Influence of sarcopenia in major pancreatic surgery. A systematic review of the literature.
Por:
Latorre Fragua RA, Manuel Vázquez A, Ramiro Pérez C, de la Plaza Llamas R and Ramia Ángel JM
Publicada:
1 mar 2020
Ahead of Print:
20 feb 2020
Resumen:
Post-operative morbidity of pancreatectomies occurs in up to 40-50% of patients, even in modern series. There is a need to find a simple scale in order to identify patients with increased risk of developing major post-operative complications after pancreatic resections. Many studies have been published on sarcopenia and surgical outcomes. Aspects of sarcopenia are presented, along with a systematic review using PRISMA guidelines, in order to search for articles about sarcopenia and pancreatic surgery. The impact of sarcopenia on morbidity and mortality in pancreatic resections is still unclear. The studies presented have been carried out over long periods of time, and many of them compare patients with different diseases. There are also different definitions of sarcopenia, and this can influence the results, as some of the reviewed articles have already shown. It is necessary to unify criteria, both in the definition and in the cut-off values. Prospective studies and consensus on sarcopenia diagnosis should be achieved.
Filiaciones:
Latorre Fragua RA:
General and Digestive Surgery, University Hospital of Guadalajara, Calle Donante de Sangre s/n, 19002 Guadalajara, Spain
Manuel Vázquez A:
General and Digestive Surgery, University Hospital of Guadalajara, Calle Donante de Sangre s/n, 19002 Guadalajara, Spain
Ramiro Pérez C:
General and Digestive Surgery, University Hospital of Guadalajara, Calle Donante de Sangre s/n, 19002 Guadalajara, Spain
de la Plaza Llamas R:
General and Digestive Surgery, University Hospital of Guadalajara, Calle Donante de Sangre s/n, 19002 Guadalajara, Spain
Ramia Ángel JM:
General and Digestive Surgery, University Hospital of Guadalajara, Calle Donante de Sangre s/n, 19002 Guadalajara, Spain
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