Correlation of serum albumin and prognostic nutritional index with outcomes following pancreaticoduodenectomy.


BACKGROUND:Pancreaticoduodenectomy (PD) is a complex surgical procedure with a high morbidity rate. The serious complications are major risk factors for poor long-term surgical outcome. Studies have reported an association between early postoperative prognostic nutritional index (PNI) and prediction of severe complications after abdominal surgery. However, there have been no studies on the use of early postoperative PNI for predicting serious complications following PD. AIM:To analyze the risk factors and early postoperative PNI for predicting severe complications following PD. METHODS:We retrospectively analyzed 238 patients who underwent PD at our hospital between January 2007 and December 2017. The postoperative complications were classified according to the Dindo-Clavien classification. Grade III-V postoperative complications were classified as serious. The risk factors for serious complications were analyzed by univariate analysis and multivariate logistic regression analysis. RESULTS:Overall complications were detected in 157 of 238 patients (65.9%) who underwent PD. The grade III-V complication rate was 26.47% (63/238 patients). The mortality rate was 3.7% (9/238 patients). Multivariate logistic regression analysis revealed that preoperative serum albumin [odds ratio (OR): 0.883, 95% confidence interval (CI): 0.80-0.96; P < 0.01] and PNI on postoperative day 3 < 40.5 (OR: 2.77, 95%CI: 1.21-6.38, P < 0.05) were independent factors associated with grade III-V postoperative complications. CONCLUSION:Perioperative albumin is an important factor associated with serious complications following PD. Low early postoperative PNI (< 40.5) is a predictor for serious complications.


World J Clin Cases


Rungsakulkij N,Tangtawee P,Suragul W,Muangkaew P,Mingphruedhi S,Aeesoa S




Has Abstract


2019-01-06 00:00:00










  • Reduced delay in diagnosis of odontogenic keratocysts with malignant transformation: A case report.

    abstract:BACKGROUND:In rare cases, odontogenic keratocysts (ODs) transform into squamous cell carcinoma. Intervals between the first attendance of a patient and the diagnosis of OD with malignant transformation vary from weeks to years. In this article, we report a case of malignancy derived from OD with a five-day delay in dia...

    journal_title:World journal of clinical cases



    authors: Luo XJ,Cheng ML,Huang CM,Zhao XP

    更新日期:2020-06-06 00:00:00

  • Pneumomediastinum after acute lymphoblastic leukemia and chemotherapy?

    abstract::Pneumomediastinum, pneumorachis and subcutaneous emphysema are frequently benign and most commonly result from air escaping from the upper respiratory tract, intrathoracic airways, or gastrointestinal tract. Gas can also be generated by certain infections or reach the mediastinal space from outside air after trauma or...

    journal_title:World journal of clinical cases

    pub_type: 杂志文章


    authors: Cruz-Portelles A

    更新日期:2014-05-16 00:00:00

  • Implant biomaterials: A comprehensive review.

    abstract::Appropriate selection of the implant biomaterial is a key factor for long term success of implants. The biologic environment does not accept completely any material so to optimize biologic performance, implants should be selected to reduce the negative biologic response while maintaining adequate function. Every clini...

    journal_title:World journal of clinical cases

    pub_type: 杂志文章,评审


    authors: Saini M,Singh Y,Arora P,Arora V,Jain K

    更新日期:2015-01-16 00:00:00

  • Hepatic amyloidosis leading to hepatic venular occlusive disease and Budd-Chiari syndrome: A case report.

    abstract:BACKGROUND:Systemic amyloidosis in which multiple systems can be involved has become a common clinical disease. When the liver is affected, symptoms such as abdominal distension, fatigue, edema, liver, and jaundice could appear. To date, hepatic amyloidosis combined with hepatic venular occlusive disease and Budd-Chiar...

    journal_title:World journal of clinical cases



    authors: Li TT,Wu YF,Liu FQ,He FL

    更新日期:2019-10-26 00:00:00

  • Highlighting the importance of early diagnosis in progressive multi-organ involvement of IgG4-related disease: A case report and review of literature.

