지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술대회자료
- 저자정보
- 발행연도
- 2021.6
- 수록면
- 122 - 124 (3page)
이용수
초록· 키워드
오류제보하기
In 2010, the World Health Organization (WHO) endorsed PBM as a worldwide trend that should be embraced by all medical communities (WHA 63.12). PBM is a multidisciplinary, individualized approach to optimize patient outcome through the systematic implementation of effective and safe blood management strategies, including the minimization or elimination of unnecessary exposure to transfusions.
Patients with gastric cancer are particularly vulnerable to the effects of anemia mainly due to the complications of the disease itself and the physiological disruptions brought about by surgery. Anemia is one of the most common hematologic consequences after gastrectomy. Iron deficiency, as a cause of postgastrectomy anemia, the exact pathogenesis of iron deficiency after gastrectomy remains to be elucidated; nevertheless, it is postulated to be dependent primarily on the impaired iron absorption due to rapid intestinal transit and operative bypass of the duodenum, which is the main area of iron absorption. In addition, factors such as operative blood loss and decreased dietary intake after surgery can disturb iron homeostasis by further depleting the body’s iron stores
The compelling evidence against perioperative transfusion and anemia has fostered a growing interest for the Patient Blood Management (PBM) concept, a multidisciplinary, multimodal strategy, encompassing the entire length of the patient’s clinical management, with an objective of curtailing inappropriate blood transfusion use and enhancing patients’ outcomes. Deeply entrenched in this approach are the three pillar tenets of peri-operative hematopoietic optimization, attenuation of perioperative coagulopathy and blood loss, and improvement of patient’s physiological tolerance to postoperative anemia. Over the years, PBM has gradually evolved, allowing a broader application in other clinical settings including surgery and oncology.
Pillar 1: Managing Pre-operative Anemia in Gastric Cancer Patients
The majority of gastric cancer surgeries are elective procedures; hence, treatment of preoperative iron deficiency anemia should be promptly instituted prior to the scheduled operation. Once the diagnosis^_@span style=color:#999999 ^_# ... ^_@/span^_#^_@a href=javascript:; onclick=onClickReadNode('NODE10593460');fn_statistics('Z354','null','null'); style='color:#999999;font-size:14px;text-decoration:underline;' ^_#전체 초록 보기^_@/a^_#
Patients with gastric cancer are particularly vulnerable to the effects of anemia mainly due to the complications of the disease itself and the physiological disruptions brought about by surgery. Anemia is one of the most common hematologic consequences after gastrectomy. Iron deficiency, as a cause of postgastrectomy anemia, the exact pathogenesis of iron deficiency after gastrectomy remains to be elucidated; nevertheless, it is postulated to be dependent primarily on the impaired iron absorption due to rapid intestinal transit and operative bypass of the duodenum, which is the main area of iron absorption. In addition, factors such as operative blood loss and decreased dietary intake after surgery can disturb iron homeostasis by further depleting the body’s iron stores
The compelling evidence against perioperative transfusion and anemia has fostered a growing interest for the Patient Blood Management (PBM) concept, a multidisciplinary, multimodal strategy, encompassing the entire length of the patient’s clinical management, with an objective of curtailing inappropriate blood transfusion use and enhancing patients’ outcomes. Deeply entrenched in this approach are the three pillar tenets of peri-operative hematopoietic optimization, attenuation of perioperative coagulopathy and blood loss, and improvement of patient’s physiological tolerance to postoperative anemia. Over the years, PBM has gradually evolved, allowing a broader application in other clinical settings including surgery and oncology.
Pillar 1: Managing Pre-operative Anemia in Gastric Cancer Patients
The majority of gastric cancer surgeries are elective procedures; hence, treatment of preoperative iron deficiency anemia should be promptly instituted prior to the scheduled operation. Once the diagnosis^_@span style=color:#999999 ^_# ... ^_@/span^_#^_@a href=javascript:; onclick=onClickReadNode('NODE10593460');fn_statistics('Z354','null','null'); style='color:#999999;font-size:14px;text-decoration:underline;' ^_#전체 초록 보기^_@/a^_#
목차
등록된 정보가 없습니다.
참고문헌 (0)
참고문헌 신청함께 읽어보면 좋을 논문
논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!
-
환자혈액관리 관점에서 본 수술 환자의 빈혈 처치법
대한수혈학회지
2020 .01
-
Postoperative Anemia
대한외과학회 학술대회 초록집
2021 .11
-
Anemia
대한외과학회 학술대회 초록집
2016 .11
-
General Principle of Patient Blood Management in Oncologic Patients
대한임상종양학회 학술대회지
2021 .06
-
Impact of Peri-Operative Anemia and Blood Transfusions in Patients with Gastric Cancer Receiving Gastrectomy
Asian Pacific journal of cancer prevention : APJCP
2016 .01
-
How to Optimize Patient Care in Perioperative Anemia
대한외과학회 학술대회 초록집
2018 .11
-
Anemia Screening, Prevalence, and Treatment in Pediatric Inflammatory Bowel Disease in the United States, 2010–2014
Pediatric Gastroenterology, Hepatology & Nutrition
2019 .01
-
소아의 철결핍빈혈의 진단과 치료
대한의사협회지
2016 .01
-
Management of Blood Loss in Hip Arthroplasty: Korean Hip Society Current Consensus
Hip and Pelvis
2017 .06
-
Functional iron deficiency anemia in patients with cancer
Blood Research
2024 .09
-
Association of Preoperative Anemia and Perioperative Allogenic Red Blood Cell Transfusion with Oncologic Outcomes in Patients with Non-Metastatic Colorectal Cancer
대한외과학회 학술대회 초록집
2018 .11
-
Predictive Effect of Preoperative Anemia on Long-Term Survival Outcomes with Non-Muscle Invasive Bladder Cancer
Asian Pacific journal of cancer prevention : APJCP
2016 .01
-
Operative safety and efficiency of gastric cancer surgery
대한외과학회 학술대회 초록집
2016 .11
-
세네갈 모성의 철 결핍성 빈혈 관련 식이 실천에 미치는 영향요인
한국보건간호학회지
2020 .04
-
The prevalence and clinical significance of postgastrectomy anemia in patients with stage I gastric cancer
대한외과학회 학술대회 초록집
2017 .11
-
The Relationship between Anemia and the Initiation of Dialysis in Patients with Type 2 Diabetic Nephropathy
Diabetes and Metabolism Journal
2015 .01
-
Association between Vitamin D Deficiency and Anemia in Patients with End-Stage Renal Disease: A Cross-Sectional Study
Yonsei Medical Journal
2016 .01
-
Clinical Characteristics and Treatment Outcomes among Patients with Gastrointestinal Phytobezoars: a Single-Institution Survey in Korea
대한외과학회 학술대회 초록집
2021 .05
-
The Prevalence and Characteristics of Anemia after Intensive Care with a Restrictive Transfusion Strategy
대한외과학회 학술대회 초록집
2021 .05
-
Comparison of Postoperative Nutritional Status according to the Type of Surgery in Patients with Gastric Cancer
대한외과학회 학술대회 초록집
2021 .11
이 논문의 저자 정보
최근 본 자료
댓글(0)
0
UCI(KEPA) : I410-ECN-0101-2021-514-001919309