Risk factors related to operative mortality and morbidity in patients undergoing emergency gastrectomy

• DOI: 10.1046/j.1365-2168.2000.01572.x
• Publication Date: 2003-03-11T07:12:40Z
• Authors: J B Y So; A Yam; W K Cheah; C K Kum; P M Y Goh
• Keywords: Adult; Lung Diseases; Male; Heart Diseases; 610; 03 medical and health sciences; 0302 clinical medicine; Gastrectomy; Risk Factors; Stomach Neoplasms; 617; Humans; Aged; Aged, 80 and over; Chi-Square Distribution; Rupture, Spontaneous; Middle Aged; 3. Good health; Peptic Ulcer Hemorrhage; Hypertension; Peptic Ulcer Perforation; Regression Analysis; Female; Emergencies; Gastrointestinal Hemorrhage

Abstract Background Emergency gastric resection for complicated peptic ulcer and cancer is a major challenge general surgeons. This study aimed to evaluate the results of emergency gastrectomy examine factors that predict operative outcome. Methods A total 82 consecutive patients who underwent were studied. The following variables assessed: pathology, mortality rate, morbidity, reasons reoperation related Results There 64 men 18 women with median age 62 (range 30–90) years. indications bleeding perforated or duodenal ulcers in 45 20 respectively, tumours seven ten respectively. overall rate was 17 per cent (n = 14). complication 63 11 (13 cent) required reoperation. By multivariate analysis, greater than 65 years blood haemoglobin level less 10 g/dl on admission predictive complications after gastrectomy. Postoperative pulmonary cardiac hypotension independent risk associated death. Conclusion Age more years, poor outcome result not affected by underlying pathology.