ArticleBMC surgery2022
Long-term postoperative pneumonia in elderly patients with early gastric cancer.
Article in BMC surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.
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14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 18 citations in OpenAlex.
- Risk factors for pneumonia after radical gastrectomy for gastric cancer: a systematic review and meta-analysis.BMC cancer · 2025Pooled it
- Sarcopenia and risk of postoperative pneumonia: a systematic review and meta-analysis.The journal of nutrition, health & aging · 2025Pooled it
- Roy adaptation model-based patient education for elderly patients undergoing laparoscopic radical gastrectomy.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026Trial
- Machine learning prediction of long-term postoperative pneumonia risk: a retrospective cohort study.BMC medical informatics and decision making · 2026Article
- Long-Term Risk of Pneumonia Among Gastric Cancer Survivors: A Nationwide Population-Based Cohort Study.Cancers · 2025Article
- Risk factors and outcomes of intraoperative blood transfusion in elderly patients undergoing gastrointestinal cancer surgery.World journal of gastrointestinal surgery · 2025Article
- A nomogram to predict pulmonary complications after gastrointestinal surgery: a retrospective study.BMC gastroenterology · 2025Article
- Risk factors for postoperative pneumonia in older adults aged ≥ 80 years with gastric cancer.BMC cancer · 2025Article
- Development and validation of multiparameter prognostic nomogram combining neutrophil-to-lymphocyte ratio, tumor burden, and nutritional status for predicting postoperative outcome in elderly gastric cancer patients.Frontiers in oncology · 2025Article
- Geriatric prognostic scoring system predicts survival after hepatectomy for elderly patients with liver cancer.Annals of gastroenterological surgery · 2024Article
- The emerging role of medical foods and therapeutic potential of medical food-derived exosomes.Nanoscale advances · 2023Review
- Acceleration of sarcopenia in elderly patients who develop asymptomatic pneumonia shadow within one year after surgery for early gastric cancer.BMC surgery · 2023Article
- Causes of Death Following Gastric Cancer Diagnosis: A Population-Based Analysis.Medical science monitor : international medical journal of experimental and clinical research · 2023Article
- The comparison of prognoses between total and distal gastrectomy for gastric cancer in elderly patients ≥ 80 years old.Surgery today · 2023Article
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Authors and funding
9 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPneumonia is a major cause of death in the elderly population. Considering body weight loss, muscle loss, and reflux after gastrectomy, elderly patients are considered to be at very high risk for pneumonia, which could decrease overall survival because early gastric cancer is mostly curable only by surgery. We aimed to clarify the incidence of pneumonia in the long-term period after gastrectomy in elderly patients who were diagnosed with early gastric cancer and its risk factors.
methodsWe retrospectively examined patients of > 75 years of age who underwent R0 gastrectomy for gastric cancer and who were diagnosed with T1 disease at National Cancer Center Hospital between 2005 and 2012. Long-term postoperative pneumonia was diagnosed by chest computed tomography every year until 2 years after surgery. The presence of preoperative sarcopenia was assessed using preoperative L3 skeletal muscle index.
results167 patients were included in this study. Long-term postoperative pneumonia was observed in 44 (26%) patients. Of the 44 people diagnosed with long-term postoperative pneumonia, 33 were diagnosed in the 1st year and 11 in the 2nd year. 117 patients (70%) were diagnosed with sarcopenia which was significantly frequently found in the patients who developed long-term postoperative pneumonia (91%) than those without (63%). Preoperative sarcopenia was the only independent risk factor in multivariate analysis. Type of gastrectomy was not a significant risk factor.
conclusionsLong-term postoperative pneumonia was frequently observed in the elderly patients. Preoperative sarcopenia was associated with long-term postoperative pneumonia in elderly patients who underwent curative surgery for gastric cancer. After gastrectomy, long-term special care would be required for elderly patients, especially with sarcopenia.
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