Gastroenterology

Palmer, Walter L.; Kirsner, Joseph B.

doi:10.1001/archinte.1947.00220130097009

Cited by 2 publications

(1 citation statement)

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“…The location and size of the stomach were reported to be dependent on several factors 234. In addition, the shape of the stomach is dynamic5; thus, preoperative localization of gastric cancer has limited accuracy. Studies regarding the relationship between the size of the stomach and that of a lesion are limited.…”

Section: Introductionmentioning

confidence: 99%

Anthropometric Study of the Stomach

et al. 2016

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This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/ licenses/by-nc/4.0) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited. IntroductionThe main treatment of gastric cancer is surgical resection and lymph node dissection. The extents of gastrectomy and lymph node dissection for gastric cancer are determined based on the primary tumor location according to the Japanese Gastric Cancer Association (JGCA) guideline.1 The location and size of the stomach were reported to be dependent on several factors. A previous study on stomach size compared Westerners andAsians. 6 This comparative study between Japanese and Americans was performed to identify the gastric characteristics of the two groups. The Japanese subjects had a longer and more floating stomach. As this study was conducted many years ago, its data are inadequate for application in modern times. Although the gastric cancer incidence in Asian countries is high, anthropometric data regarding the stomach size of Asian patients with gastric cancer are lacking.As national screening for gastric cancer has been popular Purpose: The aim of this study was to establish an anthropometric reference of the stomach for gastric cancer surgery and a modeling formula to predict stomach length. Materials and Methods: Data were retrieved for 851 patients who underwent total gastrectomy at the Seoul National University Hospital between 2008 and 2013. Clinicopathological data and measurements from a formalin-fixed specimen were reviewed. The lengths (cm) of the greater curvature (GC) and lesser curvature (LC) were measured. Anthropometric data of the stomach were compared according to age, body weight, height (cm), and body mass index. To predict stomach length, two multiple regression analyses were performed. Results: The mean lengths of the GC and LC were 22.2±3.1 cm and 16.3±2.6 cm, respectively. The men's GC length was significantly greater than the women's (22.4±3.1 cm vs. 21.2±2.9 cm, P=0.003). Patients aged >70 years showed significantly longer LC than those aged <50 years (16.9±2.9 cm vs. 15.9±2.4 cm, P=0.002). Patients with body weights >70 kg showed significantly longer GC than those with body weights <55 kg (23.0±2.9 cm vs. 21.4±3.2cm, P<0.001). In the predicted models, 4.11% of the GC was accounted for by age and weight; and 4.94% of the LC, by age, sex, height, and weight. Conclusions: Sex, age, height, and body weight were associated with the length of the LC, while sex and body weight were the only factors that were associated with the length of the GC. However, the prediction model was not sufficiently strong.

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Section: Introductionmentioning

confidence: 99%