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Effect of being overweight on postoperative morbidity and long-term surgical outcomes in proximal gastric carcinoma

Authors
 Sung Jin Oh  ;  Woo Jin Hyung  ;  Chen Li  ;  Jyewon Song  ;  Sun Young Rha  ;  Hyun Cheol Chung  ;  Seung Ho Choi  ;  Sung Hoon Noh 
Citation
 JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY, Vol.24(3) : 475-479, 2009 
Journal Title
JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY
ISSN
 0815-9319 
Issue Date
2009
MeSH
Body Mass Index* ; Carcinoma/complications ; Carcinoma/mortality ; Carcinoma/secondary ; Carcinoma/surgery* ; Female ; Gastrectomy/adverse effects* ; Gastrectomy/mortality ; Hospital Mortality ; Humans ; Kaplan-Meier Estimate ; Lymphatic Metastasis ; Male ; Middle Aged ; Neoplasm Recurrence, Local ; Odds Ratio ; Overweight/complications* ; Overweight/mortality ; Overweight/surgery ; Proportional Hazards Models ; Retrospective Studies ; Risk Assessment ; Risk Factors ; Stomach Neoplasms/complications ; Stomach Neoplasms/mortality ; Stomach Neoplasms/pathology ; Stomach Neoplasms/surgery* ; Time Factors ; Treatment Outcome
Keywords
gastric cancer ; lymph node dissection ; morbidity ; overweight ; prognosis
Abstract
BACKGROUND AND AIM: The prevalence of being overweight has risen remarkably in Korea. This study sought to clarify the relationship between being overweight and surgical outcomes in gastric cancer patients. METHODS: A total of 410 patients who underwent curative total gastrectomies with D2 dissection from January 2000 to December 2003 were retrospectively studied from a prospectively designed database. The patients were assigned to two groups based upon their body mass index (BMI): non-overweight, BMI < 25 kg/m(2); overweight, BMI >or= 25 kg/m(2). Perioperative surgical outcomes, postoperative morbidity, mortality, recurrence, and prognosis were analyzed. RESULTS: The overweight group had longer operation time and more postoperative complications than the non-overweight group. The two groups were similar in terms of transfusion volumes, postoperative bowel movement, time to initiation of a soft diet, and postoperative hospital stay. Patterns of recurrence and cumulative survival rates were similar for each group. Multivariate analysis showed that being overweight was not a risk factor for recurrence or poor prognosis. CONCLUSION: Although being overweight was associated with increased operation time and higher risk of complications in gastric cancer patients undergoing curative total gastrectomy, it had no effect on recurrence or long-term survival.
Full Text
http://onlinelibrary.wiley.com/doi/10.1111/j.1440-1746.2008.05704.x/abstract
DOI
10.1111/j.1440-1746.2008.05704.x
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Noh, Sung Hoon(노성훈) ORCID logo https://orcid.org/0000-0003-4386-6886
Rha, Sun Young(라선영) ORCID logo https://orcid.org/0000-0002-2512-4531
Song, Jye Won(송재원)
Oh, Sung Jin(오성진)
Chung, Hyun Cheol(정현철) ORCID logo https://orcid.org/0000-0002-0920-9471
Choi, Seung Ho(최승호) ORCID logo https://orcid.org/0000-0002-9872-3594
Hyung, Woo Jin(형우진) ORCID logo https://orcid.org/0000-0002-8593-9214
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/103738
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