    abstract::IgG4-related disease (IgG4-RD) is an increasingly recognized pathological entity that tends to involve multiple organs with an elevated level of serum IgG4, which is easily misdiagnosed owing to sharing common clinical features with a variety of other diseases. Here, we report an interesting IgG4-RD case of a woman wi...

    journal_title:World journal of clinical cases



    authors: Xue J,Wang XM,Li Y,Zhu L,Liu XM,Chen J,Chi SH

    更新日期:2018-11-06 00:00:00

  • Pancreaticoduodenectomy with combined superior mesenteric vein resection without reconstruction is possible: A case report and review of the literature.

    abstract::We report the case of a 56-year-old woman with pancreatic adenocarcinoma (PA) discovered during an episode of febrile jaundice. A computed tomography (CT) scan showed a mass in the head of the pancreas with circumferential infiltration of the superior mesenteric vein (SMV) and dilatation of the biliary and pancreatic ...

    journal_title:World journal of clinical cases



    authors: Jouffret L,Guilbaud T,Turrini O,Delpero JR

    更新日期:2018-08-16 00:00:00

  • Micronodular thymic tumor with lymphoid stroma: A case report and review of the literature.

    abstract:BACKGROUND:Micronodular thymic tumors with lymphoid stroma include micronodular thymoma with lymphoid stroma (MNT) and micronodular thymic carcinoma with lymphoid hyperplasia (MNC), whose micromorphological features are lymphoid stromal hyperplasia and nodular arrangement of tumor epithelial cells. This type of tumor i...

    journal_title:World journal of clinical cases



    authors: Wang B,Li K,Song QK,Wang XH,Yang L,Zhang HL,Zhong DR

    更新日期:2019-12-06 00:00:00

  • Neurofibroma discharged from the anus with stool: A case report and review of literature.

    abstract::Isolated neurofibromas that affect the gastrointestinal tract are rare and almost always manifest as neurofibromatosis type 1 or multiple endocrine neoplasia type 2b. In this paper, we present a case of a 24-year-old female with abdominal pain who discharged a neurofibroma in her stool without any blood on it. A colon...

    journal_title:World journal of clinical cases



    authors: Miao Y,Wang JJ,Chen ZM,Zhu JL,Wang MB,Cai SQ

    更新日期:2018-10-06 00:00:00

  • Kidney inflammatory myofibroblastic tumor masquerading as metastatic malignancy: A case report and literature review.

    abstract:BACKGROUND:Inflammatory myofibroblastic tumor (IMT) is a rare mesenchymal tumor that is characterized by spindle cells differentiated from muscle fibroblasts and infiltration of various types of inflammatory cells. IMT can occur at any age and at any anatomic site. The most common location of IMT is the bladder in the ...

    journal_title:World journal of clinical cases



    authors: Zhang GH,Guo XY,Liang GZ,Wang Q

    更新日期:2019-12-26 00:00:00

  • Characteristics of clear cell renal cell carcinoma metastases to the thyroid gland: A systematic review.

    abstract:BACKGROUND:Thyroid gland is an uncommon site for metastases from clear cell renal cell carcinoma (CCRCC) and literature is scarce. Due to the variable and often long lag time before development of metastases in patients with CCRCC, thyroid nodules may be misdiagnosed initially as benign. This systematic review aims at ...

    journal_title:World journal of clinical cases

    pub_type: 杂志文章


    authors: Khaddour K,Marernych N,Ward WL,Liu J,Pappa T

    更新日期:2019-11-06 00:00:00

  • Human herpesvirus-8 positive iatrogenic Kaposi's sarcoma in the setting of refractory ulcerative colitis.

    abstract::Although Kaposi sarcoma (KS) has been more traditionally considered an AIDS-defining illness, it may also be seen in individuals on immunosuppresive therapy. We report a case of a patient who presented to the hospital in the setting of increasingly refractory ulcerative colitis. Computed tomography scan of the abdomen...

