| Impact of preoperative dental plaque culture for predicting postoperative pneumonia in esophageal cancer patients. | |
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MedLine Citation:
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PMID: 18379186 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Yasunori Akutsu; Hisahiro Matsubara; Shinichi Okazumi; Hideaki Shimada; Kiyohiko Shuto; Toru Shiratori; Takenori Ochiai |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't Date: 2008-03-28 |
Journal Detail:
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Title: Digestive surgery Volume: 25 ISSN: 1421-9883 ISO Abbreviation: Dig Surg Publication Date: 2008 |
Date Detail:
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Created Date: 2008-05-28 Completed Date: 2008-07-21 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8501808 Medline TA: Dig Surg Country: Switzerland |
Other Details:
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Languages: eng Pagination: 93-7 Citation Subset: IM |
Copyright Information:
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Copyright 2008 S. Karger AG, Basel. |
Affiliation:
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Department of Frontier Surgery, Graduate School of Medicine, Chiba University, Chiba, Japan. yakutsu@faculty.chiba-u.jp |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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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 |
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