Unplanned admission after gastrectomy as a consequence of fast-track surgery: a comparative risk analysis

摘要: The objectives of this study were to evaluate the incidence and risk factors for readmission after gastrectomy. Our hypothesis was that early discharge may be related an increase in readmission. This a retrospective, single-center, observational 1442 patients who underwent gastrectomy stage I gastric cancer. main outcome gastrectomy, which defined as admission within 6 months first day. A stepwise logistic regression analysis conducted identify surgical procedures performed total 217 (15.0 %), distal 845 (58.6 %), pylorus-preserving 342 (23.7 %), proximal 37 (2.6 %). median hospital stay 11 days, there 63 readmissions 56 (3.8 %). reasons poor food intake 14 (22.2 %), anastomotic stricture nine (14.3 %), small bowel obstruction eight (12.7 %), abdominal distension seven (11.1 %). Endoscopic balloon dilation with stricture, drainage needed four intra-abdominal abscess, laparotomy one patient adhesion-associated obstruction. long hospitalization during primary Patients are at increased readmission, likely severe sequelae specific