作者
Tetsuro Toriumi, Masanori Terashima, Junki Mizusawa, Kohei Uemura, Yukinori Kurokawa, Shuji Takiguchi, Yuichiro Doki, Jun Hihara, Hiroshi Imamura, Akinori Takagane, Seiji Ito, Takaki Yoshikawa, Takeshi Sano, Mitsuru Sasako
发表日期
2024/1
期刊
Annals of Gastroenterological Surgery
卷号
8
期号
1
页码范围
30-39
简介
Aim
Postoperative small bowel obstruction (SBO) is one of the major complications that is mainly caused by postoperative adhesion. Recently, the antiadhesion membrane has become popular for postoperative SBO prevention. However, its efficacy is yet to be confirmed in the gastric cancer surgery field. Here, we conducted the supplemental analysis of the randomized controlled trial JCOG1001 to investigate the efficacy of the antiadhesion membrane on SBO prevention in patients with open gastrectomy for gastric cancer.
Methods
Of the 1204 patients enrolled in JCOG1001, 1200 patients were included. The development of SBO of Grade ≥ IIIa according to the Clavien–Dindo classification was recorded. Univariable and multivariable analyses were performed using the Fine and Gray model to determine the risk factors for SBO.
Results
Fifty‐one patients developed SBO (median follow‐up duration: 5.6 …
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T Toriumi, M Terashima, J Mizusawa, K Uemura… - Annals of Gastroenterological Surgery, 2024