    journal_title:World journal of clinical cases



    authors: Duh E,Fine S

    更新日期:2017-12-16 00:00:00

  • Cardiovascular impact of COVID-19 with a focus on children: A systematic review.

    abstract:BACKGROUND:Since the beginning of the pandemic, coronavirus disease-2019 (COVID-19) in children has shown milder cases and a better prognosis than adults. Although the respiratory tract is the primary target for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), cardiovascular involvement is emerging as one ...

    journal_title:World journal of clinical cases

    pub_type: 杂志文章


    authors: Rodriguez-Gonzalez M,Castellano-Martinez A,Cascales-Poyatos HM,Perez-Reviriego AA

    更新日期:2020-11-06 00:00:00

  • Challenging rescue of a 4 years old boy with H1N1 infection by extracorporeal membrane oxygenator: A case report.

    abstract:INTRODUCTION:World Health Organization announced on April 2009 a public health emergency of international concern caused by swine-origin influenza A (H1N1) virus. Acute respiratory distress syndrome (ARDS) has been reported to be the most devastating complications of this pathogen. Extracorporeal membrane oxygenator (E...

    journal_title:World journal of clinical cases



    authors: Papadopoulos N,Martens S,Keller H,El-Sayed Ahmad A,Moritz A,Zierer A

    更新日期:2014-10-16 00:00:00

  • Correlation between crowdedness in emergency departments and anxiety in Chinese patients.

    abstract:BACKGROUND:Emergency department (ED) overcrowding is a severe health care concern, while anxiety and depression rates among ED patients have been reported to be substantially higher compared to the general population. We hypothesized that anxiety due to over crowdedness may lead to adverse events in EDs. AIM:To invest...

    journal_title:World journal of clinical cases

    pub_type: 杂志文章


    authors: Wang S,Gao JY,Li X,Wu Y,Huo XX,Han CX,Kang MJ,Sun H,Ge BL,Liu Y,Liu YQ,Zhou JP,Wang Z

    更新日期:2020-07-06 00:00:00

  • Trans-sacral screw fixation in the treatment of high dyplastic developmental spondylolisthesis.

    abstract::We describe the case of a 67-year-old woman with L5-S1 ontogenetic spondylolisthesis treated with pedicle fixation associated with interbody arthrodesis performed with S1-L5 trans-sacral screwing according to the technique of Bartolozzi. The procedure was followed by a wide decompressive laminectomy. The patient had a...

    journal_title:World journal of clinical cases



    authors: Landi A,Marotta N,Mancarella C,Tarantino R,Delfini R

    更新日期:2013-06-16 00:00:00

  • Considerations for routine coagulation monitoring with rivaroxaban: A case report and review of the literature.

    abstract:BACKGROUND:Rivaroxaban is a non-vitamin K antagonist oral anticoagulant that does not require coagulation monitoring based on current recommendations. Our goal is to explore whether routine coagulation monitoring should not be required for all patients receiving oral rivaroxaban, what relationship between routine coagu...

    journal_title:World journal of clinical cases



    authors: Wu HD,Cao HY,Song ZK,Yang S,Tang ML,Liu Y,Qin L

    更新日期:2019-02-06 00:00:00

  • Clinical outcomes for Conduits and Scaffolds in peripheral nerve repair.

    abstract::The gold standard of peripheral nerve repair is nerve autograft when tensionless repair is not possible. Use of nerve autograft has several shortcomings, however. These include limited availability of donor tissue, sacrifice of a functional nerve, and possible neuroma formation. In order to address these deficiencies,...

    journal_title:World journal of clinical cases

    pub_type: 杂志文章,评审


    authors: Gerth DJ,Tashiro J,Thaller SR

    更新日期:2015-02-16 00:00:00

  • A large basal cell adenoma extending to the ipsilateral skull base and mastoid in the right parotid gland: A case report.

    abstract:BACKGROUND:Basal cell adenoma (BCA) is a rare benign tumour that has unique histological characteristics and primarily arises in the parotid glands. According to published reports, nearby tissue destruction by BCA seems impossible. CASE SUMMARY:We presented a case of a 54-year-old woman with a mass in the deep lobe of...

