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

Sung Jin Oh, Woo Jin Hyung, Chen Li, Jyewon Song, Sun Young Rha, Hyun Cheol Chung, Seung Ho Choi, Sung Hoon Noh

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25 Citations (Scopus)

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/m2; overweight, BMI ≥ 25 kg/m2. 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.

Original languageEnglish
Pages (from-to)475-479
Number of pages5
JournalJournal of Gastroenterology and Hepatology (Australia)
Volume24
Issue number3
DOIs
Publication statusPublished - 2009 Mar

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All Science Journal Classification (ASJC) codes

  • Hepatology
  • Gastroenterology

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