Long-Term Nutritional Outcomes of Near-Total Gastrectomy in Gastric Cancer Treatment: a Comparison with Total Gastrectomy Using Propensity Score Matching Analysis
Journal of Gastric Cancer
;
: 189-199, 2018.
Article
in English
| WPRIM
| ID: wpr-715191
ABSTRACT
PURPOSE:
This study sought to examine whether near total gastrectomy (nTG) confers a long-term nutritional benefit when compared with total gastrectomy (TG) for the treatment of gastric cancer. MATERIALS ANDMETHODS:
Patients who underwent nTG or TG for gastric cancer were included (n=570). Using the 12 matched propensity score, 25 patients from the nTG group and 50 patients from the TG group were compared retrospectively for oncologic outcomes, including long-term survival and nutritional status.RESULTS:
The length of the proximal resection margin, number of retrieved lymph nodes and tumor nodes, metastasis stage, short-term postoperative outcomes, and long-term survival were not significantly different between the groups. The body mass index values, and serum total protein and hemoglobin levels of the patients decreased significantly until postoperative 6 months, and then recovered slightly over time (P < 0.05); however, there was no difference in the levels between the groups. The prognostic nutritional index values and serum albumin levels decreased significantly until postoperative 6 months and then recovered (P < 0.05); the levels decreased more in the nTG group than in the TG group (P < 0.05). The mean corpuscular volumes and serum transferrin levels increased significantly until postoperative 1 year and then recovered slightly over time (P < 0.05); however, there was no difference between the groups. Serum vitamin B12, iron, and ferritin levels of the patients did not change significantly over time, and no difference existed between the groups.CONCLUSIONS:
A small remnant stomach after nTG conferred no significant nutritional benefits over TG.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Stomach Neoplasms
/
Vitamin B 12
/
Serum Albumin
/
Transferrin
/
Body Mass Index
/
Nutrition Assessment
/
Nutritional Status
/
Retrospective Studies
/
Gastric Stump
/
Erythrocyte Indices
Type of study:
Observational study
/
Prognostic study
Limits:
Humans
Language:
English
Journal:
Journal of Gastric Cancer
Year:
2018
Type:
Article
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