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Báo cáo y học: "Hand-grip strength is a simple and effective outcome predictor in esophageal cancer following esophagectomy with reconstruction: a prospective study"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Wertheim cung cấp cho các bạn kiến thức về ngành y đề tài: Hand-grip strength is a simple and effective outcome predictor in esophageal cancer following esophagectomy with reconstruction: a prospective study. | Chen et al. Journal of Cardiothoracic Surgery 2011 6 98 http www.cardiothoracicsurgery.Org content 6 1 98 JCTS JOURNAL OF CARDIOTHORACIC SURGERY RESEARCH ARTICLE Open Access Hand-grip strength is a simple and effective outcome predictor in esophageal cancer following esophagectomy with reconstruction a prospective study Chih-Hao Chen1 2 3 Ho-Chang3 Yi-Zhen Huang3 and Tzu-Ti Hung1 2 Abstract Background Surgery for esophageal cancer usually carries considerable complication and mortality rate. Adequate preoperative evaluation is mandatory to decrease complication rate. Hand-grip strength is a useful measure to assess the extent of aging nutrition and patient s overall condition. Because preoperative nutrition state and physiologic aging process play important roles in postoperative recovery we would like to know if hand-grip strength is an adequate tool for such evaluation. Material and methods From January 1st 2007 to December 31 2008 there was 68 cases underwent esophagectomy with reconstruction due to esophageal cancer in our hospital. After excluding 7 patients of incomplete data and loss of follow-up there were 61 patients included in the study. Results There were 54 men and 7 women. The mean age is 60.7. Most of patients had squamous cell carcinoma. Patient with weak hand-grip strength prior to operation had exceedingly high rates of complication and mortality within 6 months after operation. Compared to other risk factors low grip strength has highest relative risks for both mortality and morbidity. Conclusion Because test for hand-grip strength is cheap not time-consuming and has high predictive value it may be included in routine preoperative evaluation. Background Patients with esophageal cancer often present with dysphagia and generalized weakness. Resection of the esophageal tumor with concomitant reconstruction with either stomach or colon is the procedure of choice. However such procedure still carries considerable complication rates. For advanced .