W1144 Analysis of Clinical Manifestation and Pathologic Risk Stratification of Patients Diagnosed With Gastrointestinal Stromal Tumor
| Autor: | Eun Young Kim, Hyundong Chae, Ka Young Kim, Young Kook Shin, Jae Bum Park, Chang Ho Cho, Seok Jae Han, Byung Seok Kim, Jong Woon Chun, Daedong Kim, Jin Tae Jung, Jimin Han, Joong Goo Kwon, Ho Gak Kim |
|---|---|
| Rok vydání: | 2010 |
| Předmět: |
medicine.medical_specialty
Creatinine Hepatology medicine.diagnostic_test business.industry medicine.medical_treatment Splenectomy Gastroenterology Bowel resection Hematocrit Logistic regression Nephrectomy chemistry.chemical_compound chemistry Internal medicine medicine Radiology Stromal tumor business Contraindication |
| Zdroj: | Gastroenterology. 138:S-660 |
| ISSN: | 0016-5085 |
| DOI: | 10.1016/s0016-5085(10)63038-7 |
| Popis: | G A A b st ra ct s patients required contiguous organ resection, the most common of which were kidney (n=25), colon (n=14), and small bowel (n=6). 3.8% (n=6) of patients required vascular reconstruction. Multivariate logistic regression revealed ASA classification as an independent predictor of post-operative complications or death (composite endpoint, OR 3.23, CI 1.337.84). Pre-operative RT, creatinine, hematocrit, and albumin were not statistically significant. Similarly, extent of contiguous organ resection (OR 1.38, CI 0.49-3.89), nephrectomy (OR 1.73, CI 0.39-7.75), bowel resection (OR 0.29, CI 0.04-1.95), splenectomy (OR 2.19, CI 0.13-38.49), and vascular reconstruction (OR 3.77, CI 0.59-24.23) were not associated with increased 30-day morbidity or mortality. Conclusions: NSQIP data demonstrate acceptable rates of post-operative morbidity and mortality following RPS resection even in the setting of aggressive multivisceral resection. Contiguous organ resection should not be viewed as a contraindication to RPS resection. |
| Databáze: | OpenAIRE |
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