitalar, bem como gastos hospitalares menores) 1,11,12 ; esofagectomia (procedimento em que é realizada uma ressecção de determinada porção do esôfago e que apresenta a maior taxa de CPP dentre as cirurgias abdominais) 1,9,13 ; e gastroplastia (utilizada para tratamento da obesidade mórbida) 9,14 .…”

Section: Introductionunclassified

Fisioterapia Respiratória No Pós-Operatório De Cirurgia Abdominal Alta: Uma Revisão De Literatura

Silva¹,

Filho²

2018

ras

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Introdução: A fisioterapia respiratória é uma alternativa terapêutica que atua tanto na prevenção quanto no tratamento de complicações pulmonares pós-operatórias e objetiva um restabelecimento precoce da função pulmonar. Objetivos: Debater sobre as informações mais recentes, em literaturas específicas, acerca da fisioterapia respiratória no pós-operatório de cirurgia abdominal alta, bem como confrontar e expor opiniões de diversos autores e estudos. Materiais e métodos: Caracteriza-se como uma pesquisa bibliográfica do tipo descritiva, baseada em coleta de dados feita entre janeiro de 2017 e março de 2017. O levantamento bibliográfico foi composto a partir do acesso às bases de dados SciElo, PubMed, LILACS, Bireme, BVS e FIEP Bulletin. O critério de inclusão foi a seleção de estudos que abordavam a temática em questão (como ensaios clínicos) até o ano de 2017. Já os critérios de exclusão foram: artigos publicados antes de 2005; com foco em treinamento pré-operatório; com direcionamento exclusivo para a avaliação de volumes pulmonares; que tratavam apenas das CPP decorrentes das cirurgias abdominais alta; e que fossem estudos de revisão. Resultados: Dos estudos encontrados, seis abordaram a espirometria de incentivo, quatro trataram da cinesioterapia respiratória convencional, três apresentaram a ventilação mecânica (um pelo método invasivo e os outros dois pela máscara de pressão expiratória positiva) e sete examinaram a fisioterapia respiratória de maneira generalizada. Conclusão: Com este estudo foi possível discutir as principais técnicas de fisioterapia respiratória utilizadas no pós-operatório de cirurgia abdominal alta, entretanto, não foi possível eleger uma terapia que fosse essencial para o tratamento. Por outro lado, todos os estudos ressaltam a importância da fisioterapia para redução ou prevenção de complicações pulmonares.

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“…Consequently, those of lower socioeconomic status, measured by education and income, were the most affected, according to the results of other studies that strongly indicate twice the risk in the aforementioned social group. The association is mainly attributed to low socioeconomic status, which increases the likelihood of transmission and reinfection of Helicobacter pylori in household clusters with large families, poor sanitation, and less frequent use of antibiotics [13–16]. …”

Section: Discussionmentioning

confidence: 99%

ecancermedicalscience

Guedes

Jesus²,

Filho

et al.

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IntroductionStomach cancer is the third most common cause of death worldwide, mainly affecting people with low socioeconomic status. In Brazil, we expect 20,390 new cases of stomach cancer in 2014, in both sexes, and according to the proportional distribution of the ten most prevalent types of cancer (except non-melanoma skin cancer) expected for 2014, this type of cancer was estimated to be the fourth most common in men and sixth in women.AimTo investigate and analyse the clinical and epidemiological profile of deaths caused by stomach adenocarcinoma in patients enrolled in the National Cancer Institute, Brazil.MethodsCross-sectional study, with samples which consisted of data from the medical records of deaths from stomach cancer, enrolled in the period from 1 February 2009 to 31 March 2012 and who had died as of 30 April 2012.Statistical Analysis UsedThe Epi Info ®, version 7ResultsWe included 264 cases, mostly male. The mean age was 61.7 years. They were smokers, drinkers, white, and married, with elementary education and an income of one minimum salary. They had advanced stage disease (E IV), with symptoms characteristic of this phase, and the majority died within six months.ConclusionThe findings are similar to other studies. The advanced stage of the disease at the time of admission of the patients reflects the difficulty for users of the Unified Health System to access early diagnosis, demonstrating the need for efforts to identify groups and risk factors for the development of gastric cancer. Training of health professionals will facilitate planning and implementation of programmes for the prevention and control of disease, considering socioeconomic conditions, as seen in the sample, which is common among most users.

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Complicações pós-operatórias após gastrectomia total no câncer gástrico: análise de 300 doentes

Cited by 21 publications

References 18 publications

Prognostic value of muscle depletion assessed by computed tomography for surgical outcomes of cancer patients undergoing total esophagectomy and gastrectomy

Prognostic value of muscle depletion assessed by computed tomography for surgical outcomes of cancer patients undergoing total esophagectomy and gastrectomy

Fisioterapia Respiratória No Pós-Operatório De Cirurgia Abdominal Alta: Uma Revisão De Literatura

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