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Surgery Today
Erschienen in:

26.11.2021 | Original Article

The type of gastrectomy affects skeletal muscle loss and the long-term outcomes of elderly patients with gastric cancer: a retrospective study using computed tomography images

verfasst von: Asami Okamoto, Susumu Aikou, Ryohei Iwata, Shuichiro Oya, Koichiro Kawasaki, Yasuhiro Okumura, Koichi Yagi, Hiroharu Yamashita, Sachiyo Nomura, Yasuyuki Seto

Erschienen in: Surgery Today | Ausgabe 5/2022

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Abstract

Purpose

Sarcopenia is common in elderly gastrectomized patients and a known risk factor for postoperative complications and poor overall survival. However, the long-term outcomes of skeletal muscle loss after gastrectomy and the differences in outcomes of different gastrectomy procedures remain unclear.

Methods

The subjects of this retrospective study were 136 patients who underwent various gastrectomy procedures for early gastric cancer, namely: total gastrectomy (TG; n = 20), proximal gastrectomy (PG; n = 16), distal gastrectomy (DG; n = 60), and pylorus-preserving gastrectomy (PPG; n = 40). Skeletal muscle volume (SMV), calculated as the skeletal muscle index (SMI), was measured using cross-sectional computed tomography (CT) scans preoperatively and then 1, 2, and 3 years after gastrectomy.

Results

Sarcopenia developed from 2 years onwards in all the patients who underwent TG. The SMI and sarcopenia prevalence after gastrectomy deteriorated over time. Multivariate analysis revealed that TG and PG were significant risk factors for skeletal muscle loss in postoperative years 1 and 3. A decrease in the SMI after TG or PG was most remarkable in elderly patients.

Conclusions

The type of gastrectomy affects skeletal muscle loss in the long term. Elderly patients who undergo TG or PG are at high risk of severe skeletal muscle loss.
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Metadaten
Titel
The type of gastrectomy affects skeletal muscle loss and the long-term outcomes of elderly patients with gastric cancer: a retrospective study using computed tomography images
verfasst von
Asami Okamoto
Susumu Aikou
Ryohei Iwata
Shuichiro Oya
Koichiro Kawasaki
Yasuhiro Okumura
Koichi Yagi
Hiroharu Yamashita
Sachiyo Nomura
Yasuyuki Seto
Publikationsdatum
26.11.2021
Verlag
Springer Nature Singapore
Erschienen in
Surgery Today / Ausgabe 5/2022
Print ISSN: 0941-1291
Elektronische ISSN: 1436-2813
DOI
https://doi.org/10.1007/s00595-021-02414-2

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