Palliative Gastrectomy Prolongs Survival of Metastatic Gastric Cancer Patients with Normal Preoperative CEA or CA19-9 Values: A Retrospective Cohort Study

Joint Authors

Chiu, Chang-Fang
Yang, Horng-Ren
Yang, Mei-Due
Jeng, Long-Bin
Yang, Tse-Yen
Sargeant, Aaron M.
Bai, Li-Yuan

Source

Gastroenterology Research and Practice

Issue

Vol. 2016, Issue 2016 (31 Dec. 2015), pp.1-9, 9 p.

Publisher

Hindawi Publishing Corporation

Publication Date

2016-11-29

Country of Publication

Egypt

No. of Pages

9

Main Subjects

Diseases

Abstract EN

Background.

Palliative gastrectomy has been suggested to improve survival of patients with metastatic gastric cancer, but limitations in study design and availability of robust prognostic factors have cast doubt on the overall merit of this procedure.

Methods.

The characteristics and clinical outcomes of 173 patients diagnosed between 2008 and 2012 were analyzed to determine the value of palliative gastrectomy and to identify potential prognostic factors.

Results.

Median overall patient survival was 6.5 months.

To attenuate potential selection bias, patients with adequate performance and survival time of ≥ 2 months since diagnosis were included for risk factor analysis (n=137).

The median overall survival was longer for patients who were younger than 60 years, had better performance status (8.7 versus 6.4 months, P=0.015), received systemic chemotherapy, or had palliative gastrectomy in univariate analyses.

Gastrectomy (P=0.002) remained statistically significant in multivariate analyses.

Subgroup analysis showed that patients aged < 60 years, CEA < 5 ng/mL or CA19-9 < 35 U/mL, obtained a survival advantage from palliative gastrectomy.

In fact, palliative gastrectomy doubled overall survival for patients who had normal CEA and/or normal CA19-9.

Conclusions.

Palliative gastrectomy prolongs the survival of metastatic gastric cancer patients with normal CEA and/or CA19-9 level at the time of diagnosis.

American Psychological Association (APA)

Chiu, Chang-Fang& Yang, Horng-Ren& Yang, Mei-Due& Jeng, Long-Bin& Yang, Tse-Yen& Sargeant, Aaron M.…[et al.]. 2016. Palliative Gastrectomy Prolongs Survival of Metastatic Gastric Cancer Patients with Normal Preoperative CEA or CA19-9 Values: A Retrospective Cohort Study. Gastroenterology Research and Practice،Vol. 2016, no. 2016, pp.1-9.
https://search.emarefa.net/detail/BIM-1104757

Modern Language Association (MLA)

Chiu, Chang-Fang…[et al.]. Palliative Gastrectomy Prolongs Survival of Metastatic Gastric Cancer Patients with Normal Preoperative CEA or CA19-9 Values: A Retrospective Cohort Study. Gastroenterology Research and Practice Vol. 2016, no. 2016 (2015), pp.1-9.
https://search.emarefa.net/detail/BIM-1104757

American Medical Association (AMA)

Chiu, Chang-Fang& Yang, Horng-Ren& Yang, Mei-Due& Jeng, Long-Bin& Yang, Tse-Yen& Sargeant, Aaron M.…[et al.]. Palliative Gastrectomy Prolongs Survival of Metastatic Gastric Cancer Patients with Normal Preoperative CEA or CA19-9 Values: A Retrospective Cohort Study. Gastroenterology Research and Practice. 2016. Vol. 2016, no. 2016, pp.1-9.
https://search.emarefa.net/detail/BIM-1104757

Data Type

Journal Articles

Language

English

Notes

Includes bibliographical references

Record ID

BIM-1104757