The association between gastric cancer and sarcopenia: a scoping review
View abstract on PubMed
Summary
This summary is machine-generated.Sarcopenia, or muscle loss, is highly prevalent in gastric cancer patients and predicts poor outcomes. Preserving muscle mass is crucial for improving survival and prognosis after surgery.
Area Of Science
- Oncology
- Geriatrics
- Nutrition Science
Background
- Sarcopenia is a growing concern in oncology, particularly in gastric cancer patients.
- Understanding the relationship between sarcopenia and gastric cancer is crucial for improving patient outcomes.
Purpose Of The Study
- To explore the relationship between gastric cancer and sarcopenia.
- To review the underlying mechanisms linking sarcopenia and gastric cancer.
- To assess the prognostic implications of sarcopenia in gastric cancer.
Main Methods
- Systematic literature search across multiple databases (Web of Science, PubMed, Cochrane, CNKI, Wanfang, VIP).
- Included 33 cohort studies (10,679 participants) following PRISMA-ScR guidelines.
- Assessed methodological quality using Joanna Briggs Institute (JBI) Critical Appraisal Tools.
Main Results
- Sarcopenia prevalence in gastric cancer patients ranged from 6.8% to 72.22%.
- Reduced muscle mass independently predicted postoperative complications, overall survival, and disease-free survival.
- Two studies found no significant impact of sarcopenia on survival due to heterogeneity in assessment.
Conclusions
- Postoperative sarcopenia is prevalent and predicts adverse outcomes in gastric cancer.
- Muscle mass preservation and preoperative assessment are vital for patient management.
- Standardized diagnostic criteria and mechanistic studies are needed for future research.
Related Concept Videos
Gastric emptying occurs when the stomach gradually releases chyme into the duodenum. When the stomach is distended, it triggers the release of gastrin, a hormone that promotes gastric acid secretion to aid in digestion. Additionally, stomach distension contributes to peristaltic waves that propel gastric contents toward the pyloric region. The gastroenteric reflex, on the other hand, primarily stimulates peristalsis in the intestines, facilitating the movement of contents further along the...
Barrett's esophagus is a medical condition where the esophageal mucosa is significantly damaged by stomach acid or other digestive fluids, often due to long-term exposure associated with gastroesophageal reflux disease (GERD). In GERD, a weakened or abnormally relaxed lower esophageal sphincter allows stomach acid to flow persistently into the esophagus.
This constant acid exposure transforms the esophagus's pink mucosal lining (stratified squamous epithelium) into a type of lining more...
The mammalian target of rapamycin or mTOR protein was discovered in 1994 due to its direct interaction with rapamycin. The protein gets its name from a yeast homolog called TOR. The mTOR protein complex in mammalian cells plays a major role in balancing anabolic processes such as the synthesis of proteins, lipids, and nucleotides and catabolic processes, such as autophagy in response to environmental cues, such as availability of nutrients and growth factors.
The mTOR pathway or the...
Cancer survival analysis focuses on quantifying and interpreting the time from a key starting point, such as diagnosis or the initiation of treatment, to a specific endpoint, such as remission or death. This analysis provides critical insights into treatment effectiveness and factors that influence patient outcomes, helping to shape clinical decisions and guide prognostic evaluations. A cornerstone of oncology research, survival analysis tackles the challenges of skewed, non-normally...

