Publications by authors named "Reiko Yamanaka-Kohno"
A high prognostic nutritional index (PNI) is associated with good prognosis in patients with esophageal cancer. However, nutritional status often decreases during neoadjuvant therapy. Functional tooth units (FTUs) provide an index for the status of posterior occlusal support.
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- Tongue pressure (TP) significantly drops in esophageal cancer patients after esophagectomy, but gum-chewing training (GCT) has been shown to boost TP in healthy individuals.
- This study tested whether perioperative GCT could lower the rate of TP decline and mitigate complications in thoracic esophageal cancer patients post-surgery.
- Results showed that only 44% of patients in the gum-chewing group experienced reduced TP after surgery, compared to 76% in the historical control group, and the gum-chewing group also had fewer fever days post-operation.
Background: Perioperative oral management contributes to the prevention of dental/systemic complications. However, a professional dental checkup before surgery is generally not performed and relies on the patient's answer to a simple question by medical professionals other than dentists: "Do you have any concerns regarding your mouth related to undergoing surgery?" Here, we evaluated the sensitivity and specificity of this question for predicting perioperative oral health problems in patients with primary esophageal and primary lung cancer.
Methods: We performed an oral cavity check in all patients before scheduled surgery for primary esophageal and lung cancer.
Objectives: An increasing number of patients visiting the dental office have a growing need for perioperative oral management (POM) to prevent postoperative complications. Therefore, it is necessary to determine which patients should receive preferential POM. This study investigated the dental status of patients scheduled to undergo surgery and addressed the priority for POM.
View Article and Find Full Text PDFBackground: The Prognostic Nutritional Index is useful for predicting surgical risk and overall survival based on preoperative immunological and nutritional status in patients undergoing digestive organ cancer surgery. The purpose of this study was to examine the association between the Prognostic Nutritional Index and dental status in patients with esophageal cancer who underwent esophagectomy.
Methods: This retrospective case-control study included 73 patients who underwent resection of esophageal cancer (69 males, 4 females; age 36-83).