Retrospective Cohort Study
Copyright ©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Mar 21, 2020; 26(11): 1185-1196
Published online Mar 21, 2020. doi: 10.3748/wjg.v26.i11.1185
Preoperative albumin levels predict prolonged postoperative ileus in gastrointestinal surgery
Wen-Quan Liang, Ke-Cheng Zhang, Hua Li, Jian-Xin Cui, Hong-Qing Xi, Ji-Yang Li, Ai-Zhen Cai, Yu-Hua Liu, Wang Zhang, Lan Zhang, Bo Wei, Lin Chen
Wen-Quan Liang, Ke-Cheng Zhang, Jian-Xin Cui, Hong-Qing Xi, Ji-Yang Li, Ai-Zhen Cai, Wang Zhang, Lan Zhang, Bo Wei, Lin Chen, Department of General Surgery & Institute of General Surgery, Chinese People’s Liberation Army General Hospital, Beijing 100853, China
Hua Li, Department of Surgical Oncology, Xing Tai People's Hospital, Xingtai 054001, Hebei Province China
Yu-Hua Liu, Institute of Army Hospital Management, Chinese People’s Liberation Army General Hospital, Beijing 100853, China
Author contributions: Chen L, Wei B, Liang WQ, Zhang KC and Cui JX designed the study; Liang WQ, Zhang KC and Li H wrote the manuscript; Xi HQ and Cai AZ contributed to the patient material; Liu YH and Zhang L collected the clinical data; Zhang W and Li JY contributed to data analysis and validation. Liang WQ, Zhang KC, Li H and Liu YH contributed equally to this work.
Supported by the National Nature Science Foundation of China, No. 81672319 and No. 81972790; and Beijing Nova Program, No. Z181100006218011.
Institutional review board statement: The study was approved by the Research Ethics Committee of the Chinese People’s Liberation Army General Hospital.
Informed consent statement: All study participants provided written consent prior to study enrollment.
Conflict-of-interest statement: All authors have no conflict of interest.
Data sharing statement: No additional data are available.
STROBE statement: The manuscript meets the requirements of the STROBE Statement.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Lin Chen, MA, MD, PhD, Chief Doctor, Professor, Department of General Surgery & Institute of General Surgery, Chinese People’s Liberation Army General Hospital, 28 Fuxing Road, Beijing 100853, China. chenlin@301hospital.com.cn
Received: December 20, 2019
Peer-review started: December 20, 2020
First decision: February 18, 2020
Revised: February 20, 2020
Accepted: February 21, 2020
Article in press: February 21, 2020
Published online: March 21, 2020
Core Tip

Core tip: Prolonged postoperative ileus (PPOI) is a common postoperative complication in patients who undergo gastrointestinal surgery. There are relatively few studies examining the influence of a patient’s preoperative nutritional status on the development of PPOI. This study found and further confirmed that preoperative albumin was an independent predictor of PPOI. We further established a nomogram to accurately quantitate the probability of PPOI occurrence. This nomogram can be used to screen for early indications in the clinical setting.