Long-term weight change after oesophageal cancer surgery
- 21 October 2009
- journal article
- research article
- Published by Oxford University Press (OUP) in British Journal of Surgery
- Vol. 96 (11), 1308-1314
- https://doi.org/10.1002/bjs.6723
Abstract
Background Malnutrition is common after oesophageal cancer surgery. This study investigated weight changes and the risk of malnutrition among long-term survivors. Methods A nationwide cohort study was conducted in Sweden in 2001–2004, with follow-up to 2008. Weight was assessed before oesophagectomy, after 6 months and at 3 years. Logistic regression was performed with adjustment for confounders. Odds ratios (ORs) for postoperative weight loss of at least 15 per cent were estimated. Results Some 203 patients survived at least 3 years after oesophagectomy. Continuous weight loss occurred for up to 3 years. Women and men had a similar risk of malnutrition after 3 years (OR 0·85 (95 per cent confidence interval 0·24 to 2·98)). In overweight patients (preoperative body mass index at least 25 kg/m2) the risk of malnutrition was increased almost fivefold at 6 months (OR 4·90 (2·27 to 10·59)) and 3 years (OR 4·60 (1·80 to 11·78)). There was no difference in weight loss at 6 months between survivors and those who died between 6 months and 3 years after surgery (OR 1·11 (0·64 to 1·94)). Conclusion Weight loss can be long lasting after oesophagectomy; overweight patients are at particularly increased risk of malnutrition.Keywords
This publication has 26 references indexed in Scilit:
- Risk factors for malnutrition after oesophageal and cardia cancer surgeryBritish Journal of Surgery, 2008
- Malnutrition after oesophageal cancer surgery in SwedenBritish Journal of Surgery, 2007
- Quality of life and persisting symptoms after oesophageal cancer surgeryEuropean Journal of Cancer, 2006
- ESPEN Guidelines on Enteral Nutrition: Surgery including Organ TransplantationClinical Nutrition, 2006
- Health‐related quality of life during neoadjuvant treatment and surgery for localized esophageal carcinomaCancer, 2005
- Techniques of reconstruction after total gastrectomy for cancerBritish Journal of Surgery, 2004
- Symptomatic Gastroesophageal Reflux as a Risk Factor for Esophageal AdenocarcinomaThe New England Journal of Medicine, 1999
- Nutritional Management of Patients with Esophageal and Esophagogastric Junction CancerCancer Control, 1999
- Esophageal Resection for Cancer of the Esophagus: Long-Term Function and Quality of LifeThe Annals of Thoracic Surgery, 1997
- Impact of Cancer, Type, Site, Stage and Treatment on the Nutritional Status of PatientsAnnals of Surgery, 1982