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Changes in and clinical utility of maximum phonation time and repetitive saliva swallowing test scores after esophagectomy.
Maruyama, Suguru; Kawaguchi, Yoshihiko; Nitta, Kyoko; Akaike, Hidenori; Shoda, Katsutoshi; Higuchi, Yudai; Nakayama, Takashi; Saito, Ryo; Izumo, Wataru; Takiguchi, Koichi; Shiraishi, Kensuke; Furuya, Shinji; Nakata, Yuki; Amemiya, Hidetake; Kawaida, Hiromichi; Ichikawa, Daisuke.
Afiliación
  • Maruyama S; Department of Digestive Surgery, University of Yamanashi Hospital, 1110 Shimokato, Chuo, Yamanashi, 409-3898, Japan.
  • Kawaguchi Y; Department of Digestive Surgery, University of Yamanashi Hospital, 1110 Shimokato, Chuo, Yamanashi, 409-3898, Japan.
  • Nitta K; Department of Otorhinolaryngology, Head and Neck Surgery, University of Yamanashi Hospital, 1110 Shimokato, Chuo, Yamanashi, 409-3898, Japan.
  • Akaike H; Department of Digestive Surgery, University of Yamanashi Hospital, 1110 Shimokato, Chuo, Yamanashi, 409-3898, Japan.
  • Shoda K; Department of Digestive Surgery, University of Yamanashi Hospital, 1110 Shimokato, Chuo, Yamanashi, 409-3898, Japan.
  • Higuchi Y; Department of Digestive Surgery, University of Yamanashi Hospital, 1110 Shimokato, Chuo, Yamanashi, 409-3898, Japan.
  • Nakayama T; Department of Digestive Surgery, University of Yamanashi Hospital, 1110 Shimokato, Chuo, Yamanashi, 409-3898, Japan.
  • Saito R; Department of Digestive Surgery, University of Yamanashi Hospital, 1110 Shimokato, Chuo, Yamanashi, 409-3898, Japan.
  • Izumo W; Department of Digestive Surgery, University of Yamanashi Hospital, 1110 Shimokato, Chuo, Yamanashi, 409-3898, Japan.
  • Takiguchi K; Department of Digestive Surgery, University of Yamanashi Hospital, 1110 Shimokato, Chuo, Yamanashi, 409-3898, Japan.
  • Shiraishi K; Department of Digestive Surgery, University of Yamanashi Hospital, 1110 Shimokato, Chuo, Yamanashi, 409-3898, Japan.
  • Furuya S; Department of Digestive Surgery, University of Yamanashi Hospital, 1110 Shimokato, Chuo, Yamanashi, 409-3898, Japan.
  • Nakata Y; Department of Digestive Surgery, University of Yamanashi Hospital, 1110 Shimokato, Chuo, Yamanashi, 409-3898, Japan.
  • Amemiya H; Department of Digestive Surgery, University of Yamanashi Hospital, 1110 Shimokato, Chuo, Yamanashi, 409-3898, Japan.
  • Kawaida H; Department of Digestive Surgery, University of Yamanashi Hospital, 1110 Shimokato, Chuo, Yamanashi, 409-3898, Japan.
  • Ichikawa D; Department of Digestive Surgery, University of Yamanashi Hospital, 1110 Shimokato, Chuo, Yamanashi, 409-3898, Japan. dichikawa@yamanashi.ac.jp.
Esophagus ; 21(3): 348-356, 2024 Jul.
Article en En | MEDLINE | ID: mdl-38787481
ABSTRACT

BACKGROUND:

Postoperative pneumonia in patients with esophageal cancer occurs due to swallowing dysfunction and aspiration. Recently, maximum phonation time (MPT) assessment and repetitive saliva swallowing test (RSST) have been focused on as swallowing function assessment methods that can identify patients as high risk for pneumonia. We aimed to evaluate the clinical utility of MPT assessment and RSST in patients undergoing oncological esophagectomy.

METHODS:

In total, 47 consecutive patients who underwent esophagectomy for esophageal cancer between August 2020 and July 2023 were eligible. The perioperative changes in MPTs and RSST scores were examined. In addition, univariate and multivariate analyses were performed to identify the predictive factors of postoperative pneumonia.

RESULTS:

The median MPTs before surgery and on postoperative days (PODs) 3, 6, and 10 were 18.4, 7.2, 10.6, and 12.4 s, respectively; postoperative MPTs were significantly lower than preoperative MPT. In addition, the MPT of POD 6 was significantly longer than that of POD 3 (P < 0.05). Meanwhile, there were no significant changes in perioperative RSST scores. Overall, 8 of 47 patients (17.0%) developed pneumonia postoperatively. A short MPT on POD 6 was one of the independent predictive factors for the incidence of postoperative pneumonia (odds ratio 12.6, 95% confidence interval 1.29-123, P = 0.03) in the multivariate analysis.

CONCLUSIONS:

The MPT significantly decreased after esophagectomy. However, the RSST score did not. The MPT on POD6 can be a predictor of postoperative pneumonia.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Complicaciones Posoperatorias / Saliva / Neoplasias Esofágicas / Trastornos de Deglución / Esofagectomía / Deglución Límite: Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: Esophagus Año: 2024 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Japón
Texto completo
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Imprimir
XML
PubMed Links
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Complicaciones Posoperatorias / Saliva / Neoplasias Esofágicas / Trastornos de Deglución / Esofagectomía / Deglución Límite: Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: Esophagus Año: 2024 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Japón