Underestimated Value of Sarcopenia in Gastric Cancer Surgery

Surgery remains the only potentially curative option for gastric cancer, although it is related to high postoperative morbidity and mortality rate. Approximately every second gastric cancer patient is diagnosed with sarcopenia, which is a significant risk factor for postoperative complications and p...

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Main Authors: Martynas Lukšta, Raminta Lukšaitė-Lukštė, Augustinas Baušys, Kęstutis Strupas
Format: Article
Language:English
Published: Vilnius University Press 2020-06-01
Series:Lietuvos Chirurgija
Subjects:
Online Access:https://www.journals.vu.lt/lietuvos-chirurgija/article/view/18363
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author Martynas Lukšta
Raminta Lukšaitė-Lukštė
Augustinas Baušys
Kęstutis Strupas
author_facet Martynas Lukšta
Raminta Lukšaitė-Lukštė
Augustinas Baušys
Kęstutis Strupas
author_sort Martynas Lukšta
collection DOAJ
description Surgery remains the only potentially curative option for gastric cancer, although it is related to high postoperative morbidity and mortality rate. Approximately every second gastric cancer patient is diagnosed with sarcopenia, which is a significant risk factor for postoperative complications and poor long-term outcomes. However, sarcopenia is underestimated in routine clinical practice, since it remains the interest of clinical trials. Sarcopenia diagnostic criteria are not fully standardized, but it consists of tests for muscle strength, quantity and quality. They include grip strength, chair stand test, computed tomography, magnetic resonance imaging, ultrasound, bioelectrical impedance analysis and densitometry tests. Regarding the growing evidence for sarcopenia impact on surgical gastric cancer treatment results, it is a high probability that sarcopenia assessment will come to routine clinical practice. Although, until then there is a need for further clinical trials to standardize the diagnostic and to find effective treatment strategies.
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spelling doaj.art-68d02aeb3e494d29acce9c4c1cf261182022-12-21T19:06:12ZengVilnius University PressLietuvos Chirurgija1392-09951648-99422020-06-01191-210.15388/LietChirur.2020.19.20Underestimated Value of Sarcopenia in Gastric Cancer SurgeryMartynas Lukšta0Raminta Lukšaitė-Lukštė1Augustinas Baušys2Kęstutis Strupas3Vilnius University, LithuaniaVilnius University, LithuaniaVilnius University, LithuaniaVilnius University, LithuaniaSurgery remains the only potentially curative option for gastric cancer, although it is related to high postoperative morbidity and mortality rate. Approximately every second gastric cancer patient is diagnosed with sarcopenia, which is a significant risk factor for postoperative complications and poor long-term outcomes. However, sarcopenia is underestimated in routine clinical practice, since it remains the interest of clinical trials. Sarcopenia diagnostic criteria are not fully standardized, but it consists of tests for muscle strength, quantity and quality. They include grip strength, chair stand test, computed tomography, magnetic resonance imaging, ultrasound, bioelectrical impedance analysis and densitometry tests. Regarding the growing evidence for sarcopenia impact on surgical gastric cancer treatment results, it is a high probability that sarcopenia assessment will come to routine clinical practice. Although, until then there is a need for further clinical trials to standardize the diagnostic and to find effective treatment strategies.https://www.journals.vu.lt/lietuvos-chirurgija/article/view/18363sarcopeniasurgical oncologygastric cancer
spellingShingle Martynas Lukšta
Raminta Lukšaitė-Lukštė
Augustinas Baušys
Kęstutis Strupas
Underestimated Value of Sarcopenia in Gastric Cancer Surgery
Lietuvos Chirurgija
sarcopenia
surgical oncology
gastric cancer
title Underestimated Value of Sarcopenia in Gastric Cancer Surgery
title_full Underestimated Value of Sarcopenia in Gastric Cancer Surgery
title_fullStr Underestimated Value of Sarcopenia in Gastric Cancer Surgery
title_full_unstemmed Underestimated Value of Sarcopenia in Gastric Cancer Surgery
title_short Underestimated Value of Sarcopenia in Gastric Cancer Surgery
title_sort underestimated value of sarcopenia in gastric cancer surgery
topic sarcopenia
surgical oncology
gastric cancer
url https://www.journals.vu.lt/lietuvos-chirurgija/article/view/18363
work_keys_str_mv AT martynasluksta underestimatedvalueofsarcopeniaingastriccancersurgery
AT ramintaluksaitelukste underestimatedvalueofsarcopeniaingastriccancersurgery
AT augustinasbausys underestimatedvalueofsarcopeniaingastriccancersurgery
AT kestutisstrupas underestimatedvalueofsarcopeniaingastriccancersurgery