Academic Journal
Hill Classification Predicts Postoperative Pneumonia After Minimally Invasive Distal Gastrectomy for Gastric Cancer.
| Τίτλος: | Hill Classification Predicts Postoperative Pneumonia After Minimally Invasive Distal Gastrectomy for Gastric Cancer. |
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| Συγγραφείς: | Nagano S; Second Department of Surgery, School of Medicine, Wakayama Medical University, Wakayama, Japan., Kitadani J; Second Department of Surgery, School of Medicine, Wakayama Medical University, Wakayama, Japan., Hayata K; Second Department of Surgery, School of Medicine, Wakayama Medical University, Wakayama, Japan., Goda T; Second Department of Surgery, School of Medicine, Wakayama Medical University, Wakayama, Japan., Tominaga S; Second Department of Surgery, School of Medicine, Wakayama Medical University, Wakayama, Japan., Nakai T; Second Department of Surgery, School of Medicine, Wakayama Medical University, Wakayama, Japan., Fukuda N; Second Department of Surgery, School of Medicine, Wakayama Medical University, Wakayama, Japan., Hanada K; Clinical Study Support Center, Wakayama Medical University, Wakayama, Japan., Kawai M; Second Department of Surgery, School of Medicine, Wakayama Medical University, Wakayama, Japan. |
| Πηγή: | World journal of surgery [World J Surg] 2026 Oct; Vol. 50 (10), pp. 3032-3036. Date of Electronic Publication: 2026 Sep 10. |
| Τύπος έκδοσης: | Journal Article; Review |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Wiley Country of Publication: United States NLM ID: 7704052 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1432-2323 (Electronic) Linking ISSN: 03642313 NLM ISO Abbreviation: World J Surg Subsets: MEDLINE |
| Imprint Name(s): | Publication: 2024- : [Hoboken, NJ] : Wiley Original Publication: New York, Springer International. |
| Ιατρικοί όροι (MeSH): | Gastrectomy*/methods , Gastrectomy*/adverse effects , Stomach Neoplasms*/surgery , Gastroesophageal Reflux*/complications , Pneumonia, Aspiration*/etiology , Pneumonia*/etiology , Postoperative Complications*, Humans ; Minimally Invasive Surgical Procedures |
| Περίληψη: | Postoperative pneumonia still occurs and is a poor prognostic factor despite advances in minimally invasive gastrectomy. Aspiration is considered a principal mechanism of postoperative pneumonia after gastrectomy. Because the reconstruction method after gastrectomy influences bile reflux, postoperative reflux may contribute to aspiration and thereby increase the risk of pneumonia. Hill classification is an endoscopic grading system used to evaluate the function of the gastroesophageal flap valve and has been reported to reflect the severity of gastroesophageal reflux. (© 2026 International Society of Surgery/Société Internationale de Chirurgie (ISS/SIC). All rights reserved, including rights for text and data mining and training of artificial intelligence technologies or similar technologies.) |
| References: | A. Kamiya, T. Hayashi, R. Sakon, et al., “Prognostic Impact of Long‐Term Postoperative Pneumonia in Elderly Patients With Early Gastric Cancer,” Journal of Cancer 13, no. 9 (2022): 2905–2911, https://doi.org/10.7150/jca.71349. H. Cho, K. Tsuchida, K. Iwasaki, and Y. Maezawa, “Risk Factors of Post‐Operative Pneumonia in Elderly Patients With Gastric Cancer: A Retrospective Cohort Study,” Japanese Journal of Clinical Oncology 51, no. 7 (2021): 1044–1050, https://doi.org/10.1093/jjco/hyab032. K. Marumo, S. Homma, and Y. Fukuchi, “Postgastrectomy Aspiration Pneumonia,” Chest 107, no. 2 (1995): 453–456, https://doi.org/10.1378/chest.107.2.453. D. Nishizaki, R. Ganeko, N. Hoshino, et al., “Roux‐en‐Y Versus Billroth‐I Reconstruction After Distal Gastrectomy for Gastric Cancer,” Cochrane Database of Systematic Reviews 9, no. 9 (2021): CD012998, https://pubmed.ncbi.nlm.nih.gov/34523717/. H. Tsuchiya, I. Yasufuku, M. Fukada, et al., “Postoperative Reflux Esophagitis in Laparoscopic Distal Gastrectomy With Billroth‐I Reconstruction for Gastric Cancer: Nutritional Effect and Preoperative Risk Factors,” Asian Journal of Endoscopic Surgery 16, no. 4 (2023): 695–705, https://doi.org/10.1111/ases.13225. L. D. Hill, R. A. Kozarek, S. J. M. Kraemer, et al., “The Gastroesophageal Flap Valve: In Vitro and in Vivo Observations,” Gastrointestinal Endoscopy 44, no. 5 (1996): 541–547, https://doi.org/10.1016/s0016‐5107(96)70006‐8. L. Brännström, M. Werner, B. Wallner, K. A. Franklin, and P. Karling, “What Is the Significance of the Hill Classification?,” Diseases of the Esophagus 36, no. 9 (2023): doad004, https://doi.org/10.1093/dote/doad004. R. Kimura, T. Moriyama, K. Ohuchida, et al., “Risk Factors for Postoperative Pneumonia After Laparoscopic Gastrectomy in Patients Aged 75 Years and Over With Gastric Cancer,” Asian Journal of Endoscopic Surgery 14, no. 3 (2021): 408–416, https://doi.org/10.1111/ases.12883. D. Dindo, N. Demartines, and P.‐A. Clavien, “Classification of Surgical Complications: A New Proposal With Evaluation in a Cohort of 6336 Patients and Results of a Survey,” Annals of Surgery 240, no. 2 (2004): 205–213, https://doi.org/10.1097/01.sla.0000133083.54934.ae. A. C. Kalil, M. L. Metersky, M. Klompas, et al., “Management of Adults With Hospital‐Acquired and Ventilator‐Associated Pneumonia: 2016 Clinical Practice Guidelines by the Infectious Diseases Society of America and the American Thoracic Society,” Clinical Infectious Diseases 63, no. 5 (2016): e61–e111, https://doi.org/10.1093/cid/ciw353. |
| Contributed Indexing: | Keywords: gastrectomy; gastroesophageal reflux; pneumonia; postoperative complications; stomach neoplasms |
| Entry Date(s): | Date Created: 20260911 Date Completed: 20261014 Latest Revision: 20261016 |
| Update Code: | 20261016 |
| DOI: | 10.1002/wjs.70576 |
| PMID: | 42723290 |
| Βάση Δεδομένων: | MEDLINE |
| ISSN: | 1432-2323 |
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| DOI: | 10.1002/wjs.70576 |