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• W4366596281 abstract "Abstract Background In pancreaticoduodenectomy (PD), the duodenum and upper jejunum responsible for iron absorption are removed, which can lead to massive hemorrhage during surgery and cause iron deficiency anemia after PD. The aim of this study was to evaluate overall changes in hematologic profiles of patients who underwent pancreaticoduodenectomy. Effect of preoperative intravenous ferritin treatment on recovery of anemia after surgery was also investigated. Methods From March 2021 to December 2021, patients who underwent curative PD at our institution due to periampullary lesions were enrolled. They were divided into two groups according to whether or not ferritin was administered before surgery. In the IV ferritin group, all patients had been routinely administered with 1000 mg of ferric carboxymaltose intravenously once about 3–7 days before the operation day. Contrarily, patients in the control group did not receive intravenous ferritin before PD. Changes in hematological profile were measured preoperatively and at 5, 14, and 30 days postoperatively. Clinical results of the two groups were compared and analyzed. Additionally, a subgroup analysis was performed for selected non-anemic patients who had preoperative hemoglobin level of 12.0g/dl or higher to compare changes in hematologic profiles between the two groups. Results Thirty patients of the IV ferritin group and 34 patients of the control group were analyzed. Although no difference was observed in postoperative complications or mortality, hemoglobin and iron levels were recovered significantly faster at two weeks postoperatively in the IV ferritin group than in the control group. Ferritin levels were consistently higher in the IV ferritin group throughout the postoperative period. In subgroup analysis conducted for non-anemic patients, hemoglobin levels were recovered significantly faster and maintained higher in the IV ferritin group throughout the postoperative period, although baseline levels of hemoglobin were similar between the two groups. In addition, the length of intensive care unit stay was significantly shorter in the IV ferritin group than in the control group. Conclusions Preoperative intravenous ferritin treatment might be effective in facilitating recovery of hematologic profiles of patients during the recovery period after PD regardless of the presence of preoperative anemia, thus preventing postoperative iron deficiency anemia." @default.
• W4366596281 created "2023-04-23" @default.
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• W4366596281 date "2023-04-20" @default.
• W4366596281 modified "2023-10-18" @default.
• W4366596281 title "What we should consider to facilitate recovery of the hematological profile in all patients after pancreaticoduodenectomy: The role of preoperative intravenous ferritin treatment" @default.
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• W4366596281 doi "https://doi.org/10.21203/rs.3.rs-2729612/v1" @default.
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