    journal_title:World journal of clinical cases



    authors: Du LY,Weng XH,Shen ZY,Cheng B

    更新日期:2019-06-06 00:00:00

  • Association between functional abdominal pain disorders and asthma in adolescents: A cross-sectional study.

    abstract:AIM:To find the association between asthma and different types of functional abdominal pain disorders (FAPDs) among teenagers.METHODA cross-sectional study was conducted among 13 to 15-year-old children from six randomly selected schools in Anuradhapura district of Sri Lanka. Data were collected using translated and va...

    journal_title:World journal of clinical cases

    pub_type: 杂志文章


    authors: Kumari MV,Devanarayana NM,Amarasiri L,Rajindrajith S

    更新日期:2018-12-06 00:00:00

  • Leveraging machine learning techniques for predicting pancreatic neuroendocrine tumor grades using biochemical and tumor markers.

    abstract:BACKGROUND:The incidence of pancreatic neuroendocrine tumors (PNETs) is now increasing rapidly. The tumor grade of PNETs significantly affects the treatment strategy and prognosis. However, there is still no effective way to non-invasively classify PNET grades. Machine learning (ML) algorithms have shown potential in i...

    journal_title:World journal of clinical cases

    pub_type: 杂志文章


    authors: Zhou RQ,Ji HC,Liu Q,Zhu CY,Liu R

    更新日期:2019-07-06 00:00:00

  • Successful treatment of invasive fungal rhinosinusitis caused by Cunninghamella: A case report and review of the literature.

    abstract:BACKGROUND:Invasive fungal rhinosinusitis (IFR) caused by Cunninghamella is very rare but has an extremely high fatality rate. There have been only seven cases of IFR caused by Cunninghamella reported in English and, of these, only three patients survived. In this article, we present another case of IFR caused by Cunni...

    journal_title:World journal of clinical cases



    authors: Liu YC,Zhou ML,Cheng KJ,Zhou SH,Wen X,Chang CD

    更新日期:2019-01-26 00:00:00

  • Crohn's disease confined to the duodenum: A case report.

    abstract::Crohn's disease (CD) can involve any part of the gastrointestinal tract from the mouth to anus. However, gastroduodenal CD is rare with a frequency reported to range between 0.5% and 4.0%. Most patients with gastroduodenal CD have concomitant lesions in the terminal ileum or colon, but isolated gastroduodenal Crohn's ...

    journal_title:World journal of clinical cases



    authors: Song DJ,Whang IS,Choi HW,Jeong CY,Jung SH

    更新日期:2016-06-16 00:00:00

  • Autoimmune hepatitis in a patient with immunoglobulin A nephropathy: A case report.

    abstract:BACKGROUND:Immunoglobulin A nephropathy (IgAN) is the most commonly encountered glomerular disease in Asian countries. It has a broad clinical presentation, and it is frequently associated with other conditions. Chronic liver disease is well recognized as the leading cause of secondary IgAN. However, cases of IgAN asso...

    journal_title:World journal of clinical cases



    authors: Jeon YH,Kim DW,Lee SJ,Park YJ,Kim HJ,Han M,Kim IY,Lee DW,Song SH,Lee SB,Seong EY

    更新日期:2020-09-06 00:00:00

  • Modified procedure for prolapse and hemorrhoids: Lower recurrence, higher satisfaction.

    abstract:BACKGROUND:Hemorrhoidal prolapse is a common benign disease with a high incidence. The treatment procedure for prolapse and hemorrhoids (PPH) remains an operative method used for internal hemorrhoid prolapse. Although it is related to less pos-operative pain, faster recovery and shorter hospital stays, the postoperativ...

    journal_title:World journal of clinical cases

    pub_type: 杂志文章


    authors: Chen YY,Cheng YF,Wang QP,Ye B,Huang CJ,Zhou CJ,Cai M,Ye YK,Liu CB

    更新日期:2021-01-06 00:00:00

  • Treatment of afferent loop syndrome using fluoroscopic-guided nasointestinal tube placement: Two case reports.

