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Clinical impact of periodontal disease on postoperative complications in gastrointestinal cancer patients

International Journal of Clinical Oncology, ISSN: 1437-7772, Vol: 24, Issue: 12, Page: 1558-1564
2019
  • 18
    Citations
  • 0
    Usage
  • 51
    Captures
  • 0
    Mentions
  • 66
    Social Media
Metric Options:   Counts1 Year3 Year

Metrics Details

  • Citations
    18
  • Captures
    51
  • Social Media
    66
    • Shares, Likes & Comments
      66
      • Facebook
        66

Article Description

Background: The effectiveness of perioperative oral management in gastrointestinal surgery remains unclear. To elucidate the clinical significance of oral care, we investigated the relationship between the oral environment and postoperative infectious complications (POICs) in patients undergoing gastrointestinal surgery. Methods: This was a single-institute and historical cohort study of 341 patients. The participants were isolated from consecutive patients undergoing planned radical resection for gastrointestinal carcinoma from January 2016 to June 2017. Dentists assessed the oral environment for periodontal disease, hygiene status, dry mouth, fur on tongue, and tooth stumps. All patients received scaling and tooth brushing instructions. A stepwise logistic regression analysis was conducted to identify risk factors for POICs among the different oral statuses. Results: The surgical procedures performed were gastrectomy in 123 (36.1%), colorectal resection in 185 (54.2%), and pancreatoduodenectomy or others in 38 (11.1%). POICs occurred in 48 patients (14.1%), including deep organ space infection in 20, surgical site infection in 11, anastomotic leakage in 5, urinary tract infection in 4, pneumonia in 2, and others in 6. After adjusting for confounding factors, periodontal disease was isolated as an independent risk factor for POICs (odds ratio 2.091, p = 0.037, 95% confidence interval 1.045–4.183). Other variables of oral environment such as hygiene status, dry mouth, fur on tongue, and tooth stumps did not have a significant impact on POICs. Conclusions: Periodontal disease is a risk factor for infectious complications after gastrointestinal surgery.

Bibliographic Details

Nishikawa, Mao; Honda, Michitaka; Kimura, Ryosuke; Kobayashi, Ayaka; Yamaguchi, Yuji; Kobayashi, Hiroshi; Kawamura, Hidetaka; Nakayama, Yujiro; Todate, Yukitoshi; Takano, Yoshinao; Yamaguchi, Hisashi; Hamada, Koichi; Iketani, Susumu; Seto, Ichiro; Seto, Kanichi

Springer Science and Business Media LLC

Medicine

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