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J.Jpn. Surg. Soc.. 114(5): 241-245, 2013
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EFFECTS OF A KAMPO MEDICINE ON POSTOPERATIVE INFECTION
We studied the effects of preoperative administration of Hochuekkito (TJ-41) on the host response of patients undergoing gastrectomy or colectomy in a prospective, randomized, multicenter clinical trial. Forty-eight patients were randomized into two groups: one received 7.5g/day of TJ-41 for 7 days before surgery (
n=22); and the other served as the control group (
n=26). The body temperature and pulse rate in patients in the TJ-41 group were significantly better controlled during the study compared with those in the control group. The concentration of serum cortisol on the first postoperative day in the TJ-41 group was also significantly lower compared with that in the control group. These results clearly indicate that the preoperative administration of TJ-41 may ameliorate an excessive postoperative inflammatory response and prolonged immunosuppressed state, resulting in fewer postoperative infectious complications.
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