Abstract:
:We aimed to determine the safety and feasibility of an alternative postoperative oral intake protocol for Japanese patients who had had oncological colorectal surgery, with the goal of shortening the length of postoperative stay to the same level as that in Western countries. The subjects of the study were 42 consecutive patients who underwent elective oncological colorectal surgery. Two protocols., Japanese traditional management (TM: n = 20) and alternative management (AM; n = 22), were employed. The two protocols differed in their management of oral intake after surgery. Tolerance of the alternative protocol and the incidence of postoperative complications were determined. The mean length of postoperative stay in the AM and TM groups was 11.5 +/- 1.2 and 24.0 +/- 2.1 days, respectively (P < 0.0001; t-test). Analysis of the patients who underwent open operation also revealed that the length of postoperative stay was less in the AM group than in the TM group (12.3 +/- 1.7 and 24.7 +/- 2.2 days, respectively, P = 0.0003). One patient in the TM group developed small bowel obstruction during the introduction of oral intake. One patient in the AM group also developed small bowel obstruction, after discharge. and was readmitted. Other patients tolerated both the TM and AM protocols. Morbidity in the AM group was 20.0%, and that in the TM group was 30.0% (P = 0.72). The employment of an alternative postoperative oral intake protocol was safe and feasible for Japanese patients. Further investigation is needed to determine the possible benefits, both medical and socioeconomic, of this approach.
journal_name
J Gastroenteroljournal_title
Journal of gastroenterologyauthors
Kawamura YJ,Uchida H,Watanabe T,Nagawa Hdoi
10.1007/s005350070075subject
Has Abstractpub_date
2000-01-01 00:00:00pages
524-7issue
7eissn
0944-1174issn
1435-5922journal_volume
35pub_type
杂志文章abstract::This study aimed to investigate sex differences in relation to hepatitis B e antigen (HBeAg) and serum alanine aminotransferase (ALT) levels in chronic asymptomatic hepatitis B virus (HBV) infection. HBeAg and ALT level were determined in 636 asymptomatic hepatitis B surface antigen carriers. There was no significant ...
journal_title:Journal of gastroenterology
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abstract::We report a patient who survived total colonic type ulcerative colitis (UC) complicated by toxic megacolon (TM), disseminated intravascular coagulation (DIC), methicillin-resistant Staphylococcus aureus infection, and phlebothrombosis. A 69-year-old man was treated for about 4 months under the diagnosis of ischemic co...
journal_title:Journal of gastroenterology
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abstract::Focal nodular hyperplasia (FNH) is a benign lesion of the liver which usually presents with one or two localizations. We report a patient with history of resection of a biliary cyst, and who had been taking oral contraceptives for the past 18 years, who had multiple localizations of FNH (more than 30 lesions). The lar...
journal_title:Journal of gastroenterology
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pub_type: 杂志文章
doi:10.1007/BF02355069
更新日期:1996-08-01 00:00:00
abstract::Interleukin 6 (IL-6) is a pleiotropic cytokine produced by a wide variety of lymphoid and non-lymphoid tissues. We studied the relationship between IL-6 and the liver in an attempt to elucidate this cytokine's role in hepatitis C-induced liver inflammation. We investigated the behavior of serum IL-6 in 25 patients wit...
journal_title:Journal of gastroenterology
pub_type: 杂志文章
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更新日期:1997-04-01 00:00:00
abstract:PURPOSE:The abnormal expression of several genes is involved in the development of colorectal tumors. The aim of this study was to examine the expression of KAI1, CAR, and Smad4, which has been associated with the progression of other cancers. METHODS:We examined 12 adenomas, 38 primary carcinomas, 10 liver metastases...
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doi:10.1007/s005350170069
更新日期:2001-07-01 00:00:00
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pub_type: 杂志文章,评审
doi:10.1007/s00535-020-01713-8
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更新日期:1995-08-01 00:00:00
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doi:10.1007/s005350050061
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abstract::Focal nodular hyperplasia (FNH) of the liver is a rare benign lesion that probably reflects a local hyperplastic response of hepatocytes to a vascular abnormality. Currently, the natural history of the disease remains largely unknown. We present a patient with FNH of the liver who was followed up for 4 years. A 22-yea...
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pub_type: 杂志文章
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更新日期:2008-01-01 00:00:00
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doi:10.1007/s005350200169
更新日期:2002-01-01 00:00:00
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journal_title:Journal of gastroenterology
pub_type: 杂志文章
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更新日期:2001-02-01 00:00:00
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更新日期:2004-01-01 00:00:00
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pub_type: 杂志文章,多中心研究
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journal_title:Journal of gastroenterology
pub_type: 杂志文章,评审
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journal_title:Journal of gastroenterology
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journal_title:Journal of gastroenterology
pub_type: 杂志文章
doi:
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