ArticleInternational journal of clinical oncology2019
Clinical impact of periodontal disease on postoperative complications in gastrointestinal cancer patients.
Article in International journal of clinical oncology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.
- Exploring the link between poor oral hygiene and mesh infection after hernia repair: a systematic review and proposed best practices.Hernia : the journal of hernias and abdominal wall surgery · 2023Pooled it
- DAMPs and PAMPs in the Perioperative Period: Danger Signaling, Immune Dysfunction, and Oncologic Implications.Medicina (Kaunas, Lithuania) · 2026Review
- Periodontitis prevalence and effects on postoperative complications in gastric surgery: a prospective observational study.BMC oral health · 2026Observational
- Gastrectomy-induced alterations in gut microbiota linked to changes in oral and gastric microbiota.Frontiers in microbiology · 2025Article
- Poor oral health is associated with social vulnerability in critically ill trauma patients.Trauma surgery & acute care open · 2025Article
- Dental and oral management in the perioperative period of surgery: A scoping review.The Japanese dental science review · 2024Article
- Relationship of oral bacterial number with medical hospitalization costs in analysis of Diagnosis Procedure Combination database from single institution in Japan.Scientific reports · 2024Article
- Impact of oral/dental disease burden on postoperative infective complications: a prospective cohort study.Clinical oral investigations · 2023Article
- Changes in salivary microbiota due to gastric cancer resection and its relation to gastric fluid microbiota.Scientific reports · 2023Article
- Article
- The pathological oral cavity as a preventable source of postoperative pneumonia in thoracic surgery: a prospective observational study.Journal of thoracic disease · 2022Article
- Factors That Influence the Judgment of Oral Management Necessity in Preoperative Oral Screening.International journal of environmental research and public health · 2021Article
- Effects of periodontitis on postoperative pneumonia in patients with lung and esophageal cancer.Thoracic cancer · 2021Article
- Relationship between Oral Health Status and Postoperative Fever among Patients with Lung Cancer Treated by Surgery: A Retrospective Cohort Study.Healthcare (Basel, Switzerland) · 2020Article
- Pneumonia prevention effects of perioperative oral management in approximately 25,000 patients following cancer surgery.Clinical and experimental dental research · 2020Article
- The bacterial association with oral cavity and intra-abdominal abscess after gastrectomy.PloS one · 2020Article
- Association between periodontitis and postoperative complications in hospital medical surgical procedures: a systematic review.Revista cientifica odontologica (Universidad Cientifica del Sur)Review
- The Geriatric Nutritional Risk Index: A Key Indicator of Perioperative Outcome in Oldest-old Patients With Colorectal Cancer.In vivo (Athens, Greece)Article
Corrections and comments
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Authors and funding
15 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe effectiveness of perioperative oral management in gastrointestinal surgery remains unclear. To elucidate the clinical significance of oral care, we investigated the relationship between the oral environment and postoperative infectious complications (POICs) in patients undergoing gastrointestinal surgery.
methodsThis was a single-institute and historical cohort study of 341 patients. The participants were isolated from consecutive patients undergoing planned radical resection for gastrointestinal carcinoma from January 2016 to June 2017. Dentists assessed the oral environment for periodontal disease, hygiene status, dry mouth, fur on tongue, and tooth stumps. All patients received scaling and tooth brushing instructions. A stepwise logistic regression analysis was conducted to identify risk factors for POICs among the different oral statuses.
resultsThe surgical procedures performed were gastrectomy in 123 (36.1%), colorectal resection in 185 (54.2%), and pancreatoduodenectomy or others in 38 (11.1%). POICs occurred in 48 patients (14.1%), including deep organ space infection in 20, surgical site infection in 11, anastomotic leakage in 5, urinary tract infection in 4, pneumonia in 2, and others in 6. After adjusting for confounding factors, periodontal disease was isolated as an independent risk factor for POICs (odds ratio 2.091, p = 0.037, 95% confidence interval 1.045-4.183). Other variables of oral environment such as hygiene status, dry mouth, fur on tongue, and tooth stumps did not have a significant impact on POICs.
conclusionsPeriodontal disease is a risk factor for infectious complications after gastrointestinal surgery.
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