Perioperative Changes in Oral Function and Association With Oral Food Intake Status in Patients Undergoing Gastric and Oesophageal Cancer Surgery

IF 4 3区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of oral rehabilitation Pub Date : 2025-07-14 DOI:10.1111/joor.70014

Misaki Tanaka, Koichiro Matsuo, Rena Hidaka, Tomoka Maruyama, Yu Sekimoto, Risako Mikami

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引用次数: 0

Abstract

Objectives

Perioperative oral health care traditionally focuses on oral hygiene to prevent post-surgical infection, with limited attention to oral function. This study explores perioperative changes in oral function in association with oral food intake in patients receiving gastric or oesophageal cancer surgery.

Methods

Patients who underwent surgery for gastric or oesophageal cancer at a university hospital and visited its outpatient dental centre for perioperative oral health care were recruited from August 2018 to March 2021. Several oral function parameters (lip-tongue motor function, tongue pressure, occlusal force, oral dryness and dysphagia score) were measured 1 day before and 7 days after treatment. The patients were categorised into the oral intake (PO) and non-oral intake (NPO) groups based on oral food intake status at 7 days post-surgery, and perioperative changes in oral function were analysed using the Wilcoxon signed-rank test between the PO and NPO groups for both gastric and oesophageal cancers.

Results

Of the 298 gastric cancer patients and 71 oesophageal cancer patients analysed, 87% and 24% of patients, respectively, were capable of oral food intake at 7 days after surgery. In gastric cancer patients, oral hygiene, tongue pressure and dysphagia scores significantly worsened in the PO group. In contrast, oral hygiene, tongue pressure and dysphagia scores were all significantly worsened in the oesophageal cancer NPO group, but not in the PO group. Oral dryness and occlusal force did not change remarkably regardless of oral food intake status in these patients.

Conclusions

This study uncovered a significant decrease in oral function in oesophageal cancer patients without postoperative oral food intake, suggesting a potential association between impaired oral motor function and delayed oral intake recovery. Accordingly, perioperative oral function management alongside oral hygiene care is advisable for early resumption of oral food intake.

Abstract Image

查看原文本刊更多论文

胃和食管癌手术患者围手术期口腔功能的变化及其与口服食物摄入状况的关系

目的：围手术期口腔保健传统上侧重于预防术后感染的口腔卫生，对口腔功能的关注有限。本研究探讨胃癌或食管癌手术患者围手术期口腔功能变化与口服食物摄入的关系。方法：从2018年8月至2021年3月招募在某大学医院接受胃癌或食管癌手术并在门诊牙科中心进行围手术期口腔保健的患者。治疗前1天、治疗后7天分别测量口腔功能参数（唇舌运动功能、舌压、咬合力、口腔干燥、吞咽困难评分）。根据术后7天的口服食物摄入情况将患者分为口服摄入组（PO）和非口服摄入组（NPO），并采用Wilcoxon sign -rank检验分析胃癌和食管癌口服摄入组和非口服摄入组围手术期口腔功能的变化。结果：在298例胃癌患者和71例食管癌患者中，87%和24%的患者在术后7天能够口服食物。胃癌患者PO组口腔卫生、舌压、吞咽困难评分明显恶化。而食管癌NPO组的口腔卫生、舌压、吞咽困难评分均显著恶化，而PO组则无明显差异。无论这些患者的口腔食物摄入状况如何，口腔干燥和咬合力都没有显著变化。结论：本研究揭示了食管癌术后未口服食物摄入的患者口腔功能显著下降，提示口腔运动功能受损与口腔摄入恢复延迟之间存在潜在关联。因此，围手术期的口腔功能管理和口腔卫生护理是早期恢复口服食物摄入的建议。

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来源期刊

Journal of oral rehabilitation 医学-牙科与口腔外科

CiteScore

5.60

自引率

10.30%

发文量

116

审稿时长

4-8 weeks

期刊介绍： Journal of Oral Rehabilitation aims to be the most prestigious journal of dental research within all aspects of oral rehabilitation and applied oral physiology. It covers all diagnostic and clinical management aspects necessary to re-establish a subjective and objective harmonious oral function. Oral rehabilitation may become necessary as a result of developmental or acquired disturbances in the orofacial region, orofacial traumas, or a variety of dental and oral diseases (primarily dental caries and periodontal diseases) and orofacial pain conditions. As such, oral rehabilitation in the twenty-first century is a matter of skilful diagnosis and minimal, appropriate intervention, the nature of which is intimately linked to a profound knowledge of oral physiology, oral biology, and dental and oral pathology. The scientific content of the journal therefore strives to reflect the best of evidence-based clinical dentistry. Modern clinical management should be based on solid scientific evidence gathered about diagnostic procedures and the properties and efficacy of the chosen intervention (e.g. material science, biological, toxicological, pharmacological or psychological aspects). The content of the journal also reflects documentation of the possible side-effects of rehabilitation, and includes prognostic perspectives of the treatment modalities chosen.