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- Title
Surgical management of colorectal cancer in patients with psychiatric disorders.
- Authors
Naoki Isaka; Yoshiya Ishizawa; Toshihito Mitsui; Mutsuo Sasaki
- Abstract
Abstract Purpose We analyzed the surgical data and evaluated the management of colorectal cancer (CRC) in patients with psychiatric disorders. Methods We reviewed the medical records of 83 patients who underwent elective surgery for CRC and divided them into a psychiatric disorder group and a control group to compare the operative data and available clinical information. Results Of the 83 patients, 27 had psychiatric disorders. The most characteristic symptom of CRC was bloody stool in the psychiatric disorder group, and occult blood in the control group. Postoperative pneumonia occurred significantly more often in the psychiatric group (14.8% vs 1.8%, P = 0.019). Patients with a psychiatric disorder needed significantly more psychotropic drugs (70.4% vs 7.1%, P P = 0.001), and exhibited more resistant behavior (51.9% vs 8.9%, P Conclusions Insufficient nutrition in the psychiatric disorder group was not attributable solely to the higher incidence of postoperative complications. As psychiatric disorders compromise nutrition, integral treatment provided by surgeons and psychiatrists would improve the nutritional status of these patients and reduce the incidence of postoperative morbidity.
- Subjects
COLON cancer; COLON surgery; PSYCHOTHERAPY patients; ELECTIVE surgery; MEDICAL records; DISEASE incidence; ONCOLOGIC surgery complications; DIET in disease; DISEASES
- Publication
Surgery Today, 2009, Vol 39, Issue 5, p393
- ISSN
0941-1291
- Publication type
Article
- DOI
10.1007/s00595-008-3901-9