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Clinical implication of positive oral contrast computed tomography for the evaluation of postoperative leakage after gastrectomy for gastric cancer

DC FieldValueLanguage
dc.contributor.author이상길-
dc.contributor.author임준석-
dc.contributor.author최진영-
dc.contributor.author형우진-
dc.contributor.author김기황-
dc.contributor.author김명진-
dc.contributor.author김여은-
dc.contributor.author노성훈-
dc.date.accessioned2015-04-23T16:53:21Z-
dc.date.available2015-04-23T16:53:21Z-
dc.date.issued2010-
dc.identifier.issn0363-8715-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/101419-
dc.description.abstractOBJECTIVE: To evaluate the clinical usefulness of positive oral contrast computed tomography (CT) for the detection of leakage and its relationship with the immediate postoperative outcome after gastrectomy for gastric cancer. METHODS: A total of 210 patients with a clinical suspicion of leakage after gastrectomy for gastric cancer underwent a positive oral contrast CT. Two radiologists retrospectively reviewed the CT images, recorded the presence of extraluminal contrast leakage, and graded the amount of leaked contrast. The rate of postoperative intervention treatment, the length of postoperative hospital stay, and mortality rates were correlated with the presence and grades of leakage. Matching accuracy between CT and other diagnostic studies in detection of leakage was also evaluated. RESULTS: There were 162 patients without extraluminal contrast leakage (77.1%), 13 with grade 1 leakage (6.2%), 19 with grade 2 (9.0%), and 16 with grade 3 (7.6%). Postoperative intervention rate, hospital stay, and mortality were significantly higher in patients with extraluminal contrast than those in patients without extraluminal contrast (P < 0.05). Postoperative hospital stays increased as the leakage grades increased (P = 0.0008). The matching accuracy between CT and other studies was 82.1% (n = 32/39). CONCLUSIONS: Positive oral contrast CT can be a reliable tool for diagnosing postoperative leakage that requires further intervention after gastrectomy in gastric cancer patients, and the immediate postoperative outcome may be related with the grade of leaked contrast on CT-
dc.description.statementOfResponsibilityopen-
dc.format.extent537~542-
dc.relation.isPartOfJOURNAL OF COMPUTER ASSISTED TOMOGRAPHY-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAdministration, Oral-
dc.subject.MESHAdult-
dc.subject.MESHAged-
dc.subject.MESHAged, 80 and over-
dc.subject.MESHContrast Media*/administration & dosage-
dc.subject.MESHDiatrizoate Meglumine*/administration & dosage-
dc.subject.MESHExtravasation of Diagnostic and Therapeutic Materials/diagnostic imaging*-
dc.subject.MESHExtravasation of Diagnostic and Therapeutic Materials/etiology-
dc.subject.MESHFemale-
dc.subject.MESHGastrectomy/adverse effects*-
dc.subject.MESHHospital Mortality-
dc.subject.MESHHumans-
dc.subject.MESHLength of Stay-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHObserver Variation-
dc.subject.MESHPostoperative Complications/diagnostic imaging*-
dc.subject.MESHPostoperative Complications/etiology-
dc.subject.MESHRadiographic Image Enhancement/methods-
dc.subject.MESHReproducibility of Results-
dc.subject.MESHRetrospective Studies-
dc.subject.MESHStomach/diagnostic imaging-
dc.subject.MESHStomach/surgery-
dc.subject.MESHStomach Neoplasms/surgery*-
dc.titleClinical implication of positive oral contrast computed tomography for the evaluation of postoperative leakage after gastrectomy for gastric cancer-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Radiology (영상의학)-
dc.contributor.googleauthorYeo-Eun Kim-
dc.contributor.googleauthorJoon Seok Lim-
dc.contributor.googleauthorWoo Jin Hyung-
dc.contributor.googleauthorSang Kil Lee-
dc.contributor.googleauthorJin-Young Choi-
dc.contributor.googleauthorSung Hoon Noh-
dc.contributor.googleauthorMyeong-Jin Kim-
dc.contributor.googleauthorKi Whang Kim-
dc.identifier.doi10.1097/RCT.0b013e3181dbe579-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA02812-
dc.contributor.localIdA03408-
dc.contributor.localIdA04200-
dc.contributor.localIdA04382-
dc.contributor.localIdA00345-
dc.contributor.localIdA00426-
dc.contributor.localIdA00688-
dc.contributor.localIdA01281-
dc.relation.journalcodeJ01350-
dc.identifier.eissn1532-3145-
dc.identifier.pmid20657221-
dc.identifier.urlhttp://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00004728-201007000-00009&LSLINK=80&D=ovft-
dc.subject.keywordpostoperative leakage-
dc.subject.keywordoral contrast-
dc.subject.keywordCT-
dc.subject.keywordgastrectomy-
dc.subject.keywordgastric cancer-
dc.contributor.alternativeNameLee, Sang Kil-
dc.contributor.alternativeNameLim, Joon Seok-
dc.contributor.alternativeNameChoi, Jin Young-
dc.contributor.alternativeNameHyung, Woo Jin-
dc.contributor.alternativeNameKim, Ki Whang-
dc.contributor.alternativeNameKim, Myeong Jin-
dc.contributor.alternativeNameKim, Yeo Eun-
dc.contributor.alternativeNameNoh, Sung Hoon-
dc.contributor.affiliatedAuthorLee, Sang Kil-
dc.contributor.affiliatedAuthorLim, Joon Seok-
dc.contributor.affiliatedAuthorChoi, Jin Young-
dc.contributor.affiliatedAuthorHyung, Woo Jin-
dc.contributor.affiliatedAuthorKim, Ki Whang-
dc.contributor.affiliatedAuthorKim, Myeong Jin-
dc.contributor.affiliatedAuthorKim, Yeo Eun-
dc.contributor.affiliatedAuthorNoh, Sung Hoon-
dc.citation.volume34-
dc.citation.number4-
dc.citation.startPage537-
dc.citation.endPage542-
dc.identifier.bibliographicCitationJOURNAL OF COMPUTER ASSISTED TOMOGRAPHY, Vol.34(4) : 537-542, 2010-
dc.identifier.rimsid51043-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers

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