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Major Surgery in Sarcopenic Patients
Surg Metab Nutr 2019;10(1):5-8
Published online June 30, 2019
© 2019 The Korean Society of Surgical Metabolism and Nutrition.

Kyung Won Seo, M.D., Ph.D.1,2

1Department of Surgery, Kosin University College of Medicine,
2Department of Gastrointestinal Surgery and Nutritional Support Team, Kosin University Gospel Hospital, Busan, Korea
Correspondence to: Kyung Won Seo, Department of Surgery, Kosin University College of Medicine, 262 Gamcheon-ro, Seo-gu, Busan 49267, Korea
Tel: +82-51-990-6782, Fax: +82-51-246-6093, E-mail: hahachristi@gmail.com
Received June 20, 2019; Accepted June 22, 2019.
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 non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Sarcopenia refers to reduced muscle mass in the elderly population, and this malady is of great interest in clinical course, including postoperative complications and mortality when treating major cancer in the elderly. The definition of sarcopenia varies according to the method of measuring muscle mass, and the skeletal muscle index (SMI) tends to be extensively used in retrospective studies. In many reports, sarcopenia has been reported to be a poor prognostic factor after gastrectomy, colectomy, pancreatectomy and liver transplantation, with regards to complications and the length of the hospital stay. Additionally, patients suffering from sarcopenia have a higher medical burden due to their poor clinical outcome after surgery. To overcome these difficulties, nutritional support and exercise training to improve sarcopenia before surgery is helpful, and so further studies that focus on these treatments need to be conducted.
Keywords : Sarcopenia, Major surgery, Complication


June 2019, 10 (1)
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