Prevalence, severity, and evolution of postsurgical anemia after gastrectomy, and clinicopathological factors affecting its recovery.

Journal of the Korean Surgical Society
Oh JeongSeong Yeop Ryu

Abstract

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. 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. 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 th...Continue Reading

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Citations

Jun 17, 2014·Transfusion Medicine Reviews·Aryeh ShanderIndu Lew
Jul 17, 2012·Biomedicine & Pharmacotherapy = Biomédecine & Pharmacothérapie·Paola FerrariFerruccio Bonino
Mar 5, 2016·International Journal of Surgery·Ji-Hye JunJeong-Hwan Yook
Jun 10, 2017·World Journal of Gastroenterology : WJG·Paolo AurelloGiovanni Ramacciato
Sep 5, 2018·European Journal of Gastroenterology & Hepatology·Grace H TangChristine Brezden-Masley
Oct 13, 2019·Annals of Surgical Oncology·Yoon Jin ChoiYong Gyu Park

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