Percent vital capacity predicts postoperative sarcopenia after esophagectomy in initially nonsarcopenic esophageal cancer patients: a retrospective cohort study

Purpose The development of sarcopenia after esophagectomy is reported to affect the outcomes of patients with esophageal cancer (EC); however, the characteristics of patients likely to be predisposed to postoperative sarcopenia have not been defined. This study explores the associations between preo...

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Bibliographic Details
Published in:Surgery today (Tokyo, Japan) Japan), 2024-07, Vol.54 (7), p.702-711
Main Authors: Shiomi, Shinichiro, Okumura, Yasuhiro, Nakane, Kosuke, Toriumi, Tetsuro, Kawasaki, Koichiro, Yajima, Shoh, Yagi, Koichi, Nomura, Sachiyo, Seto, Yasuyuki
Format: Article
Language:English
Subjects:
Aged
Body Composition
Cohort Studies
Esophageal Neoplasms - surgery
Esophagectomy - adverse effects
Female
Humans
Male
Medicine
Medicine & Public Health
Middle Aged
Original Article
Postoperative Complications - epidemiology
Postoperative Complications - etiology
Predictive Value of Tests
Respiratory Function Tests
Retrospective Studies
Sarcopenia - etiology
Surgery
Surgical Oncology
Time Factors
Vital Capacity
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Summary:Purpose The development of sarcopenia after esophagectomy is reported to affect the outcomes of patients with esophageal cancer (EC); however, the characteristics of patients likely to be predisposed to postoperative sarcopenia have not been defined. This study explores the associations between preoperative respiratory function and surgery-induced sarcopenia in EC patients confirmed as nonsarcopenic preoperatively. Methods The subjects of this retrospective review were 128 nonsarcopenic patients who underwent esophagectomy for EC. We took body composition measurements and performed physical function tests 3 and 6 months postoperatively, to establish whether sarcopenia was present, according to the 2019 Asian Working Group for Sarcopenia guideline. We defined patients with surgery-induced sarcopenia as those with evidence of the development of sarcopenia within 6 months postoperatively or those with documented sarcopenia at 3 months but who could not be evaluated at 6 months. Results Surgery-induced sarcopenia developed in 19 of the 128 patients (14.8%), which correlated significantly with the preoperative %VC value ( p  
ISSN:0941-1291
1436-2813
1436-2813
DOI:10.1007/s00595-023-02788-5