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ID 57451
フルテキストURL
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著者
Yokoi, Aya Department of Preventive DentistryOkayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
Ekuni, Daisuke Department of Preventive DentistryOkayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
Yamanaka, Reiko Division of Hospital Dentistry, Central Clinical DepartmentOkayama University Hospital
Hata, Hironobu Department of Dentistry and Oral SurgeryNational Hospital Organization Hokkaido Cancer Center
Shirakawa, Yasuhiro Department of Gastroenterological SurgeryOkayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
Morita, Manabu Department of Preventive DentistryOkayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
抄録
BACKGROUND:
Dysphagia is a prominent symptom after esophagectomy and may cause aspiration pneumonia. Swallowing evaluation after esophagectomy can predict and help control the incidence of postoperative pneumonia. The aim of this study was to clarify whether the change in tongue pressure was associated with any related factor and postoperative dysphagia/pneumonia in patients with esophageal cancer after esophagectomy.
METHODS:
Fifty-nine inpatients (41 males and 18 females; 33-77 years old) who underwent esophagectomy participated in this study. Measurement of tongue pressure and the repetitive saliva swallowing test (RSST) was performed before esophagectomy (baseline) and at 2 weeks postoperatively. The general data were collected from patients' medical records, including sex, age, type of cancer, cancer stage, location of cancer, operative approach, history of previous chemotherapy, surgical duration, amount of bleeding during surgery, incidences of postoperative complications, intubation period, period between surgery and initiation of oral alimentation, and intensive care unit (ICU) stay, blood chemical analysis, and lifestyle.
RESULTS:
Tongue pressure decreased significantly after esophagectomy (p = 0.011). The decrease of tongue pressure was significantly associated with length of ICU stay and preoperative tongue pressure on multiple regression analysis (p < 0.05). The decrease of tongue pressure in the RSST < 3 or postoperative pneumonia (+) group was significantly greater than in the RSST ≥ 3 (p = 0.003) or pneumonia (-) group (p = 0.021).
CONCLUSIONS:
The decrease in tongue pressure was significantly associated with the length of ICU stay, preoperative tongue pressure, and the incidence of dysphagia and pneumonia among inpatient after esophagectomy.
キーワード
Deglutition
Deglutition disorders
Esophageal neoplasms
Esophagectomy
Intensive care units
発行日
2019-04-02
出版物タイトル
Esophagus
16巻
3号
出版者
Springer Singapore
開始ページ
300
終了ページ
308
ISSN
16129059
NCID
AA11885266
資料タイプ
学術雑誌論文
言語
English
OAI-PMH Set
岡山大学
論文のバージョン
author
PubMed ID
DOI
関連URL
isVersionOf https://doi.org/10.1007/s10388-019-00668-x
Citation
Yokoi, A., Ekuni, D., Yamanaka, R. et al. Esophagus (2019) 16: 300. https://doi.org/10.1007/s10388-019-00668-x