食道癌術後高ビリルビン血症症例の検討

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  • A STUDY OF POSTOPERATIVE JANUDICE IN PATIENTS WITH ESOPHAGEAL CANCER

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It is known that hyperbilirubinemia often occurs after operation for esophageal cancers. We studied the occurrence of postopertive jaundice and risk factors participating in the occurrence in 1) 58 patients with esophageal cancer; 2) 18 with gastric cancer; and 3) 16 with rectal cancer. The incidence of postoperative jaundice (total bilirubin≥2.0 mg/dl) was 48.28%, 38.46%, or 0% in patients group 1), 2), or 3), respectively. The incidence ingroup 1) was significantly higher than that in group 3), but was not significantly differ from that in group 2). <BR>No significant difference in risk factors before, during after surgery was found between two patients groups with or without jaundice. From these findings, no single risk factor for postoperative jaundice could be identified. It is presumed that not only one but many complicated factors are involved in the development of jaundice following excision of esophagus.

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