Influencing factors of postoperative early delayed gastric emptying after minimally invasive Ivor-Lewis esophagectomy.


BACKGROUND:The main clinical treatment for esophageal cancer is surgery. Since traditional open esophageal cancer resection has the disadvantages of large trauma, long recovery period, and high postoperative complication rate, its clinical application is gradually reduced. The current report of minimally invasive Ivor-Lewis esophagectomy (MIILE) is increasing. However, researchers found that patients with MIILE had a higher incidence of early delayed gastric emptying (DGE). AIM:To investigate the influencing factors of postoperative early DGE after MIILE. METHODS:A total of 156 patients diagnosed with esophageal cancer at Deyang People's Hospital were enrolled. According to the criteria of DGE, patients were assigned to a DGE group (n = 49) and a control group (n = 107). The differences between the DGE group and the control group were compared. Multivariate logistic regression analysis was used to further determine the influencing factors of postoperative early DGE. The receiver operating characteristic (ROC) curve was used to assess potential factors in predicting postoperative early DGE. RESULTS:Age, intraoperative blood loss, chest drainage time, portion of anxiety score ≥ 45 points, analgesia pump use, postoperative to enteral nutrition interval, and postoperative fluid volume in the DGE group were higher than those in the control group. Perioperative albumin level in the DGE group was lower than that in the control group (P < 0.05). Age, anxiety score, perioperative albumin level, and postoperative fluid volume were independent factors influencing postoperative early DGE, and the differences were statistically significant (P < 0.05). The ROC curve analysis revealed that the area under the curve (AUC) for anxiety score was 0.720. The optimum cut-off value was 39, and the sensitivity and specificity were 80.37% and 65.31%, respectively. The AUC for postoperative fluid volume were 0.774. The optimal cut-off value was 1191.86 mL, and the sensitivity and specificity were 65.3% and 77.6%, respectively. The AUC for perioperative albumin level was 0.758. The optimum cut-off value was 26.75 g/L, and the sensitivity and specificity were 97.2% and 46.9%, respectively. CONCLUSION:Advanced age, postoperative anxiety, perioperative albumin level, and postoperative fluid volume can increase the incidence of postoperative early DGE.


World J Clin Cases


Huang L,Wu JQ,Han B,Wen Z,Chen PR,Sun XK,Guo XD,Zhao CM




Has Abstract


2019-02-06 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

  • Impact of perioperative transfusion in patients undergoing resection of colorectal cancer liver metastases: A population-based study.

    abstract:BACKGROUND:Perioperative allogeneic blood transfusion is associated with poorer outcomes. AIM:To identify the factors that were associated with perioperative transfusion and to examine the impact of perioperative transfusion in patients undergoing resection of colorectal cancer (CRC) liver metastases. METHODS:The Uni...

    journal_title:World journal of clinical cases

    pub_type: 杂志文章


    authors: Long B,Xiao ZN,Shang LH,Pan BY,Chai J

    更新日期:2019-05-26 00:00:00

  • Passage of nasogastric tube through tracheo-esophageal fistula into stomach: A rare event.

    abstract::Esophageal atresia with tracheo-oesophageal fistula (TEF) occurs in 1 in 3500 live births. Anorectal malformation is found to be associated with 14% of TEF. Esophageal atresia with TEF is a congenital anomaly which classically presents as excessive frothing from the mouth and respiratory distress. Rarely gastric posit...

    journal_title:World journal of clinical cases



    authors: Kamble RS,Gupta R,Gupta A,Kothari P,Dikshit KV,Kesan K,Mudkhedkar K

    更新日期:2014-07-16 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

  • Hypoallergenicity of a thickened hydrolyzed formula in children with cow's milk allergy.

    abstract:BACKGROUND:Allergy to cow's milk is the most frequent allergy occurring in infants and young children. The dietary management of these patients consists of the elimination of any cow's milk proteins from the diet, and for formula-fed infants, the substitution of the usual infant formula with an adapted formula that is ...

    journal_title:World journal of clinical cases

    pub_type: 杂志文章


    authors: Rossetti D,Cucchiara S,Morace A,Leter B,Oliva S

    更新日期:2019-08-26 00:00:00

  • COVID-19: A review of what radiologists need to know.

    abstract::Coronavirus disease-2019 (COVID-19) is spreading throughout the world. Chest radiography and computed tomography play an important role in disease diagnosis, differential diagnosis, severity evaluation, prognosis prediction, therapeutic effects assessment and follow-up of patients with COVID-19. In this review, we sum...

