Reconstruction method in gastric CA surgery affects bone density

August 4, 2017

(HealthDay)—The reconstruction method may affect postoperative bone mineral density (BMD) loss in gastric cancer, according to a study published online July 31 in the Journal of Gastroenterology and Hepatology.

Taisuke Imamura, M.D., from the Kyoto Prefectural University of Medicine in Japan, and colleagues assessed 148 consecutive patients who underwent distal gastrectomy with Billroth-I (B-I) or Roux-en-Y (R-Y) reconstruction for stage I (2008 to 2012). BMD data were was retrospectively assessed using computed tomography attenuation values of the first lumbar vertebra after surgery.

In multivariate analysis, the researchers found that R-Y reconstruction was an for BMD loss after distal gastrectomy (P < 0.0001; odds ratio, 5.60). To overcome bias, propensity score-matched analysis was used, and B-I reconstruction was found to have superiority over R-Y reconstruction for preventing BMD loss in the first three years after distal gastrectomy. The cumulative hazard ratio of osteoporosis after gastrectomy was significantly higher in the R-Y group than in the B-I group (P = 0.0427).

"B-I might be a preferable method for preventing BMD loss after gastrectomy in gastric patients," the authors write.

Explore further: Retrieved lymph node number affects prognosis in gastric CA

More information: Abstract
Full Text (subscription or payment may be required)

Related Stories

Retrieved lymph node number affects prognosis in gastric CA

September 30, 2016
(HealthDay)—In patients with pathological stage (pStage) II or III gastric cancer, the number of retrieved lymph nodes (RLNs) is an independent poor prognostic factor, according to a study published in the September issue ...

Surgical glue reinforcement OK for lap sleeve gastrectomy

March 27, 2017
(HealthDay)—Surgical glue is safe and cost-effective, compared to standard stapling, during laparoscopic sleeve gastrectomy, according to a study published online March 21 in the Journal of Evaluation in Clinical Practice.

Bariatric surgery tied to T2DM resolution in obese patients

February 16, 2017
(HealthDay)—Five years after bariatric surgery, patients with type 2 diabetes who have the procedure show better improvements in quality of life and overall health, compared with those who only take diabetes medications, ...

Study examines use of fat grafting for postmastectomy breast reconstruction

June 28, 2017
The use of fat grafting as a tool for breast reconstruction following a mastectomy may improve breast satisfaction, psychosocial well-being, and sexual well-being in patients, according to a study published by JAMA Surgery.

Recommended for you

3-D-printed tracheal splints used in groundbreaking pediatric surgery

September 19, 2018
Children's Healthcare of Atlanta has performed Georgia's first-ever procedure to place 3-D-printed tracheal splints in a pediatric patient. A cross-functional team of Children's surgeons used three custom-made splints, which ...

Muscle relaxants increase risk of respiratory complications

September 18, 2018
Muscle relaxants are a necessary part of anesthesia during certain major operations. However, studies have hinted at respiratory risks connected with these drugs. POPULAR, a major prospective observational European study ...

Gunshot victims require much more blood and are more likely to die than other trauma patients

September 17, 2018
In a new analysis of data submitted to Maryland's state trauma registry from 2005 to 2017, Johns Hopkins Medicine researchers found that gunshot victims are approximately five times more likely to require blood transfusions, ...

Liver allocation system disadvantages children awaiting transplants

September 17, 2018
Children are at a considerable disadvantage when competing with adults for livers from deceased organ donors in the U.S. allocation system, a University of Pittsburgh Graduate School of Public Health-led analysis reveals ...

Taste preferences connected to success of long-term weight loss after bariatric surgery

September 16, 2018
Following Roux-en-Y gastric bypass (RYGB), a type of bariatric surgery, many patients exhibit a reduction in taste preference for sweet and fatty foods, although this effect may only be temporary, according to new research ...

New insights into what drives organ transplant rejection

September 6, 2018
When it comes to transplant rejection, some organs are far trickier than others. Some transplantable organs, such as the liver, are readily accepted by the recipient's immune system, rarely triggering an immune response and ...

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.