The preoperative prognostic nutritional index predicts the development of deep venous thrombosis after pancreatic surgery

Tomohiro Iguchi, Keishi Sugimachi, Yohei Mano, Mihoko Kono, Masaki Kagawa, Tomonori Nakanoko, Hideo Uehara, Masahiko Sugiyama, Mitsuhiko Ota, Masahiko Ikebe, Masaru Morita, Yasushi Toh

Research output: Contribution to journalArticlepeer-review

5 Citations (Scopus)

Abstract

Background/Aim: Pancreatic surgery is associated with a high risk of developing deep venous thrombosis (DVT) and malnutrition. We aimed to evaluate the factors predicting the development of DVT, focusing on nutrition assessment tools. Patients and Methods: One hundred patients who underwent pancreatic surgery were postoperatively examined for DVT. We assessed the risk factors for the development of DVT after surgery. Results: Postoperative DVT was detected in 11 patients (11%). Patients who developed DVT after surgery were significantly older (p=0.016) and had higher preoperative D-dimer levels (p=0.005) than those who did not. The preoperative prognostic nutritional index (PNI) was mostly associated with the development of DVT (p=0.079). Furthermore, PNI ≤44.3, BUN >20 mg/dl, D-dimer ≥1.9 μg/ml were independent predictors for the development of DVT after surgery. Conclusion: A poor nutrition status and dehydration should be preoperatively improved for patients who are identified, as having a high risk of developing DVT after pancreatic surgery.

Original languageEnglish
Pages (from-to)2297-2301
Number of pages5
JournalAnticancer research
Volume40
Issue number4
DOIs
Publication statusPublished - Apr 2020
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Oncology
  • Cancer Research

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