ArticleSurgery today2026
Risk factors for postoperative swallowing dysfunction in elderly patients undergoing gastrointestinal cancer surgery: A retrospective cohort study.
Article in Surgery today, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.
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Who cites it
2 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Preoperative risk factors for postoperative pneumonia in patients with esophageal cancer: A systematic review and meta-analysis.Surgery today · 2026Pooled it
- Temporal Dynamic Machine Learning Prediction of Postoperative Gastrointestinal Dysfunction Duration in Esophageal Cancer: Integrating Preoperative and Perioperative Routine Blood Temporal Data and Dynamic Ultrasonic Features.International journal of general medicine · 2026Article
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Authors and funding
15 authors.
Funding
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Abstract
purposesPostoperative swallowing dysfunction is a complication that adversely affects elderly patients undergoing gastrointestinal cancer surgery. However, the perioperative changes in swallowing function and their predictive factors remain unclear.
methodsThe subjects of this retrospective analysis were 170 patients aged ≥ 65 years who underwent gastrointestinal cancer surgery and screened positively for sarcopenia and/or cognitive or swallowing concerns. Swallowing function was assessed using the Fujishima Eating and Swallowing Ability Grade (Fujishima Grade), a 10-point scale commonly used in Japan, at four perioperative time points. Dysfunction was defined as Grade ≤ 7 on postoperative day (POD) 1. Predictors were identified using univariate and multivariate logistic regression.
resultsSwallowing dysfunction developed in 63 patients (37.1%). The median grade declined on POD1 and improved by POD7 and on discharge. Among those with dysfunction, 21.0% remained at grade 7 on discharge. These patients had significantly lower cognitive scores (p < 0.001). Multivariate analysis identified age ≥ 75 years (OR 2.56, p = 0.034), sarcopenia (OR 2.13, p = 0.048), MMSE (Mini-Mental State Examination) ≤ 23 (OR 3.09, p = 0.007), and preoperative Fujishima Grade 8 (OR 2.48, p = 0.011) as independent predictors.
conclusionsSwallowing function declines transiently after gastrointestinal cancer surgery in elderly patients. Older age, sarcopenia, MMSE ≤ 23, and preoperative Fujishima Grade 8 are independent predictors of postoperative swallowing dysfunction.
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