BACKGROUND: Gastric cancer is very common in Korea and Japan, where many hospitals annually perform high numbers of gastrectomies for gastric cancer. The aim of this study was to compare the general management of gastric cancer in high-volume centers in Korea and Japan. METHODS: We undertook a survey of the general management of gastric cancer at high-volume centers (over 200 cases/year) and analyzed the answers. RESULTS: In six of 14 hospitals surveyed, antimicrobial prophylaxis for elective gastrectomy was administered until postoperative day 3. A Levin tube and an abdominal drain were routinely inserted in seven and ten hospitals, respectively. Laboratory tests, such as complete blood cell count, liver function test, electrolytes, and blood urea nitrogen/creatinine were performed frequently on postoperative days 1, 2, 3, and 5. Sips of water after open distal gastrectomy were restarted up to postoperative day 3 in twelve hospitals. The surgical pathology was reported up to postoperative day 10 in thirteen hospitals. Twelve hospitals provided a regular patient education program and only one hospital provided an integrated education program which included the participation of a surgeon, an oncologist, a nurse, and a nutritionist. CONCLUSIONS: The general management of gastric cancer in 14 high-volume centers was not so different among the centers. The general management protocols noted here are expected to provide useful information for perioperative care.
BACKGROUND:Gastric cancer is very common in Korea and Japan, where many hospitals annually perform high numbers of gastrectomies for gastric cancer. The aim of this study was to compare the general management of gastric cancer in high-volume centers in Korea and Japan. METHODS: We undertook a survey of the general management of gastric cancer at high-volume centers (over 200 cases/year) and analyzed the answers. RESULTS: In six of 14 hospitals surveyed, antimicrobial prophylaxis for elective gastrectomy was administered until postoperative day 3. A Levin tube and an abdominal drain were routinely inserted in seven and ten hospitals, respectively. Laboratory tests, such as complete blood cell count, liver function test, electrolytes, and blood ureanitrogen/creatinine were performed frequently on postoperative days 1, 2, 3, and 5. Sips of water after open distal gastrectomy were restarted up to postoperative day 3 in twelve hospitals. The surgical pathology was reported up to postoperative day 10 in thirteen hospitals. Twelve hospitals provided a regular patient education program and only one hospital provided an integrated education program which included the participation of a surgeon, an oncologist, a nurse, and a nutritionist. CONCLUSIONS: The general management of gastric cancer in 14 high-volume centers was not so different among the centers. The general management protocols noted here are expected to provide useful information for perioperative care.
Authors: M J Heslin; L Latkany; D Leung; A D Brooks; S N Hochwald; P W Pisters; M Shike; M F Brennan Journal: Ann Surg Date: 1997-10 Impact factor: 12.969
Authors: Iain G Thomson; David C Gotley; Andrew P Barbour; Ian Martin; Neil Jayasuria; Janine Thomas; Bernard M Smithers Journal: Gastric Cancer Date: 2013-03-09 Impact factor: 7.370
Authors: Oh Jeong; Mi Ran Jung; Seong Yeob Ryu; Young-Kyu Park; Min Chan Kim; Ki Han Kim; Seung Wan Ryu; In Gyu Kwon; Young Gil Son Journal: Gastroenterol Res Pract Date: 2017-06-05 Impact factor: 2.260
Authors: Jin Won Kim; Eun Ju Chun; Sang Il Choi; Do Joong Park; Hyung-Ho Kim; Soo-Mee Bang; Min Jeong Kim; Ju-Hee Lee; Moon-Soo Lee; Jeong-Ok Lee; Yu Jung Kim; Jee Hyun Kim; Jong Seok Lee; Keun-Wook Lee Journal: PLoS One Date: 2013-04-17 Impact factor: 3.240