Document Detail


Impact of preoperative dental plaque culture for predicting postoperative pneumonia in esophageal cancer patients.
MedLine Citation:
PMID:  18379186     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND/AIMS: In esophageal cancer patients, postoperative pneumonia frequently occurs. In the oral cavity, dental plaque is a major reservoir of bacteria, and it is possible that oral bacteria are aspirated into the upper respiratory tract after esophagectomy. We evaluated the interaction between preoperative dental plaque and postoperative pneumonia in patients undergoing esophagectomy. PATIENTS AND METHODS: Thirty-nine patients with thoracic esophageal cancer who underwent esophagectomy were investigated. Preoperatively, dental plaque was collected and the bacterial flora investigated. If postoperative pneumonia occurred, the sputum was harvested and the pathogens were evaluated. RESULT: Postoperative pneumonia was observed in 14 patients (35.9%): 5 (71.4%) of 7 patients in the pathogen-positive group and 9 (28.1%) of 32 patients in the pathogen-negative group. In 2 (40.0%) of 5 patients with postoperative pneumonia, who had pathogenic bacteria in the preoperative dental plaque, the same pathogenic bacteria were also identified in the postoperative sputum. CONCLUSION: Pathogens in preoperative dental plaque are risk factors for postoperative pneumonia following thoracotomy in patients with thoracic esophageal cancer.
Authors:
Yasunori Akutsu; Hisahiro Matsubara; Shinichi Okazumi; Hideaki Shimada; Kiyohiko Shuto; Toru Shiratori; Takenori Ochiai
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2008-03-28
Journal Detail:
Title:  Digestive surgery     Volume:  25     ISSN:  1421-9883     ISO Abbreviation:  Dig Surg     Publication Date:  2008  
Date Detail:
Created Date:  2008-05-28     Completed Date:  2008-07-21     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8501808     Medline TA:  Dig Surg     Country:  Switzerland    
Other Details:
Languages:  eng     Pagination:  93-7     Citation Subset:  IM    
Copyright Information:
Copyright 2008 S. Karger AG, Basel.
Affiliation:
Department of Frontier Surgery, Graduate School of Medicine, Chiba University, Chiba, Japan. yakutsu@faculty.chiba-u.jp
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Bacteriological Techniques
Dental Plaque / microbiology*
Esophageal Neoplasms / complications*,  surgery
Esophagectomy
Female
Humans
Male
Middle Aged
Pneumonia / etiology*
Postoperative Complications
Risk Factors
Sputum / microbiology
Thoracotomy

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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