肌肉减少型肥胖对上消化道肿瘤手术并发症和肿瘤预后的影响：一项系统回顾和荟萃分析

IF 1.3 4区医学 Q3 SURGERY

Cirugia Espanola Pub Date : 2025-04-01 DOI:10.1016/j.ciresp.2024.08.004

Luz Divina Juez , Ana del Carmen Ortega , Pablo Priego , Juan Carlos García Pérez , José María Fernández-Cebrián , Jose I. Botella-Carretero

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引用次数: 0

摘要

肌营养不良性肥胖（Sarcopenic obesity，SO）是一种新的疾病，其定义包括营养不良患者的超重诊断。本综述旨在评估食管胃肿瘤（EGT）患者的身体成分对围手术期和肿瘤治疗效果的影响。本系统性综述根据 PRISMA 指南进行。检索了MEDLINE（PubMed）、Embase、Web of Science和SCOPUS数据库，检索期至2024年1月。最终确定了 16 篇文章，对 5378 名患者进行了分析。SO的患病率为10%（95%CI：6-16；I2 = 94%）。术前诊断出 SO 与严重术后并发症风险增加两倍有关（OR 2.32 [95%CI 1.41-3.82] I2 = 70%）。总体生存结果的 Meta 分析表明，SO 与总体生存率降低有关（HR 2.30；95%CI 1.46-3.61）。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

Impact of sarcopenic obesity on surgical complications and oncologic outcomes of upper gastrointestinal tumors: a systematic review and meta-analysis

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Impact of sarcopenic obesity on surgical complications and oncologic outcomes of upper gastrointestinal tumors: a systematic review and meta-analysis

Sarcopenic obesity (SO) is a new entity whose definition encompasses the diagnosis of overweight in malnourished patients. The aim of the review was to assess the impact of body composition in patients with esophago-gastric tumors (EGT) on perioperative and oncological outcomes. This systematic review was conducted under the PRISMA guidelines. MEDLINE (PubMed), Embase, Web of Science and SCOPUS databases were searched until January 2024. Sixteen articles were identified for analysis analyzing 5,378 patients. The prevalence of SO was 10% (95%CI: 6–16; I² = 94%). Preoperative diagnosis of SO was associated with a twofold increased risk of severe postoperative complications (OR 2.32 [95%CI 1.41–3.82] I² = 70%). Meta-analysis of overall survival outcomes identified that SO was associated with worse overall survival (HR 2.30; 95%CI 1.46–3.61).

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来源期刊

Cirugia Espanola SURGERY-

CiteScore

1.20

自引率

21.10%

发文量

173

审稿时长

53 days

期刊介绍： Cirugía Española, an official body of the Asociación Española de Cirujanos (Spanish Association of Surgeons), will consider original articles, reviews, editorials, special articles, scientific letters, letters to the editor, and medical images for publication; all of these will be submitted to an anonymous external peer review process. There is also the possibility of accepting book reviews of recent publications related to General and Digestive Surgery.