Evidence map›Paper›PMID 42866765›Full record

ArticleAnnals of medicine and surgery (2012)2026

Cumulative obesity exposure and hepato-pancreato-biliary cancer risk following different weight-loss interventions: retrospective cohort study.

Ivan Kukeev, Yuval Arnon, Elchanan Quint, Sofyan Abu Freih, Anton Osyntsov, Oleg Dukhno

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Article in Annals of medicine and surgery (2012), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Ivan KukeevMedical School for International Health, Ben-Gurion University of the Negev, Be'er Sheva, Israel.
Yuval ArnonMedical School for International Health, Ben-Gurion University of the Negev, Be'er Sheva, Israel.
Elchanan QuintMedical School for International Health, Ben-Gurion University of the Negev, Be'er Sheva, Israel.
Sofyan Abu FreihMedical School for International Health, Ben-Gurion University of the Negev, Be'er Sheva, Israel.
Anton OsyntsovMedical School for International Health, Ben-Gurion University of the Negev, Be'er Sheva, Israel.
Oleg DukhnoMedical School for International Health, Ben-Gurion University of the Negev, Be'er Sheva, Israel.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Obesity is a time-dependent carcinogenic exposure associated with an increased risk of hepatopancreatobiliary (HPB) cancers. Although weight-loss interventions improve metabolic status, the comparative oncologic impact and the role of cumulative obesity duration remain unclear. Objectives: To compare HPB cancer incidence across lifestyle-based, pharmacologic, and surgical weight-loss strategies and to assess whether differences in cumulative obesity exposure before and after weight reduction may influence cancer risk. Setting: A retrospective cohort study at a tertiary university hospital in Israel. Methods: We analyzed 1131 adults who achieved weight loss between 2010 and 2024 through lifestyle modification, weight-loss medications, or bariatric surgery. For each patient, the duration of obesity before and after weight loss, the magnitude of BMI reduction, and follow-up intervals were recorded. HPB cancers - including hepatocellular carcinoma, pancreatic ductal adenocarcinoma, cholangiocarcinoma, and gallbladder carcinoma - were identified through national registry linkage. Group differences were evaluated using analysis of variance, Kruskal-Wallis, χ Results: Twenty-seven HPB cancers were identified. Incidence did not differ significantly among lifestyle (2.05%), medication-induced (3.24%), and surgery-induced (1.05%) groups ( Conclusions: Although no statistically significant differences in HPB cancer incidence were observed among weight-loss strategies, exploratory numerical differences were noted, with the lowest crude incidence in the bariatric surgery group. Given the limited number of events, these findings should be interpreted cautiously and viewed as hypothesis-generating only. Further adequately powered prospective studies are required before any clinical inference can be made.

Indexed as

HPB cancerobesityobesity-related cancer

Identifiers

PMID42866765
PMCPMC13657611

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.