The DOI matches its Crossref record; 35 of the 35 references it cites were found in a registry or an index.
Definition and Classification of Complications of Gastrectomy for Gastric Cancer Based on the Accordion Severity Grading System
Abstract
Background: Postoperative complications still comprise the marker used most frequently to assess the quality of gastrectomy. However, the definition and grading of morbidity is not standardized, hampering meaningful comparisons over time and among centers. This study proposes specific definitions and a reproducible classification of complications following gastrectomy using standardized grading tools. Methods: We defined each complication based on the literature, and adopted the Accordion Severity Grading System to stratify morbidity. The classification was applied to 890 patients with gastric cancer seen between January 2010 and April 2011. The correlation between the complication grades and the length of hospital stay (LOS) was analyzed, and risk factors for complications were examined with special reference to severity grade. Results: The overall morbidity rate was 18.1 %. Mild complications occurred in 31 patients (3.5 %), moderate in 77 patients (8.7 %), severe—invasive procedure/no general anesthesia (GA) in 27 patients (3.0 %), severe—invasive procedures/GA in 18 patients (2.0 %), and severe—organ failure in 3 patients (0.3 %). Five patients (0.6 %) died postoperatively. The grade of complications had a significant effect on the LOS (p < 0.001). Operating time and cardiovascular and pulmonary co‐morbidities were independent risk factors for severe complications [odds ratio (OR) 1.001, p = 0.016; OR 2.226, p = 0.006; OR = 2.896, p = 0.003, respectively]. Conclusions: The complications after gastrectomy could be classified into different severity grades that had distinct clinical outcomes. The use of this classification provides more reliable, practical outcome data. Consequently, complications should be reported using a standardized classification tool such as the Accordion Severity Grading System, which requires consensus on the definition of specific complications.
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“Postoperative pneumonia is the most common complication after gastric resection, occurring in 1.1–12.32% of the patients 2, 3, 4, 5, 6, 7.”
From Prognostic significance of postoperative pneumonia after curative resection for patients with gastric cancer (2017) · cites this paper as [4]
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Cites
Dindo, D., Demartines, N., & Clavien, P.-A. (2004) · Annals of Surgery · doi:10.1097/01.sla.0000133083.54934.ae · Cited by 31,378
Postoperative pancreatic fistula: An international study group (ISGPF) definition
Bassi, C., Dervenis, C., Butturini, G., Fingerhut, A. L., Yeo, C. J., Izbicki, J. R., Neoptolemos, J. P., Sarr, M. G., Traverso, W. L., & Büchler, M. W. (2005) · Surgery · doi:10.1016/j.surg.2005.05.001 · Cited by 4,280
Wente, M. N., Veit, J. A., Bassi, C., Dervenis, C., Fingerhut, A. L., Gouma, D. J., Izbicki, J. R., Neoptolemos, J. P., Padbury, R. T. A., Sarr, M. G., et al. (2007) · Surgery · doi:10.1016/j.surg.2007.02.001 · Cited by 2,630
Horan, T. C., Gaynes, R. P., Martone, W. J., Jarvis, W. R., & Emori, T. G. (1992) · American Journal of Infection Control · doi:10.1016/s0196-6553(05)80201-9 · Cited by 2,606
Japanese gastric cancer treatment guidelines 2010 (ver. 3)
Japanese Gastric Cancer Association (2011) · Gastric Cancer · doi:10.1007/s10120-011-0042-4 · Cited by 2,190
Proposed classification of complications of surgery with examples of utility in cholecystectomy.
Clavien, P., Sanabria, J. R., & Strasberg, S. M. (1992) · PubMed · Cited by 1,629
D2 Lymphadenectomy Alone or with Para-aortic Nodal Dissection for Gastric Cancer
Sasako, M., Sano, T., Yamamoto, S., Kurokawa, Y., Nashimoto, A., Kurita, A., Hiratsuka, M., Tsujinaka, T., Kinoshitá, T., Arai, K., et al. (2008) · New England Journal of Medicine · doi:10.1056/nejmoa0707035 · Cited by 1,022
Nutritional anaemias. Report of a WHO scientific group.
