Article ; Online: Usefulness of inflammatory markers in detecting esophagojejunostomy leakage.
Revista de gastroenterologia de Mexico (English)
2021 Volume 86, Issue 3, Page(s) 229–235
Abstract: Introduction and aim: Total gastrectomy is utilized in different pathologies. Esophagojejunostomy leakage is a frequent complication. Our aim was to determine the association of the neutrophil-lymphocyte ratio (NLR) with esophagojejunostomy leakage that ...
Abstract | Introduction and aim: Total gastrectomy is utilized in different pathologies. Esophagojejunostomy leakage is a frequent complication. Our aim was to determine the association of the neutrophil-lymphocyte ratio (NLR) with esophagojejunostomy leakage that subsequently required invasive treatment. Materials and methods: A retrospective study included patients that underwent esophagojejunostomy within the time frame of 2002-2017. Patients were grouped into those with or without anastomotic leakage that had conservative treatment (group A) and those with anastomotic leakage that had invasive treatment (group B). ROC curves and the Youden index were used for the optimum cutoff values of the NLR. Results: Fifty-seven patients were included. Thirty-two (56.14%) were men, and mean patient age was 61.8 ± 13.4 years. Forty-five patients were assigned to group A and 12 to group B. Mean NLR was higher for group B on postoperative day 3 (group A 9.5 ± 7.5 vs. group B 13.9 ± 4.9) (p = 0.05). Mean total leukocytes was higher in group B on postoperative day 5 (group A 7.8 ± 3.4 × 10 Conclusions: Postoperatively, the NLR identified the total gastrectomy with esophagojejunostomy patients that subsequently required an invasive procedure secondary to esophagojejunostomy leakage. |
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MeSH term(s) | Aged ; Anastomosis, Surgical ; Anastomotic Leak/diagnosis ; Esophagoplasty ; Gastrectomy/adverse effects ; Humans ; Male ; Middle Aged ; Retrospective Studies |
Language | English |
Publishing date | 2021-05-14 |
Publishing country | Mexico |
Document type | Journal Article |
ZDB-ID | 2828765-4 |
ISSN | 2255-534X ; 2255-534X |
ISSN (online) | 2255-534X |
ISSN | 2255-534X |
DOI | 10.1016/j.rgmxen.2021.05.003 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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