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World Journal of Surgery

Published in:

01-05-2010

Risk Factors for Early Postoperative Small Bowel Obstruction After Colectomy for Colorectal Cancer

Authors: Jun Nakajima, Akira Sasaki, Koki Otsuka, Toru Obuchi, Satoshi Nishizuka, Go Wakabayashi

Published in: World Journal of Surgery | Issue 5/2010

Abstract

Background

Small bowel obstruction (SBO) after colectomy leads to markedly lower patient quality of life, longer hospital stays, and increased hospitalization costs. From a systemic treatment point of view, early postoperative SBO is one of the major concerns of the surgery because it often delays chemotherapy in advanced cases. The goal of this single-center study was to evaluate the risk factors for early postoperative SBO.

Methods

Univariate and multivariate analyses were performed for 1,004 patients who underwent open colectomy (OC, 421 patients) or laparoscopic-assisted colectomy (LAC, 583 patients) for colorectal cancer between January 1997 and December 2008.

Results

The overall early postoperative SBO were 45 cases (4.5%). Univariate analysis of the risk factors for early postoperative SBO showed no statistical significance between respective risk factors and occurrence of SBO for age >70 years, body mass index >25 kg/m², ASA score ≥3, pT stage T4, pN stage ≥N1, pM stage M1, or increased blood loss. Multivariate analysis demonstrated that OC (odds ratio (OR), 2.62; 95% confidence interval (CI), 1.34–5.13; P = 0.005), and rectal cancer (OR, 2.12; 95% CI, 1.1–4.1; P = 0.025) were independent risk factors for postoperative SBO after colectomy for colorectal cancer. Regarding the causes of SBO, paralytic obstruction was more frequent in the LAC group, and adhesive obstruction was more frequent in the OC group.

Conclusions

Early postoperative SBO cases are more likely to occur with OC and rectal cancer. LAC is an effective surgical procedure from the perspective of reducing the incidence of early postoperative SBO after colectomy for colorectal cancer.

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Title: Risk Factors for Early Postoperative Small Bowel Obstruction After Colectomy for Colorectal Cancer
Authors: Jun Nakajima
Akira Sasaki
Koki Otsuka
Toru Obuchi
Satoshi Nishizuka
Go Wakabayashi
Publication date: 01-05-2010
Publisher: Springer-Verlag
Published in: World Journal of Surgery / Issue 5/2010
Print ISSN: 0364-2313
Electronic ISSN: 1432-2323
DOI: https://doi.org/10.1007/s00268-010-0462-z

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Risk Factors for Early Postoperative Small Bowel Obstruction After Colectomy for Colorectal Cancer

Abstract

Background

Methods

Results

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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