Journal of The Japanese Stomatological Society
Online ISSN : 2185-0461
Print ISSN : 0029-0297
ISSN-L : 0029-0297
The evaluation of postoperative complications risk and perioperative oral management in gastric cancer patients by Estimation of Physiologic Ability and Surgical Stress(E-PASS) scoring system
Fumihiko HAYASHIYosuke SAKAMOTOAtsushi KASAMATSUMasashi SHIIBAKatsuhiro UZAWAHideki TANZAWA
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2018 Volume 67 Issue 1 Pages 12-16

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Abstract

Perioperative oral management is recognized as an important supportive therapy in cancer treatment and is being implemented in many medical institutions. The Estimation of Physiologic Ability and Surgical Stress scoring system (E-PASS) can grasp the risk of postoperative complications from the physiological functions of patients and the degree of surgical invasion, and has been reported to be useful in the field of gastroenterological surgery.
E-PASS consists of preoperative risk score (PRS) representing the physiological functions of the patient, surgical stress score (SSS) representing the magnitude of the operation, and comprehensive risk score (CRS) defined from both PRS and SSS. Based on the value of CRS, patients who underwent gastric cancer surgery were divided into those who received perioperative oral management (oral management group, n=99) and patients who did not receive perioperative oral management (control group, n=165), and the incidence of postoperative complications of the two groups was compared and examined.
In the patient group with CRS of 0.2 or more, the oral management group showed a significant decrease in the postoperative complication rate compared with the control group.
By identifying the patients who need perioperative oral management based on the value of CRS, it is considered beneficial for patients and enables limited medical and human resources to be effectively utilized. We could predict the onset of postoperative complications by grasping age and surgical invasion in advance without being limited only to the disease. It could be a useful index that focuses on perioperative oral management.

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© 2018 Japanese Stomatological Society
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