    journal_title:World journal of clinical cases

    pub_type: 杂志文章,评审


    authors: Tang L,Wang Y,Zhang Y,Zhang XY,Zeng XC,Song B

    更新日期:2020-11-26 00:00:00

  • Is Takotsubo syndrome in patients receiving chemotherapy drug-specific?

    abstract::In commenting on a case report of a 55-year-old man who suffered Takotsubo syndrome (TTS), in the setting of receiving chemotherapy with cytarabine and daunorubicin for acute myeloid leukemia, the author expresses his views that TTS in the setting of chemotherapy for malignancies may not be chemotherapeutic drug-speci...

    journal_title:World journal of clinical cases

    pub_type: 杂志文章


    authors: Madias JE

    更新日期:2015-02-16 00:00:00

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    abstract::Colorectal cancer (CRC) remains a major contributor to the number of cancer-related deaths that occur annually worldwide. With the development of molecular biology methods, an increasing number of molecular biomarkers have been identified and investigated. CRC is believed to result from an accumulation of epigenetic c...

    journal_title:World journal of clinical cases

    pub_type: 杂志文章,评审


    authors: Zhan YX,Luo GH

    更新日期:2019-10-06 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

  • Application of endoscopic submucosal dissection in duodenal space-occupying lesions.

    abstract:BACKGROUND:Endoscopic submucosal dissection (ESD) has been advocated by digestive endoscopists because of its comparable therapeutic effect to surgery, reduced trauma, faster recovery, and fewer complications. However, ESD for lesions of the duodenum is more challenging than those occurring at other levels of the gastr...

    journal_title:World journal of clinical cases

    pub_type: 杂志文章


    authors: Li XY,Ji KY,Qu YH,Zheng JJ,Guo YJ,Zhang CP,Zhang KP

    更新日期:2020-12-26 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

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    abstract::The current pandemic of coronavirus disease 2019 (COVID-19) which was first detected in Wuhan, China in December 2019 is caused by the novel coronavirus named severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2). The virus has quickly spread to a large number of countries leading to a great number of deaths. U...

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    authors: AlNaamani K,AlSinani S,Barkun AN

    更新日期:2020-08-06 00:00:00

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    journal_title:World journal of clinical cases



    authors: Zhang XC,Wang D,Li X,Hu YL,Wang C

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    abstract:BACKGROUND:Sebaceous lymphadenoma is a benign tumor that occurs rarely in the salivary glands, most commonly in the parotid glands or periparotid lymph nodes, and even more rarely undergoes malignant transformation into a sebaceous lymphadenocarcinoma. CASE SUMMARY:We report an 82-year-old woman who presented with a p...

    journal_title:World journal of clinical cases



    authors: Hao FY,Wang YL,Li SM,Xue LF

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    abstract:BACKGROUND:Thrombotic thrombocytopenic purpura (TTP), a subtype of thrombotic microangiopathy, has a very high fatality rate if there is no timely diagnosis or treatment. Here, we report a case of TTP refractory to high displacement plasma exchange, which was later successfully treated with rituximab. CASE SUMMARY:Her...

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    authors: Chen J,Jin JX,Xu XF,Zhang XX,Ye XN,Huang J

    更新日期:2020-06-26 00:00:00

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    journal_title:World journal of clinical cases



    authors: Wang G,Li GG,Zhu SM,Cai BJ,Yu PJ,Zhang CW

    更新日期:2019-03-06 00:00:00

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    abstract:BACKGROUND:A vascular tumor is a benign tumor with unique clinical and pathological features. Perirenal vascular tumor is extremely rare and has not yet been reported. Clinically, it manifests as soreness and swelling. Color ultrasound and renal angiography illustrated the perirenal mass, which was closely connected wi...

    journal_title:World journal of clinical cases



    authors: Zhang C,Fu B,Xu S,Zhou XC,Cheng XF,Fu WQ,Wang GX

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    journal_title:World journal of clinical cases



    authors: Zhao DF,Ning HY,Cen J,Liu Y,Qian LR,Han ZH,Shen JL

    更新日期:2020-06-06 00:00:00

  • Health care associated infections, antibiotic resistance and clinical outcome: A surveillance study from Sanandaj, Iran.

    abstract:AIM:To study the antibiotic susceptibility patterns of gram-negative healthcare associated bacterial infections at two tertiary hospitals in the Sanandaj city, Kurdistan Province, Iran. METHODS:From January 2012 to December 2012, all positive cultures from potentially sterile body fluids were gathered. They sent to pr...

