Baik et al listed a rating system for impairment following surgery on the upper digestive tract. The authors are from Yonsei University, Seoul National University, Bundang Jesaeng General Hospital and other institutions in South Korea.
Patient selection – status post surgery on the esophagus, stomach, duodenum, small bowel, pancreas, gallbladder and/or biliary tract
Parameters:
(1) weight loss (with successful management weight gain might be expected)
(2) management afterwards
Reoperation or serious complications might be additional parameters that could be graded.
|
Weight Loss |
Impairment |
|
0 to 9% |
10-24% |
|
10 to 19% |
25-49% |
|
20 to 29% |
50-74% |
|
>= 30% |
>= 75% |
where:
• Table 3 states that 25-49% impairment is associated with weight loss over 20% but usage suggests that it should be less than 20%.
|
Management After Surgery |
Impairment |
|
none required |
0-9% |
|
intermittent treatment in hospital to control symptoms |
10-24% |
|
total parenteral nutrition (TPN) with weight loss < 20% |
25-49% |
|
TPN with weight loss 20-29% |
50-74% |
|
continual TPN in hospital and/or weight loss >= 30% |
>= 75% |
All patients should be evaluated at 6 and 12 months after surgery.
Purpose: To determine the level of physical impairment following surgery on the upper digestive tract based on the report of Baik et al.
Specialty: Sports Medicine & Rehabilitation, Gastroenterology
Objective: severity, prognosis, stage, disability and performance, surgery
ICD-10: C15, C16, C17.0, C22, C23, C24, C25, K20-K31,
