Cachexia index and its relationship with resection operability in patients with gastric adenocarcinoma

Introduction: Gastric cancer is one of the relatively common malignancies all over the world, and is one of major problems of health care system. Nowadays, importance of cachexia is demonstrated in prognosis of various malignancies. The aim of the present study was to evaluate frequency of cachexia...

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Main Authors: Alireza Barband, Farzad Kakaei, Reza Javadrashid, Mehrangiz Ebrahimi-Mameghani, Mohammadreza Mafi
Format: Article
Language:English
Published: Tabriz University of Medical Sciences 2018-06-01
Series:Journal of Analytical Research in Clinical Medicine
Subjects:
Online Access:http://journals.tbzmed.ac.ir/JARCM/Manuscript/JARCM-6-93.pdf
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author Alireza Barband
Farzad Kakaei
Reza Javadrashid
Mehrangiz Ebrahimi-Mameghani
Mohammadreza Mafi
author_facet Alireza Barband
Farzad Kakaei
Reza Javadrashid
Mehrangiz Ebrahimi-Mameghani
Mohammadreza Mafi
author_sort Alireza Barband
collection DOAJ
description Introduction: Gastric cancer is one of the relatively common malignancies all over the world, and is one of major problems of health care system. Nowadays, importance of cachexia is demonstrated in prognosis of various malignancies. The aim of the present study was to evaluate frequency of cachexia index and its relationship with resection operability in patients with gastric adenocarcinoma. Methods: In a descriptive-analytical study, 36 patients with gastric adenocarcinoma who referred to Imam Reza and Sina educational medical centers of Tabriz University of Medical Sciences, Tabriz, Iran, for surgery procedures, were included and evaluated in the study. Skeletal muscle index (SMI) was calculated using computed tomography (CT)-scan before performing surgery, patients’ cachexia index was calculated by the following formula: . Cachexia syndrome, patients’ weight loss, resection operability, and cachexia index were evaluated in patients. Results: Among 36 patients whom were studied, 25 patients (69.4%) were men, and 11 patients (30.6%) were women. Cachexia was seen in 5 patients (13.9%). In terms of gastrostomy operability, 26 patients (72.2%) were operable, and 10 patients (27.8%) were non-operable. Gastrostomy operability in patients with cachexia were significantly less than patients without cachexia syndrome (P = 0.001). No significant differences were seen in cachexia index of operable and non-operable patients (P = 0.105). Conclusion: Based on the findings of the present study, gastrostomy operability in patients with cachexia was significantly less than patients without cachexia syndrome; but operable and non-operable patients do not have significant differences in cachexia in comparison to each other.
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spelling doaj.art-e5de1d0a4b30436ea3c056be0f1bb9ee2022-12-21T22:07:10ZengTabriz University of Medical SciencesJournal of Analytical Research in Clinical Medicine2345-49702018-06-0162939710.15171/jarcm.2018.014JARCM_19782_20170927121650Cachexia index and its relationship with resection operability in patients with gastric adenocarcinomaAlireza Barband0Farzad Kakaei1Reza Javadrashid2Mehrangiz Ebrahimi-Mameghani3Mohammadreza Mafi4Department of Surgery, School of Medicine, Tabriz University of Medical Sciences, Tabriz, IranDepartment of Surgery, School of Medicine, Tabriz University of Medical Sciences, Tabriz, IranDepartment of Radiology, School of Medicine, Tabriz University of Medical Sciences, Tabriz, IranDepartment of Community Nutrition, School of Nutrition and Food Sciences, Tabriz University of Medical Sciences, Tabriz, IranDepartment of Surgery, School of Medicine, Tabriz University of Medical Sciences, Tabriz, IranIntroduction: Gastric cancer is one of the relatively common malignancies all over the world, and is one of major problems of health care system. Nowadays, importance of cachexia is demonstrated in prognosis of various malignancies. The aim of the present study was to evaluate frequency of cachexia index and its relationship with resection operability in patients with gastric adenocarcinoma. Methods: In a descriptive-analytical study, 36 patients with gastric adenocarcinoma who referred to Imam Reza and Sina educational medical centers of Tabriz University of Medical Sciences, Tabriz, Iran, for surgery procedures, were included and evaluated in the study. Skeletal muscle index (SMI) was calculated using computed tomography (CT)-scan before performing surgery, patients’ cachexia index was calculated by the following formula: . Cachexia syndrome, patients’ weight loss, resection operability, and cachexia index were evaluated in patients. Results: Among 36 patients whom were studied, 25 patients (69.4%) were men, and 11 patients (30.6%) were women. Cachexia was seen in 5 patients (13.9%). In terms of gastrostomy operability, 26 patients (72.2%) were operable, and 10 patients (27.8%) were non-operable. Gastrostomy operability in patients with cachexia were significantly less than patients without cachexia syndrome (P = 0.001). No significant differences were seen in cachexia index of operable and non-operable patients (P = 0.105). Conclusion: Based on the findings of the present study, gastrostomy operability in patients with cachexia was significantly less than patients without cachexia syndrome; but operable and non-operable patients do not have significant differences in cachexia in comparison to each other.http://journals.tbzmed.ac.ir/JARCM/Manuscript/JARCM-6-93.pdfStomach NeoplasmsAdenocarcinomaCachexia
spellingShingle Alireza Barband
Farzad Kakaei
Reza Javadrashid
Mehrangiz Ebrahimi-Mameghani
Mohammadreza Mafi
Cachexia index and its relationship with resection operability in patients with gastric adenocarcinoma
Journal of Analytical Research in Clinical Medicine
Stomach Neoplasms
Adenocarcinoma
Cachexia
title Cachexia index and its relationship with resection operability in patients with gastric adenocarcinoma
title_full Cachexia index and its relationship with resection operability in patients with gastric adenocarcinoma
title_fullStr Cachexia index and its relationship with resection operability in patients with gastric adenocarcinoma
title_full_unstemmed Cachexia index and its relationship with resection operability in patients with gastric adenocarcinoma
title_short Cachexia index and its relationship with resection operability in patients with gastric adenocarcinoma
title_sort cachexia index and its relationship with resection operability in patients with gastric adenocarcinoma
topic Stomach Neoplasms
Adenocarcinoma
Cachexia
url http://journals.tbzmed.ac.ir/JARCM/Manuscript/JARCM-6-93.pdf
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AT mehrangizebrahimimameghani cachexiaindexanditsrelationshipwithresectionoperabilityinpatientswithgastricadenocarcinoma
AT mohammadrezamafi cachexiaindexanditsrelationshipwithresectionoperabilityinpatientswithgastricadenocarcinoma