ArticleObesity surgery2013
Overweight patients achieve ideal body weight following curative gastrectomy resulting in better long-term prognosis.
Article in Obesity surgery, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
- Long-term outcomes of laparoscopic versus open distal gastrectomy for patients with advanced gastric cancer in North China: a multicenter randomized controlled trial.Surgical endoscopy · 2024Trial
- Modifiable risk factors for weight loss after cancer treatment in Korean gastric cancer survivors.Journal of cancer survivorship : research and practice · 2026Article
- Impact of Body Mass Index on Survival Depending on Sex in 14,688 Patients with Gastric Cancer in a Tertiary Hospital in South Korea.Gut and liver · 2023Article
- Effects of a high body mass index on the short-term outcomes and prognosis after radical gastrectomy.Surgery today · 2021Article
- Lifestyle factors and long-term survival of gastric cancer patients: A large bidirectional cohort study from China.World journal of gastroenterology · 2020Article
- A Modified ypTNM Staging System-Development and External Validation of a Nomogram Predicting the Overall Survival of Gastric Cancer Patients Received Neoadjuvant Chemotherapy.Cancer management and research · 2020Article
- Should pylorus-preserving gastrectomy be performed for overweight/obese patients with gastric cancer?Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2019Article
- Body mass index and mortality in patients with gastric cancer: a large cohort study.Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2018Article
- Impact of being underweight on the long-term outcomes of patients with gastric cancer.Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2016Article
- Re: Overweight patients achieve ideal body weight following curative gastrectomy resulting in better long-term prognosis.Obesity surgery · 2013Article
- Reply to "Overweight patients achieve ideal body weight following curative gastrectomy resulting in better long-term prognosis. Letter".Obesity surgery · 2013Article
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8 authors.
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Abstract
backgroundThe relationship between body mass index (BMI) and long-term outcome in gastric cancer patients following radical gastrectomy continues to be debated. We investigated the association between BMI, clinicopathological features, and prognosis in Chinese gastric carcinoma patients.
methodsA retrospective consecutive cohort study was performed on 1,296 patients who underwent gastrectomy with curative intent at the Tianjin Cancer Institute Hospital between 1999 and 2004. The clinicopathological characteristics, overall 5-year survival rate (OS), and preoperative and six-month postoperative BMIs of both overweight (BMI ≥ 25 kg/m(2); H-BMI; n = 364) and non-overweight (BMI <25 kg/m(2); N-BMI; n = 932) patients were compared.
resultsAmong these patients, 364 (28.1 %) were overweight. The OS was significantly higher in the H-BMI than N-BMI group (33.2 vs. 24.1 %, respectively; p < 0.001). Preoperative and six-month postoperative BMIs were 27.1 ± 2.0 and 24.8 ± 2.0 kg/m(2), respectively, in the H-BMI group (p < 0.001), whereas they were 21.7 ± 2.2 and 20.7 ± 2.2 kg/m(2), respectively, in the N-BMI group (p = 0.007). There was significantly better differentiation (p = 0.034), less distant metastases (p = 0.006), and a lower metastatic lymph node ratio (p = 0.014) observed in the H-BMI groups. Multivariate analyses indicated age, BMI, pathological tumor depth, distant metastases, metastatic lymph node ratio, and tumor size as independent prognostic factors.
conclusionsOur findings suggest that overweight patients were less likely to have tumors with aggressive features and can achieve ideal body weight following curative gastrectomy, possibly resulting in better long-term prognosis.
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