Ann Surg Treat Res.  2018 Oct;95(4):192-200. 10.4174/astr.2018.95.4.192.

Midterm body composition changes after open distal gastrectomy for early gastric cancer

• Park KB
• Kwon OK
• Yu W

• KMID: 2421197
• DOI: http://doi.org/10.4174/astr.2018.95.4.192

Abstract

PURPOSE
This study evaluated midterm changes in body composition after open distal gastrectomy for early gastric cancer.
METHODS
Data from 138 gastric cancer patients who underwent open distal gastrectomy at Kyungpook National University Chilgok Hospital between January 2011 and December 2012 were collected and reviewed. Patients with pathological stage I gastric cancer and with no comorbidities at diagnosis were enrolled. Body composition data from segmental multifrequency bioelectrical impedance analysis were obtained preoperatively and at 1, 2, and 3 years after surgery.
RESULTS
The mean body weight losses at 1 and 3 years after surgery were 6.1 kg and 5.8 kg, respectively (P < 0.001). The protein mass, skeletal muscle mass, and fat-free mass decreased continuously until 3 years after surgery (0.5 kg, 1.6 kg, and 2.4 kg, respectively; P < 0.001). The average body fat mass and visceral fat area loss at 1 year after surgery were 4.7 kg and 20.5 cm2, respectively (P < 0.001). After 1 postoperative year, the body fat mass and visceral fat areas increased continuously, up to 12.2 kg and 74.2 cm2 at 3 years after surgery, respectively (+1.4 kg and +1.2 cm2, respectively).
CONCLUSION
More intense nutritional and exercise programs may be important after gastric cancer surgery, especially during the first postoperative year.

Keyword

Body composition; Gastrectomy; Stomach neoplasms

MeSH Terms

Adipose Tissue
Body Composition*
Body Weight
Comorbidity
Diagnosis
Electric Impedance
Gastrectomy*
Gyeongsangbuk-do
Humans
Intra-Abdominal Fat
Muscle, Skeletal
Stomach Neoplasms*

Figure

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  Fig. 1 Comparison of changes in body composition of patients undergoing open distal gastrectomy: (A) body weight, (B) body mass index, (C) body fat mass, and (D) visceral fat areas.

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  Fig. 2 Comparison of changes in body composition of patients undergoing open distal gastrectomy: (A) protein mass, (B) skeletal muscle mass, (C) fat-free mass, and (D) waist-hip ratio.

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  Fig. 3 Comparison of the rates of changes in body composition of the patients according to sex: (A) body weight, (B) body mass index, (C) body fat mass, and (D) visceral fat areas.

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  Fig. 4 Comparison of the rates of changes in body composition of the patients according to sex: (A) protein mass, (B) skeletal muscle mass, (C) fat-free mass, and (D) waist-hip ratio. *P < 0.05.

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  Fig. 5 Comparison of the rates of changes in body composition of the patients according to body mass index: (A) body weight, (B) body mass index (BMI), (C) body fat mass, and (D) visceral fat areas. *P < 0.05.

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  Fig. 6 Comparison of the rates of changes in body composition of the patients according to body mass index: (A) protein mass, (B) skeletal muscle mass, (C) fat-free mass, and (D) waist-hip ratio.

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