Annals of Coloproctology

Original Articles

Colorectal cancer

Clinical impact of C-reactive protein to albumin ratio of the 7th postoperative day on prognosis after laparoscopic colorectal cancer surgery: Masahiro Kataoka, Kuniyuki Gomi, Ken Ichioka, Takuya Iguchi, Tomoki Shirota, Arano Makino, Ko Shimada, Kiyotomi Maruyama, Motohiro Mihara, Shoji Kajikawa; Ann Coloproctol. 2023;39(4):315-325. Published online June 13, 2022; DOI: https://doi.org/10.3393/ac.2022.00234.0033

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Purpose
C-reactive protein to albumin ratio (CAR) has been utilized as a prognostic factor in various carcinomas. We investigated the relationship between preoperative, postoperative day (POD) 1, and POD 7 CARs and the prognosis of patients with colorectal cancer (CRC).
Methods
Three hundred twenty patients with CRC who underwent laparoscopic radical resection between May 2011 and December 2016 were enrolled. Patients were selected into 2 groups, high CAR and low CAR (n=72/group), based on preoperative, POD 1, and POD 7 CARs. The relapse-free survival (RFS) and overall survival (OS) were compared between groups using propensity score matching.
Results
The high CAR group had a significantly worse RFS (P<0.001) and OS (P=0.002) at POD 7 than those in the low CAR group. However, in preoperative and POD 1 analysis, no differences were observed.
Conclusion
In patients with CRC, CAR of POD 7 was a significant prognostic factor.

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C-Reactive Protein/Albumin Ratio Is an Independent Risk Factor for Recurrence and Survival Following Curative Resection of Stage I–III Colorectal Cancer in Older Patients
Tomoaki Bekki, Manabu Shimomura, Minoru Hattori, Saki Sato, Atsuhiro Watanabe, Sho Ishikawa, Kouki Imaoka, Kosuke Ono, Keiso Matsubara, Tetsuya Mochizuki, Shintaro Akabane, Takuya Yano, Hideki Ohdan
Annals of Surgical Oncology.2024; 31(7): 4812. CrossRef
Prognostic impact of preoperative nutritional and immune inflammatory parameters on liver cancer
Sung Uk Bae
World Journal of Gastrointestinal Surgery.2024; 16(2): 266. CrossRef
Revisiting the diagnostic performance of exosomes: harnessing the feasibility of combinatorial exosomal miRNA profiles for colorectal cancer diagnosis
Jin Sung Park, Jin Ah Choi, Da Han Hyun, Chorok Byeon, Sang Gyu Kwak, Jun Seok Park, Seonki Hong
Discover Oncology.2024;[Epub] CrossRef
Impact of Postoperative Naples Prognostic Score to Predict Survival in Patients with Stage II–III Colorectal Cancer
Su Hyeong Park, Hye Seung Woo, In Kyung Hong, Eun Jung Park
Cancers.2023; 15(20): 5098. CrossRef
Applications of propensity score matching: a case series of articles published in Annals of Coloproctology
Hwa Jung Kim
Annals of Coloproctology.2022; 38(6): 398. CrossRef

The Influence of Nutritional Assessment on the Outcome of Ostomy Takedown: Min Sang Kim, Ho Kun Kim, Dong Yi Kim, Jae Kyun Ju; J Korean Soc Coloproctol. 2012;28(3):145-151. Published online June 30, 2012; DOI: https://doi.org/10.3393/jksc.2012.28.3.145

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8 Citations

Abstract PDF

Purpose

Ostomy takedown is often considered a simple procedure without intention; however, it is associated with significant morbidity. This study is designed to evaluate factors predicting postoperative complications in the ostomy takedown in view of metabolism and nutrition.

Methods

A retrospective, institutional review-board-approved study was performed to identify all patients undergoing takedown of an ostomy from 2004 to 2010.

Results

Of all patients (150), 48 patients (32%; male, 31; female, 17) had complications. Takedown of an end-type ostomy showed a high complication rate; complications occurred in 55.9% of end-type ostomies and 15.7% of loop ostomies (P < 0.001). Severe adhesion was also related to a high rate of overall complication (41.3%) (P = 0.024). In preoperative work-up, ostomy type was not significantly associated with malnutrition status. However, postoperatively severe malnutrition level (albumin <2.8 mg/dL) was statistically significant in increasing the risk of complications (72.7%, P = 0.015). In particular, a significant postoperative decrease in albumin (>1.3 mg/dL) was associated with postoperative complications, particularly surgical site infection (SSI). Marked weight loss such as body mass index downgrading may be associated with the development of complications.

Conclusion

A temporary ostomy may not essentially result in severe malnutrition. However, a postoperative significant decrease in the albumin concentration is an independent risk factor for the development of SSI and complications.

Citations

Citations to this article as recorded by

Investigating colostomy-related morbidity in children following stoma formation and closure in a tertiary hospital, Abha, Saudi Arabia: a retrospective cohort study 2024
Hashim Ali Alghamdi, Meshari Saad M Alqahtani, Hatem Mostafa Mohammed Asiri, Abdulaziz Mohammed M Abudasir, Khalid Talab Salem Alshahrani, Rahaf Ahmed Alamer, Ali Abdullah S Alshahrani, Yasir Abduallah M Alyahya, Anas Mohammed abudasir, Saeed Jarallah S A
BMC Pediatrics.2024;[Epub] CrossRef
A nutritional screening threshold for optimal outcomes after Hartmann’s reversal
Suzanne M. Arnott, Benjamin Zollinger, Sarah Haviland, Matthew Ng, Vincent Obias
International Journal of Colorectal Disease.2022; 37(9): 2041. CrossRef
Nutritional and Educational Intervention to Recover a Healthy Eating Pattern Reducing Clinical Ileostomy-Related Complications
Antonio Fernández-Gálvez, Sebastián Rivera, María del Carmen Durán Ventura, Rubén Morilla Romero de la Osa
Nutrients.2022; 14(16): 3431. CrossRef
Classification of the complications of the loop-ileostomy closure procedure according to the Clavien-Dindo grading system
Okan M. AKTURK, Mikail CAKIR
Chirurgia.2021;[Epub] CrossRef
Descriptive Study of Pediatric Patients with Ileum Stoma at Inpatient Installation of Dr. Soetomo General Hospital Surabaya
Farihazqa Hafez Mikala, Alpha Fardah Athiyyah, I Gusti Bagus Adria Hariastawa, I Gusti Made Reza Gunadi Ranuh
JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga.2021; 12(1): 1. CrossRef
Pre- and Post-Operative Nutrition Assessment in Patients with Colon Cancer Undergoing Ileostomy
Georgios Vasilopoulos, Panagiota Makrigianni, Maria Polikandrioti, Ilias Tsiampouris, Dimitrios Karayiannis, Nikoletta Margari, Lamprini Avramopoulou, Georgia Toulia, Georgia Fasoi
International Journal of Environmental Research and Public Health.2020; 17(17): 6124. CrossRef
Effective methods to decrease surgical site infections in pediatric gastrointestinal surgery
Andrew B. Nordin, Stephen P. Sales, Gail E. Besner, Marc A. Levitt, Richard J. Wood, Brian D. Kenney
Journal of Pediatric Surgery.2018; 53(1): 52. CrossRef
Preoperative Body Mass Index and Postoperative Complications After Pelvic Exenteration in Recurrent or Locally Advanced Rectal Cancer Patients
Moo-Jun Baek
Annals of Coloproctology.2014; 30(2): 60. CrossRef

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