(1968) · PubMed · Cited by 942
Kim, H.-H., Hyung, W. J., Cho, G. S., Kim, M. C., Han, S.-U., Kim, W., Ryu, S.-W., Lee, H.-J., & Song, K. Y. (2010) · Annals of Surgery · doi:10.1097/sla.0b013e3181cc8f6b · Cited by 758
Self-citationBruce, J., Krukowski, Z. H., Al-Khairy, G., Russell, E. M., & Park, K. G. M. (2001) · British journal of surgery · doi:10.1046/j.0007-1323.2001.01829.x · Cited by 727
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- 10.1002/bjs.1800840932 · DOI
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Lee, K.-G., Lee, H.-J., Yang, J.-Y., Oh, S., Bard, S., Suh, Y., Kong, S., & Yang, H. (2014) · Journal of Gastrointestinal Surgery · doi:10.1007/s11605-014-2525-1 · Cited by 150
Zheng, H., Lü, J., Li, P., Xie, J., Wang, J.-B., Lin, J., Chen, Q., Cao, L., Lin, M., Tu, R., et al. (2017) · Annals of Surgical Oncology · doi:10.1245/s10434-017-5998-9 · Cited by 95
Jeong, O., Jung, M. R., Kim, G. Y., Kim, H., Ryu, S. Y., & Park, Y. K. (2012) · Journal of the American College of Surgeons · doi:10.1016/j.jamcollsurg.2012.10.014 · Cited by 83
Self-citationEffect of complication grade on survival following curative gastrectomy for carcinoma
Jiang, N. (2014) · World Journal of Gastroenterology · doi:10.3748/wjg.v20.i25.8244 · Cited by 65
Metadata
- Authors
- Jung, M. R., Park, Y. K., Seon, J. W., Kim, K. Y., Cheong, O., & Ryu, S. Y.
- Affiliations
- Chonnam National University (KR)
- Division of Gastroenterologic Surgery, Department of Surgery Chonnam National University Medical School, Chonnam National University Hwasun Hospital 160 Ilsimri, Hwasun‐eup, Hwasun‐gun 519‐809 Jeonnam Korea
- Corresponding author
- Park, Young Kyu
- Venue
- World Journal of Surgery
- Publisher
- Wiley
- Published
- 2012-07-03
- Volume
- 36
- Issue
- 10
- Pages
- 2400-2411
- ISSN
- 0364-2313 (ISSN-L)
- 1432-2323
- OpenAlex
- W1979408397
- Cited by
- 57
- References
- 35
- Citations by year
- 2026: 1 · 2025: 8 · 2024: 3 · 2023: 2 · 2022: 1 · 2021: 6 · 2020: 2 · 2019: 5 · 2018: 2 · 2017: 6 · 2016: 4 · 2015: 4 · 2014: 8 · 2013: 4 · 2012: 1
- FWCI
- 4.38
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- World Journal of Surgery (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Oncology › Gastric Cancer Management and Outcomes
- Health Sciences › Medicine › Surgery › Enhanced Recovery After Surgery
- Health Sciences › Medicine › Surgery › Esophageal Cancer Research and Treatment
- Keywords
- gastrectomy, gastric cancer, postoperative complications, complication severity grading, length of hospital stay, risk factors for postoperative complications, general anesthesia, operative time, cardiovascular comorbidity, pulmonary comorbidity, postoperative mortality
- MeSH terms
- Female, Gastrectomy, Humans, Male, Middle Aged, Postoperative Complications, Prospective Studies, Severity of Illness Index, Stomach Neoplasms
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- Jung, M. R., Park, Y. K., Seon, J. W., Kim, K. Y., Cheong, O., & Ryu, S. Y. (2012). Definition and Classification of Complications of Gastrectomy for Gastric Cancer Based on the Accordion Severity Grading System. World Journal of Surgery. https://doi.org/10.1007/s00268-012-1693-y
