Factors Associated with Perioperative Edema in Patients with Stage I Gastric Cancer Using a Body Composition Analyzer.

Q4 Medicine
Kurume Medical Journal Pub Date : 2024-05-14 Epub Date: 2024-01-16 DOI:10.2739/kurumemedj.MS6934010
Yuki Umetani, Keishiro Aoyagi, Hideaki Kaku, Yuya Tanaka, Taizan Minami, Taro Isobe, Junya Kizaki, Naotaka Murakami, Fumihiko Fujita, Yoshito Akagi
{"title":"Factors Associated with Perioperative Edema in Patients with Stage I Gastric Cancer Using a Body Composition Analyzer.","authors":"Yuki Umetani, Keishiro Aoyagi, Hideaki Kaku, Yuya Tanaka, Taizan Minami, Taro Isobe, Junya Kizaki, Naotaka Murakami, Fumihiko Fujita, Yoshito Akagi","doi":"10.2739/kurumemedj.MS6934010","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>Assessment of nutritional status and nutritional interventions is important in gastric cancer patients. We investigated the factors associated with perioperative edema in patients with stage I gastric cancer using a body composition analyzer.</p><p><strong>Methods: </strong>The study included 106 patients with stage I gastric cancer who underwent distal gastrectomy. The body composition of each patient was evaluated by bioelectrical impedance analysis (BIA) using an InBody 720 body composition analyzer. Patients with an extracellular water to total body water ratio of ≥ 0.4 before and 1 week after gastrectomy were considered to have edema, the cause of which was determined retrospectively.</p><p><strong>Results: </strong>Patients with preoperative edema were significantly older, had a significantly higher lymph node metastasis rate and disease stage, and had a significantly poorer Controlling Nutritional Status (CONUT) score, and Prognostic Nutritional Index (PNI) compared with patients without preoperative edema. The group with postoperative edema had significantly higher proportions of elderly and female patients as well as a higher rate of Billroth-II reconstruction compared with the group without postoperative edema. The group with postoperative edema also had significantly lower intracellular water content, total body water content, protein content, skeletal muscle mass, and PNI.</p><p><strong>Conclusions: </strong>Preoperative edema occurs in elderly patients with poor nutritional status, and postoperative edema occurs in elderly patients with a shorter operative time. Perioperative edema status assessed by BIA is thought to be related to perioperative nutritional status.</p>","PeriodicalId":39559,"journal":{"name":"Kurume Medical Journal","volume":" ","pages":"201-208"},"PeriodicalIF":0.0000,"publicationDate":"2024-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Kurume Medical Journal","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.2739/kurumemedj.MS6934010","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/1/16 0:00:00","PubModel":"Epub","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0

Abstract

Purpose: Assessment of nutritional status and nutritional interventions is important in gastric cancer patients. We investigated the factors associated with perioperative edema in patients with stage I gastric cancer using a body composition analyzer.

Methods: The study included 106 patients with stage I gastric cancer who underwent distal gastrectomy. The body composition of each patient was evaluated by bioelectrical impedance analysis (BIA) using an InBody 720 body composition analyzer. Patients with an extracellular water to total body water ratio of ≥ 0.4 before and 1 week after gastrectomy were considered to have edema, the cause of which was determined retrospectively.

Results: Patients with preoperative edema were significantly older, had a significantly higher lymph node metastasis rate and disease stage, and had a significantly poorer Controlling Nutritional Status (CONUT) score, and Prognostic Nutritional Index (PNI) compared with patients without preoperative edema. The group with postoperative edema had significantly higher proportions of elderly and female patients as well as a higher rate of Billroth-II reconstruction compared with the group without postoperative edema. The group with postoperative edema also had significantly lower intracellular water content, total body water content, protein content, skeletal muscle mass, and PNI.

Conclusions: Preoperative edema occurs in elderly patients with poor nutritional status, and postoperative edema occurs in elderly patients with a shorter operative time. Perioperative edema status assessed by BIA is thought to be related to perioperative nutritional status.

使用身体成分分析仪分析胃癌 I 期患者围手术期水肿的相关因素。
目的:对胃癌患者进行营养状况评估和营养干预非常重要。我们使用身体成分分析仪调查了与 I 期胃癌患者围手术期水肿相关的因素:研究包括 106 名接受远端胃切除术的 I 期胃癌患者。使用 InBody 720 身体成分分析仪通过生物电阻抗分析 (BIA) 评估了每位患者的身体成分。胃切除术前和术后一周,细胞外水分与全身水分之比≥0.4的患者被认为患有水肿,水肿的原因是通过回顾性分析确定的:结果:与术前无水肿的患者相比,术前有水肿的患者年龄明显偏大,淋巴结转移率和疾病分期明显偏高,控制营养状况(CONUT)评分和预后营养指数(PNI)明显偏低。与无术后水肿组相比,有术后水肿组的老年和女性患者比例明显更高,Billroth-II 重建率也更高。术后水肿组的细胞内水含量、全身水含量、蛋白质含量、骨骼肌质量和PNI也明显较低:结论:营养状况较差的老年患者会出现术前水肿,手术时间较短的老年患者会出现术后水肿。通过 BIA 评估的围手术期水肿状况被认为与围手术期营养状况有关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
Kurume Medical Journal
Kurume Medical Journal Medicine-Medicine (all)
CiteScore
0.20
自引率
0.00%
发文量
33
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信