Literature DB >> 35399178

Perioperative Safety of Gastrectomy for Patients Receiving Antithrombotic Treatment.

Takuya Kudo1, Shingo Kanaji1, Ryuichiro Sawada1, Hitoshi Harada1, Naoki Urakawa1, Hironobu Goto1, Hiroshi Hasegawa1, Kimihiro Yamashita1, Takeru Matsuda2, Taro Oshikiri1, Yoshihiro Kakeji1.   

Abstract

Background/Aim: The safety of gastrectomy for patients receiving antithrombotic agents remains unclear. This retrospective cohort study sought to compare outcomes between patients who did and did not receive antithrombotic agents. Patients and
Methods: This single-center retrospective cohort study included 548 patients who underwent gastrectomy for primary gastric adenocarcinoma from January 2011 to December 2019. The surgical outcomes were compared between two groups according to whether they received antithrombotic therapy (n=121) or not (n=427).
Results: Among the entire cohort, the patients in the antithrombotic therapy group were significantly older than those who did not receive this therapy and had significantly higher postoperative complication rates than those who did not (33.1% vs. 23.9%; p=0.046). However, after propensity score matching, no significant difference in the postoperative complication rate was observed between the two groups.
Conclusion: Despite having a high risk for postoperative complications, patients receiving antithrombotic therapy can safely undergo gastric resection. Copyright 2022, International Institute of Anticancer Research.

Entities:  

Keywords:  Antithrombotic treatment; gastrectomy; gastric cancer

Year:  2022        PMID: 35399178      PMCID: PMC8962812          DOI: 10.21873/cdp.10096

Source DB:  PubMed          Journal:  Cancer Diagn Progn        ISSN: 2732-7787


  9 in total

1.  Japanese classification of gastric carcinoma: 3rd English edition.

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Journal:  Gastric Cancer       Date:  2011-06       Impact factor: 7.370

2.  JCS 2020 Guideline Focused Update on Antithrombotic Therapy in Patients With Coronary Artery Disease.

Authors:  Masato Nakamura; Kazuo Kimura; Takeshi Kimura; Masaharu Ishihara; Fumiyuki Otsuka; Ken Kozuma; Masami Kosuge; Toshiro Shinke; Yoshihisa Nakagawa; Masahiro Natsuaki; Satoshi Yasuda; Takashi Akasaka; Shun Kohsaka; Kazuo Haze; Atsushi Hirayama
Journal:  Circ J       Date:  2020-03-13       Impact factor: 2.993

3.  The 2018 European Heart Rhythm Association Practical Guide on the use of non-vitamin K antagonist oral anticoagulants in patients with atrial fibrillation.

Authors:  Jan Steffel; Peter Verhamme; Tatjana S Potpara; Pierre Albaladejo; Matthias Antz; Lien Desteghe; Karl Georg Haeusler; Jonas Oldgren; Holger Reinecke; Vanessa Roldan-Schilling; Nigel Rowell; Peter Sinnaeve; Ronan Collins; A John Camm; Hein Heidbüchel
Journal:  Eur Heart J       Date:  2018-04-21       Impact factor: 29.983

4.  Trends in Prevalence of Non-Valvular Atrial Fibrillation and Anticoagulation Therapy in a Japanese Region - Analysis Using the National Health Insurance Database.

Authors:  Noritomo Narita; Ken Okumura; Takahiko Kinjo; Joko Mikami; Katsuko Tsushima; Reiko Takahashi; Makiko Noro; Ayaka Hashimoto; Teiko Sasaki; Misaki Takaki; Emiko Ishidoya; Yurika Narita; Hideno Imai; Emiko Ono; Hirofumi Tomita
Journal:  Circ J       Date:  2020-03-25       Impact factor: 2.993

5.  Incidence of deep vein thrombosis and thrombosis of the portal-mesenteric axis after laparoscopic sleeve gastrectomy.

Authors:  Ena Alsina; Jaime Ruiz-Tovar; Maria Remedios Alpera; Jose Gregorio Ruiz-García; Manuel Enrique Lopez-Perez; Jose Francisco Ramon-Sanchez; Francisco Ardoy
Journal:  J Laparoendosc Adv Surg Tech A       Date:  2014-07-29       Impact factor: 1.878

Review 6.  Atherosclerotic Cardiovascular Risk in Japan.

Authors:  Shuko Nojiri; Hiroyuki Daida
Journal:  Jpn Clin Med       Date:  2017-06-19

7.  Management of Antithrombotic Agents During Surgery or Other Kinds of Medical Procedures With Bleeding: The MARK Study.

Authors:  Seiji Gotoh; Masahiro Yasaka; Asako Nakamura; Takahiro Kuwashiro; Yasushi Okada
Journal:  J Am Heart Assoc       Date:  2020-02-21       Impact factor: 5.501

Review 8.  Epidemiology of gastric cancer: global trends, risk factors and prevention.

Authors:  Prashanth Rawla; Adam Barsouk
Journal:  Prz Gastroenterol       Date:  2018-11-28

9.  Diagnosis and Treatment of Abdominal Arterial Bleeding After Radical Gastrectomy: a Retrospective Analysis of 1875 Consecutive Resections for Gastric Cancer.

Authors:  Jie Yang; Xin-Hua Zhang; Yong-Hui Huang; Bin Chen; Jian-Bo Xu; Chuang-Qi Chen; Shi-Rong Cai; Wen-Hua Zhan; Yu-Long He; Jin-Ping Ma
Journal:  J Gastrointest Surg       Date:  2015-12-14       Impact factor: 3.452

  9 in total

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