Key result
Preoperative oral management cuts postoperative pneumonia ~80% in esophageal cancer surgery.
Why the study?
The perioperative oral management fee was newly established to reduce complications after cancer, cardiac, and other surgeries, addressing oral-related perioperative risks.
Perioperative oral management is highlighted as a strategy to reduce oral-related complications and infections during major surgeries, including cardiac procedures.
May support simplified oral care before esophageal cancer surgery; leaves open extension to cardiac procedures.
With the revision in fiscal year 2012 of the healthcare insurance, “the perioperative oral management fee” has been newly established, which is expected to reduce the complications after cancer, cardiac and other surgeries. Possible oral-related complications during perioperative period include 1) damage to teeth during endotracheal intubation, 2) pressure ulcer due to compression of orally-intubated endotracheal tube, 3) postoperative pneumonia, 4) surgical site infection of oropharynx, and others. Also, there is a potential risk of developing foreign material infections due to bacteremia from the oral cavity as the periodontitis remains there. Such risks are found in surgeries where the materials such as prosthetic valves and artificial joints are installed inside the body.
No takes yet. Share an insight, caveat, or question.
Hiromitsu Kishimoto (2017) conducted a review in Esophageal cancer (n=87). Preoperative oral management (simplified plaque-free method) vs. Control (no specific preoperative oral management) was evaluated on Postoperative pneumonia. Preoperative oral management using a simplified plaque-free method reduced the incidence of postoperative pneumonia to 4.1% compared to 20% in the control group among patients undergoing esophageal cancer surgery.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: