CT assessment of nutritional status and lean body mass in gastric and esophageal cancer

Miola, Thais Manfrinato; Conceição, Elizabeth Launeir Santos da; Souza, Juliana de Oliveira; Barbosa, Paula Nicole Vieira Pinto; Coimbra, Felipe José Fernández; Bitencourt, Almir Galvão Vieira

doi:10.1186/s41241-018-0063-y

Cited by 5 publications

(5 citation statements)

References 20 publications

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“…Fluid overload can affect the accuracy of these anthropometric data. Moreover, recent works, especially in patients with cancer, highlighted their poor correlation with cross-imaging measures [28,29]. Recently, Yao et al found that MAMC, TSF and BMI were not independently associated with survival in patients with decompensated cirrhosis [30].…”

Section: Which Tools Do Not Work In Chronic Liver Diseases?mentioning

confidence: 99%

Assessment of Malnutrition, Sarcopenia and Frailty in Patients with Cirrhosis: Which Tools Should We Use in Clinical Practice?

et al. 2020

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Malnutrition is a common comorbidity in patients with cirrhosis. Its prognostic value is indisputable as it greatly affects the evolution of liver diseases. It has a major impact on both morbi-mortality before and after liver transplantation. Being now integrated in the definition of malnutrition and recognized as a new entity in the international classification of diseases, physicians have taken great interest in sarcopenia. Its negative consequences on the fate of patients with cirrhosis are well-demonstrated. The concept of frailty has recently been enlarged to chronic liver diseases as symptoms of impaired global physical functioning. In this article, we will discuss the definitions of malnutrition and emphasize its links with sarcopenia and frailty. We will show the relevance of frailty and sarcopenia in the course of liver diseases. The emerging role of muscle depletion on the cardiorespiratory system will also be highlighted. The importance of body composition will be demonstrated and the main tools reviewed. Finally, we adapted the definition of malnutrition to patients with cirrhosis based on the assessment of sarcopenia together with reduced food intakes.

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Section: Which Tools Do Not Work In Chronic Liver Diseases?mentioning

confidence: 99%

Assessment of Malnutrition, Sarcopenia and Frailty in Patients with Cirrhosis: Which Tools Should We Use in Clinical Practice?

et al. 2020

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“…24 Meanwhile, MUAC has better sensitivity and accuracy (sensitivity 62.2%, specificity 68.8%, and accuracy 65.2%). 24 Tumor mass or edema might also affect the weight of patients with cancer. The MUAC should be utilized to identify malnutrition in addition to the BMI since MUAC is shown to be independent of tumor size.…”

Section: Discussionmentioning

confidence: 99%

“…The side effect of cancer treatment modalities, including loss of appetite and alterations in absorption and metabolism of nutrients in patients with cancer, can contribute to decreased lean body mass 23. Body mass index has poor sensitivity, specificity, and accuracy for diagnosis of low lean body mass compared with measurement by computed tomography in patients with cancer (sensitivity 18.4%, specificity 96.7%, and accuracy 54.3%) 24. Meanwhile, MUAC has better sensitivity and accuracy (sensitivity 62.2%, specificity 68.8%, and accuracy 65.2%) 24.…”

Section: Discussionmentioning

confidence: 99%

“…Body mass index has poor sensitivity, specificity, and accuracy for diagnosis of low lean body mass compared with measurement by computed tomography in patients with cancer (sensitivity 18.4%, specificity 96.7%, and accuracy 54.3%) 24. Meanwhile, MUAC has better sensitivity and accuracy (sensitivity 62.2%, specificity 68.8%, and accuracy 65.2%) 24. Tumor mass or edema might also affect the weight of patients with cancer.…”

Section: Discussionmentioning

confidence: 99%

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The Cutoff Point of Mid–Upper Arm Circumference in the Supine Position to Detect Malnutrition in Patients with Cancer

Khaira

Andayani

Witjaksono

2022

Topics in Clinical Nutrition

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This study aimed to establish a cutoff point for detecting malnutrition for mid-upper arm circumference in the supine position. Data were collected from patients (n = 207) by medical records and anthropometric measurements. The cutoff point of the mid-upper arm circumference was obtained from the receiver operating characteristic curve and the highest Youden index. It was found that there is an agreement between mid-upper arm circumference in the standing and supine positions. The mid-upper arm circumference has a strong and significant correlation to body mass index. The mid-upper arm circumference of less than 23.4 cm can be used as an alternative measurement to body mass index for detecting malnutrition.

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“…The studies included in the review utilized different body composition measurement techniques, with computed tomography being the most common (18 studies), followed by bioelectric impedance analysis (10 studies), and one study employing dual-energy X-ray absorptiometry. Substantial variations were observed in study design, sarcopenia definitions, cut-off points, and muscle measurement techniques utilized across the studies [ 60 ].…”

Section: Reviewmentioning

confidence: 99%

Understanding and Managing Metabolic Deficiencies Post Bariatric and Esophagectomy Surgeries: A Narrative Review of the Literature

Daniel,

Al Dhib,

Mendoza

et al. 2024

Cureus

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Gastrectomy and esophagectomy are the most performed surgeries in the treatment of both esophageal and gastric cancers. The type of esophagectomy depends on the type of malignancy, site of the tumor, criteria of resection, and field of resection. The three standard approaches to esophagectomy are the transhiatal approach, the left thoracoabdominal approach, and a three-stage procedure. The transhiatal approach involves abdominal and cervical incisions, while the left thoracoabdominal approach is a one-stage procedure that utilizes a single incision exposing the dissection field. The Ivor Lewis and McKeown esophagectomies are two-stage and three-stage surgeries that include laparotomy with right thoracotomy. Malabsorption often emerges as a significant postoperative complication following esophagectomy and gastrectomy surgeries. Malnutrition linked with these cancers has detrimental effects, including heightened rates of postoperative complications, elevated infection risks, delayed wound healing, reduced tolerance to treatment, diminished quality of life, and heightened mortality rates. Our narrative review summarizes and sheds light on solutions to treat malabsorption disorders and malnutrition after gastric bypass surgery. These solutions include methods such as adjustments, supplements, and treatment. Although more research is needed to confirm their effectiveness, these methods indicate potential for lowering the impact on patients' diets. By considering the beneficial implications of these effects and considering solutions, we aim to improve the management of these adverse effects, ultimately improving the overall health and postoperative outcomes of patients.

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CT assessment of nutritional status and lean body mass in gastric and esophageal cancer

Cited by 5 publications

References 20 publications

Assessment of Malnutrition, Sarcopenia and Frailty in Patients with Cirrhosis: Which Tools Should We Use in Clinical Practice?

Assessment of Malnutrition, Sarcopenia and Frailty in Patients with Cirrhosis: Which Tools Should We Use in Clinical Practice?

The Cutoff Point of Mid–Upper Arm Circumference in the Supine Position to Detect Malnutrition in Patients with Cancer

Understanding and Managing Metabolic Deficiencies Post Bariatric and Esophagectomy Surgeries: A Narrative Review of the Literature

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