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Sarcopenia, muscle quality, and gastric cancer surgery
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Sarcopenia, muscle quality, and gastric cancer surgery
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Journal Article
Sarcopenia, muscle quality, and gastric cancer surgery
2021
Overview
Waki et al also reported that skeletal muscle quality, i.e. high IMAC, was significantly associated with poor survival after curative gastrectomy and had the strongest influence among the other parameters including muscle quality, i.e. psoas muscle index. 2 To date, the significance of sarcopenia in the clinical setting has been well-recognized by physicians. Recent studies revealed that the loss of skeletal muscle after gastrectomy was associated with poor prognosis, and the most reduction was observed after total gastrectomy as compared to the other procedures in which a part of the stomach can be preserved. 5 Therefore, total gastrectomy should be avoided, especially for elderly patients, to prevent the post-gastrectomy sarcopenia as far as the oncological margin is guaranteed. Changes of operative procedures of gastric cancer at the University of Tokyo Hospital DISCLOSURE Conflict of Interest: The author declares no conflicts of interest for this article.
Publisher
John Wiley & Sons, Inc,John Wiley and Sons Inc,Wiley