    abstract:BACKGROUND:Afferent loop syndrome (ALS) is a rare mechanical complication that occurs after reconstruction of the stomach or esophagus to the jejunum, such as Billroth II gastrojejunostomy, Roux-en-Y gastrojejunostomy, or Roux-en-Y esophagoje-junostomy. Traditionally, an operation is the first choice for benign causes....

    journal_title:World journal of clinical cases



    authors: Hu HT,Ma FH,Wu ZM,Qi XH,Zhong YX,Xie YB,Tian YT

    更新日期:2020-11-06 00:00:00

  • Arthroscopy combined with unicondylar knee arthroplasty for treatment of isolated unicompartmental knee arthritis: A long-term comparison.

    abstract:BACKGROUND:Knee osteoarthritis is the most prevalent form of osteoarthritis and is becoming the main reason for progressive pain in knee joints. Arthroscopy combined with unicondylar knee arthroplasty (UKA) is one of the effective methods for the treatment of severe unicompartmental knee arthritis. This surgical approa...

    journal_title:World journal of clinical cases

    pub_type: 杂志文章


    authors: Wang HR,Li ZL,Li J,Wang YX,Zhao ZD,Li W

    更新日期:2019-12-26 00:00:00

  • Balloon pulmonary angioplasty for chronic thromboembolic pulmonary hypertension: State of the art.

    abstract::Chronic thromboembolic pulmonary hypertension (CTEPH) is a complex chronic disease in which pulmonary artery stenosis or obstruction caused by organized thrombus can lead to increased pulmonary artery pressure and pulmonary vascular resistance, ultimately triggering progressive right heart failure and death. Currently...

    journal_title:World journal of clinical cases

    pub_type: 杂志文章,评审


    authors: Jin Q,Zhao ZH,Luo Q,Zhao Q,Yan L,Zhang Y,Li X,Yang T,Zeng QX,Xiong CM,Liu ZH

    更新日期:2020-07-06 00:00:00

  • Can cyclin-dependent kinase 4/6 inhibitors convert inoperable breast cancer relapse to operability? A case report.

    abstract:BACKGROUND:Pathological complete response (pCR) is rare in hormone receptor-positive (HR+) HER2-negative breast cancer (BC) treated with either endocrine therapy (ET) or chemotherapy. Radical resection of locoregional relapse, although potentially curative in some cases, is challenging when the tumor invades critical s...

    journal_title:World journal of clinical cases



    authors: Palleschi M,Maltoni R,Barzotti E,Melegari E,Curcio A,Cecconetto L,Sarti S,Manunta S,Rocca A

    更新日期:2020-02-06 00:00:00

  • Laparoscopic hysterectomy as optimal approach for 5400 grams uterus with associated polycythemia: A case report.

    abstract:BACKGROUND:Uterine myomas are the most common benign gynecological soft tissue tumors in women but polycythemia associated with these tumors is rare. Polycythemia is significantly associated with risk of venous thromboembolism (VTE), which is further increased in case of a large pelvic mass and obesity. Here we report ...

    journal_title:World journal of clinical cases



    authors: Macciò A,Chiappe G,Lavra F,Sanna E,Nieddu R,Madeddu C

    更新日期:2019-10-06 00:00:00

  • Rh-incompatible hemolytic disease of the newborn in Hefei.

    abstract:BACKGROUND:Anti-D antibody is not the common cause of Rh-isoimmunization in Chinese neonatal jaundice. Recent change in national population policy has followed by an increase in Rh-isoimmunization related hemolytic disease of the newborn (HDN). Unfortunately, regional status of Rh-HDN is unavailable. We hypothesize tha...

    journal_title:World journal of clinical cases

    pub_type: 杂志文章


    authors: Bi SH,Jiang LL,Dai LY,Zheng H,Zhang J,Wang LL,Wang C,Jiang Q,Liu Y,Zhang YL,Wang J,Zhu C,Liu GH,Teng RJ

    更新日期:2019-10-26 00:00:00