Prognostic and predictive implications of sarcopenia in Western patients undergoing gastric resections for carcinoma of the stomach

Introduction Sarcopenia is highly prevalent in patients with gastrointestinal malignancies, including gastric cancer, but there is a lack of adequate data from Western populations. Methods Computed tomography scans of 138 Caucasian patients subject to stomach resections due to gastric adenocarcinoma...

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Bibliographic Details
Published in:Journal of surgical oncology 2019-09, Vol.120 (3), p.473-482
Main Authors: Sierzega, Marek, Chrzan, Robert, Wiktorowicz, Milosz, Kolodziejczyk, Piotr, Richter, Piotr
Format: Article
Language:English
Subjects:
Adenocarcinoma - diagnostic imaging
Adenocarcinoma - mortality
Adenocarcinoma - surgery
Adult
Aged
Aged, 80 and over
Cancer surgery
complications
Female
Gastric cancer
Humans
Kaplan-Meier Estimate
Male
Middle Aged
Neoplasm Staging
Postoperative Complications - etiology
Postoperative Complications - mortality
Prognosis
Proportional Hazards Models
Sarcopenia
Sarcopenia - diagnostic imaging
Sarcopenia - mortality
Sarcopenia - physiopathology
skeletal muscle index
Stomach Neoplasms - diagnostic imaging
Stomach Neoplasms - mortality
Stomach Neoplasms - surgery
Tomography, X-Ray Computed
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Summary:Introduction Sarcopenia is highly prevalent in patients with gastrointestinal malignancies, including gastric cancer, but there is a lack of adequate data from Western populations. Methods Computed tomography scans of 138 Caucasian patients subject to stomach resections due to gastric adenocarcinoma between 2012 and 2015 were reviewed to evaluate the impact of sarcopenia. The definition of sarcopenia was based on the lumbar skeletal muscle index (SMI) using cut‐off values formulated by the international consensus definitions of sarcopenia (SMI
ISSN:0022-4790
1096-9098
DOI:10.1002/jso.25509