Matched Pair Analysis to Examine the Effects of a Planned Preoperative Exercise Program in Early Gastric Cancer Patients with Metabolic Syndrome to Reduce Operative Risk: The Adjuvant Exercise for General Elective Surgery (AEGES) Study Group

Abstract

Preoperative exercise is safe, and its benefits in reducing postoperative complications are promising and therefore warrant further investigation.

Preoperative weight loss program involving a 20‐day very low‐calorie diet for obesity before laparoscopic gastrectomy for gastric cancer

“…It should be noted that the patients in the study by Cho et al . were 8 years younger than those in our study , and the aging population continues to grow in Japan.…”

“…Cho et al . evaluated a 4‐week training program involving aerobic exercise (treadmill, bicycle ergometer, swimming, dancing, or jogging), resistance training, and stretching . Their program successfully achieved a 1.34‐kg weight loss and a 15.7% decrease in visceral fat.…”

“…To date, one prospective study has investigated the effects of a preoperative intervention for patients with obesity (BMI ≥25 kg/m 2 ) undergoing gastric cancer surgery. Cho et al evaluated a 4-week training program involving aerobic exercise (treadmill, bicycle ergometer, swimming, dancing, or jogging), resistance training, and stretching (29). Their program successfully achieved a 1.34-kg weight loss and a 15.7% decrease in visceral fat.…”

Modified frailty index predicts postoperative outcomes in older gastrointestinal cancer patients

“…In fact, frailty and related factors, such as sarcopenia, malnutrition, and poor performance status, are potentially modifiable. Preoperative exercise and nutritional therapies may have the capacity to augment frailty, as such therapies have been found to increase functional walking capacity, improve postoperative recovery, or decrease length of stay in patients undergoing surgery for gastrointestinal malignancies . For these reasons, the incorporation of mFI into clinical decision‐making may improve patient outcomes.…”

Morbid obesity and perioperative complications

“…Additionally, it is unclear whether interventions aimed at weight loss preoperatively would improve outcomes, although preliminary investigation suggests safe and positive results [47].…”