Current status of the use of antiadhesive agents for gastric cancer surgery: a questionnaire survey in South Korea.
10.4174/jkss.2013.84.3.160
- Author:
Ji Ho PARK
1
;
Sang Ho JEONG
;
Young Joon LEE
;
Sang Kyung CHOI
;
Soon Chan HONG
;
Eun Jung JUNG
;
Chi Young JEONG
;
Young Tae JU
;
Woo Song HA
Author Information
1. Department Surgery, Gyeongsang National University School of Medicine, Jinju, Korea. yjleegnu@gmail.com
- Publication Type:Original Article
- Keywords:
Peritoneal adhesions;
Questionnaires;
Adhesion barriers;
Postoperative complication;
Stomach neoplasms
- MeSH:
Cellulose, Oxidized;
Gastrectomy;
Laparoscopy;
Morinda;
Postoperative Complications;
Surveys and Questionnaires;
Republic of Korea;
Stomach Neoplasms;
Surveys and Questionnaires
- From:Journal of the Korean Surgical Society
2013;84(3):160-167
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: The aim of this study was to investigate the current status of the use of antiadhesive agents (AAdAs) via a questionnaire and to discuss the availability of AAdAs. METHODS: The survey was sent to a list of members that was approved by the Korean Gastric Association. The survey included questions on AAdA use by surgeons, the type of AAdAs used, and the reasons for not using AAdAs. Surgeons were also asked to describe complications related to AAdAs, and the reliability of its use. RESULTS: The response rate was 21%. The rates of frequent use stratified by procedure were 26.9% (14/52) for open gastrectomy, 5.9% (3/51) for laparoscopic gastrectomy, and 31.5% (17/54) for surgery for postoperative bowel obstruction (P < 0.01). After including data from the occasional use group, the corresponding values were 51.9% (27/52), 19.6% (10/51), and 70.4% (38/54), respectively (P < 0.01). Sefrafilm and Guardix were most commonly used for open procedures. Guardix and Interceed were most commonly used for laparoscopic surgery. The primary reasons for nonuse of AAdAs were ineffectiveness and high cost. Ten percent (4/40) of surgeons observed complications associated with AAdAs. A minority (17.3%, 9/52) had positive attitudes toward AAdAs. The majority of respondents expressed neutral (73.1%, 38/52) or negative (9.6%, 5/52) attitudes toward AAdAs. CONCLUSION: The low use rates of AAdAs in gastric cancer surgery may be attributable to perceptions that AAdAs are ineffective, unreliable, and costly. We anticipate the emergence of promising antiadhesive strategies that reach far beyond the limitations of current products.
