Document Detail

Neoadjuvant chemoradiotherapy, sepsis and neutrophil levels following radical excision of rectal cancer.
MedLine Citation:
PMID:  20177689     Owner:  NLM     Status:  MEDLINE    
PURPOSE: This study aimed to determine differences in neutrophil levels between those receiving long-course neoadjuvant chemoradiotherapy (nCXRT) and those proceeding straight to surgery (StS) for rectal cancer, and in those who developed serious septic events within 30 post-operative days within each group. METHOD: Patients undergoing elective surgery between 2006 and 2008 were retrospective reviewed. Some 38 received nCXRT, and 46 proceeded StS. Statistical techniques included repeated measures analyses. RESULTS: There was no significant difference in serious 30-day septic rates (anastomotic leaks, pelvic abscess or generalised sepsis) between treatment groups (nCXRT, 11%; StS, 13%; p = 1.000). Neutrophil levels in the nCXRT group fell significantly and remained lower throughout treatment than those proceeding StS (p < 0.001 within groups, p < 0.001 between groups). The difference in means of the treatment groups was different for those with sepsis than for those without, and the difference in means of those with sepsis and those without is very different for the two treatment groups (p = 0.018). CONCLUSION: Chemoradiotherapy reduced neutrophil levels throughout treatment, and post-operative septic patients in this group had even lower levels. Further studies are warranted to fully assess the relationship of neutrophil levels to sepsis, using standardised definitions of sepsis.
Aneel Bhangu; Peter Nightingale; Darren Daniels; Raju Tiramula
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Publication Detail:
Type:  Journal Article     Date:  2010-02-23
Journal Detail:
Title:  International journal of colorectal disease     Volume:  25     ISSN:  1432-1262     ISO Abbreviation:  Int J Colorectal Dis     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-05-03     Completed Date:  2010-09-01     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8607899     Medline TA:  Int J Colorectal Dis     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  723-9     Citation Subset:  IM    
Department of Colorectal Surgery, Good Hope Hospital, Rectory Road, Sutton Coldfield, Birmingham, UK.
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MeSH Terms
Aged, 80 and over
Chemotherapy, Adjuvant / adverse effects*
Leukocyte Count
Middle Aged
Neoadjuvant Therapy / adverse effects*
Neutrophils / pathology*
Radiotherapy, Adjuvant / adverse effects*
Rectal Neoplasms / complications,  pathology,  radiotherapy*,  surgery*
Sepsis / etiology*,  pathology

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