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    pub_type: 杂志文章


    authors: Soltani J,Poorabbas B,Miri N,Mardaneh J

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    abstract:BACKGROUND:Congenital bronchobiliary fistula is a rare developmental abnormality with an abnormal fistula between the respiratory system and biliary tract. The aim of this report is to analyze and summarize the clinical features and experience of diagnosing and treating congenital bronchobiliary fistula (CBBF) occurrin...

    journal_title:World journal of clinical cases



    authors: Li TY,Zhang ZB

    更新日期:2019-04-06 00:00:00

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    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

  • Probiotic mixture VSL#3: An overview of basic and clinical studies in chronic diseases.

    abstract::Probiotics are known as "live microorganisms" and have been proven to have a health effect on hosts at the proper dose. Recently, a kind of probiotic mixture including eight live bacterial strains, VSL#3, has attracted considerable attention for its combined effect. VSL#3 is the only probiotic considered as a kind of ...

    journal_title:World journal of clinical cases

    pub_type: 杂志文章,评审


    authors: Cheng FS,Pan D,Chang B,Jiang M,Sang LX

    更新日期:2020-04-26 00:00:00

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    abstract:BACKGROUND:The outbreak of coronavirus disease 2019 (COVID-19) has rapidly evolved into a global pandemic. COVID-19 is clinically categorized into mild, moderate, severe, and critical illness. Acute kidney injury is an independent risk factor for poor prognosis in patients with. Serum cystatin C (sCys C) is considered ...

    journal_title:World journal of clinical cases

    pub_type: 杂志文章


    authors: Li Y,Yang S,Peng D,Zhu HM,Li BY,Yang X,Sun XL,Zhang M

    更新日期:2020-10-26 00:00:00

  • Ascaris-mimicking common bile duct stone: A case report.

    abstract:BACKGROUND:In most cases, it is not difficult to differentiate common bile duct (CBD) stone from Ascaris infection because they are different disease entities and have different imaging findings. The two diseases usually demonstrate unique characteristic findings on computed tomography or magnetic resonance cholangiopa...

    journal_title:World journal of clinical cases



    authors: Choi SY,Jo HE,Lee YN,Lee JE,Lee MH,Lim S,Yi BH

    更新日期:2020-10-06 00:00:00

  • Teriparatide as nonoperative treatment for femoral shaft atrophic nonunion: A case report.

    abstract:BACKGROUND:Femoral shaft fractures are a common type of fracture among adults and have high union rates. However, clinical decisions are difficult to make because of the different types of nonunions. Atrophic nonunion usually requires revision surgery combined with bone grafting. Furthermore, no study of teriparatide a...

    journal_title:World journal of clinical cases



    authors: Tsai MH,Hu CC

    更新日期:2019-09-26 00:00:00

  • Endoscopic retrograde cholangiopancreatography in elderly patients: Difficult cannulation and adverse events.

    abstract:BACKGROUND:Endoscopic retrograde cholangiopancreatography (ERCP) is a valuable therapeutic technique for pancreatobiliary diseases, and its application in the elderly is no longer limited. However, a higher incidence of procedure difficulty and periprocedural adverse events might be expected in elderly patients due to ...

    journal_title:World journal of clinical cases

    pub_type: 杂志文章


    authors: Tabak F,Wang HS,Li QP,Ge XX,Wang F,Ji GZ,Miao L

    更新日期:2020-07-26 00:00:00

  • Marjolin's ulcers in the post-burned lesions and scars.

    abstract::Marjolin's ulcer (MU) represents malignant degeneration that typically ensues over a period of time in the post-burned lesions and scars or any other chronic wound. This review highlights various facets of the presentation and management of MUs that originate from post-burned lesions. The incidence of MUs in such lesi...

    journal_title:World journal of clinical cases

    pub_type: 杂志文章,评审


    authors: Saaiq M,Ashraf B

    更新日期:2014-10-16 00:00:00

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    abstract:BACKGROUND:Generally, hemangiomas do not require surgical intervention; however, cases of large hemangiomas, potentially involving the throat and trachea, necessitate surgical therapy. Here, we present a case of hypopharyngeal hemangioma in an adult that was successfully treated with neodymium-doped yttrium aluminum ga...

    journal_title:World journal of clinical cases



    authors: Jin M,Wang CY,Da YX,Zhu W,Jiang H

    更新日期:2020-03-06 00:00:00

  • Premonitory urges located in the tongue for tic disorder: Two case reports and review of literature.

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    journal_title:World journal of clinical cases



    authors: Li Y,Zhang JS,Wen F,Lu XY,Yan CM,Wang F,Cui YH

    更新日期:2019-06-26 00:00:00