Preoperative malnutrition in elderly gastric cancer patients and adverse postoperative outcomes of radical gastrectomy.

IF 1.8 4区 医学 Q3 GASTROENTEROLOGY & HEPATOLOGY World Journal of Gastrointestinal Surgery Pub Date : 2024-11-27 DOI:10.4240/wjgs.v16.i11.3618
Shan-Shan Liu, Liang Wang
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Abstract

Malnutrition is not only a prevalent condition among the elderly but also a common comorbidity in elderly people with gastric cancer (GC). Malnutrition is closely linked to high rates of postoperative complications and poor wound healing in elderly GC patients, which may lead to a higher incidence and mortality rate of GC. Malnutrition decreases the physical function of elderly GC patients after surgery, severely affecting their postoperative life quality and hindering subsequent treatments. This retrospective study was conducted by Zhao et al, focusing on the clinical baseline data, postoperative complications, and hospitalization times of elderly GC patients who underwent curative gastrectomy. Additionally, the underlying causes of poor outcomes for patients were discussed. This study may provide a solid basis for the clinical treatment of elderly GC patients in the future. Therefore, malnutrition can serve as a negative prognostic factor for curative surgery in GC patients. Addressing malnutrition and its adverse effects can benefit elderly GC patients from surgical treatment.

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老年胃癌患者术前营养不良与胃癌根治术术后不良预后。
营养不良不仅是老年人的常见病,也是老年人胃癌(GC)的常见合并症。营养不良与老年胃癌患者术后并发症发生率高、伤口愈合不良密切相关,可能导致胃癌的发病率和死亡率升高。营养不良使老年胃癌患者术后身体功能下降,严重影响其术后生活质量,阻碍后续治疗。Zhao等进行了回顾性研究,重点研究了行根治性胃切除术的老年胃癌患者的临床基线资料、术后并发症及住院次数。此外,还讨论了患者预后不良的潜在原因。本研究可为今后老年GC患者的临床治疗提供坚实的依据。因此,营养不良可作为胃癌患者治疗性手术的不良预后因素。解决营养不良及其不良反应可以使老年胃癌患者受益于手术治疗。
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