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KMID : 1141820220220020145
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Journal of Gastric Cancer
2022 Volume.22 No. 2 p.145 ~ p.155
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Larger Remaining Stomach Volume Is Associated With Better Nutrition and Muscle Preservation in Patients With Gastric Cancer Receiving Distal Gastrectomy With Gastroduodenostomy
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Kim Amy
Lee Jung-Bok
Ko You-Sun
Park Tae-Yong
Jo Hyeon-Jong
Jang Jin-Kyoo
Lee Kyoung-Suk
Kim Kyung-Won
Lee In-Seob
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Abstract
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Purpose: Weight loss and deterioration in body composition are observed in patients with gastric cancer (GC) following gastrectomy. This study aimed to investigate the impact of residual stomach volume (RSV) on the nutritional status and body composition of patients with GC treated with distal gastrectomy.
Materials and Methods: In total, 227 patients who underwent minimally invasive distal gastrectomy with Billroth 1 anastomosis for stage I GC between February 2015 and May 2018 were enrolled. Clinicodemographic and laboratory data were collected from the GC registry. The RSV, abdominal muscle area, and subcutaneous/visceral fat areas were measured using computed tomography data.
Results: A larger RSV was associated with a lower decrease in the nutritional risk index (P=0.004) and hemoglobin level (P=0.003) during the first 3 months after surgery, and better recovery at 12 months. A larger RSV demonstrated an advantage in the preservation of abdominal muscle area (P=0.02) and visceral fat (P=0.04) after surgery, as well as less reduction in weight (P=0.02) and body mass index (P=0.03).
Conclusions: Larger RSV was associated with improved nutritional status and better preservation of muscle and fat after distal gastrectomy.
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KEYWORD
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Gastric cancer, Gastrectomy, Remnant stomach, Body composition, Nutritional status, Skeletal muscle
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