지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2012.2
- 수록면
- 79 - 86 (8page)
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초록· 키워드
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Purpose: Postsurgical anemia is one of the common unpleasant postoperative sequels during the early postoperative period after gastrectomy, for which no standard care has been established. To facilitate proper management, we investigated the clinical features of postsurgical anemia and sought to identify the factors affecting its subsequent recovery. Methods: A retrospective review of 406 consecutive gastric cancer patients who underwent gastrectomy without systemic chemotherapy between August 2008 and September 2009. Clinical courses of postsurgical anemia were monitored at 3, 6, and 12 months post-surgery. Clinicopathological factors affecting recovery of postsurgical anemia were analyzed using a multivariate logistic regression model. Results: The study subjects consisted of 265 males and 141 females (mean age, 61.8 years). After operation, 318 (78.3%) presented with postsurgical anemia, and 217 (66.7%) and 47 (11.6%) had mild or moderate anemia, respectively, at the time of discharge. During the follow-up, 173 (54.4%) of the 318 with postsurgical anemia showed a spontaneous recovery at 3 months post-surgery, but no significant changes were observed in postsurgical anemia at 6 or 12 months post-surgery. Univariate and multivariate analysis revealed that old age (≥60 years), preoperative anemia, anemia severity (moderate anemia), and total gastrectomy were independent factors that adversely affect the spontaneous recovery of postsurgical anemia after gastrectomy. Conclusion: Proper intervention may be required for postsurgical anemia that does not achieve a spontaneous recovery until postoperative 3 months. However, proper management, such as the use of iron or the best route for iron supplementation, needs to be evaluated in future clinical trials.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
CONFLICTS OF INTEREST
ACKNOWLEDGEMENTS
REFERENCES
참고문헌 (24)
참고문헌 신청
1. [학술지(정기간행물)] - Ferlay J / 2010 / Estimates of worldwide burden of cancer in 2008: GLOBOCAN 2008 / Int J Cancer 127 : 2893 ~ 2917
2. [학술지(정기간행물)] - 정규원 / 2010 / Cancer Statistics in Korea: Incidence, Mortality and Survival in 2006-2007 / Journal of Korean Medical Science 25 (8) : 1113 ~ 1121
3. [학술지(정기간행물)] - 안혜성 / 201102 / Changes in clinicopathological features and survival after gastrectomy for gastric cancer over a 20-year period / BRITISH JOURNAL OF SURGERY 98 : 255 ~ 260
4. [학술지(정기간행물)] - 최일주 / 2009 / 위암의 스크리닝 및 진단 / 대한소화기학회지 54 (2) : 67 ~ 76
5. [학술지(정기간행물)] - Kitano S / 2007 / A multicenter study on oncologic outcome of laparoscopic gastrectomy for early cancer in Japan / Ann Surg 245 : 68 ~ 72
2. [학술지(정기간행물)] - 정규원 / 2010 / Cancer Statistics in Korea: Incidence, Mortality and Survival in 2006-2007 / Journal of Korean Medical Science 25 (8) : 1113 ~ 1121
3. [학술지(정기간행물)] - 안혜성 / 201102 / Changes in clinicopathological features and survival after gastrectomy for gastric cancer over a 20-year period / BRITISH JOURNAL OF SURGERY 98 : 255 ~ 260
4. [학술지(정기간행물)] - 최일주 / 2009 / 위암의 스크리닝 및 진단 / 대한소화기학회지 54 (2) : 67 ~ 76
5. [학술지(정기간행물)] - Kitano S / 2007 / A multicenter study on oncologic outcome of laparoscopic gastrectomy for early cancer in Japan / Ann Surg 245 : 68 ~ 72
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UCI(KEPA) : I410-ECN-0101-2013-514-002677709