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Gastroenterology Research and Practice
Volume 2016, Article ID 9382750, 5 pages
http://dx.doi.org/10.1155/2016/9382750
Research Article

Comparison of Survival Rates, Tumor Stages, and Localization in between Obese and Nonobese Patients with Gastric Cancer

1Department of Internal Medicine, Bakirkoy Dr. Sadi Konuk Education and Research Hospital, 34147 Istanbul, Turkey
2Department of Internal Medicine, Izmir Bozyaka Education and Research Hospital, 35170 Izmir, Turkey
3Department of Internal Medicine, Istanbul Bilim University, Florence Nightingale Hospital, 34394 Istanbul, Turkey
4Department of Internal Medicine, Umraniye Education and Research Hospital, 34766 Istanbul, Turkey
5Department of Medical Oncology, Bakirkoy Dr. Sadi Konuk Education and Research Hospital, 34147 Istanbul, Turkey

Received 12 January 2016; Revised 27 April 2016; Accepted 25 May 2016

Academic Editor: Andrew S. Day

Copyright © 2016 Hakan Kocoglu et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose. In this study we tried to determine the association between body-mass index (BMI), survival rate, and the stage of tumor at the time of diagnosis in patients with gastric cancer. Methods. A total of 270 gastric cancer patients’ hospital records were retrospectively evaluated. Patients were grouped according to their BMI at the time of tumor diagnosis. Tumor stages at admission were compared according to their BMI values. Results. There were no differences in OS among BMI subgroups (). The percent of patients with stage III tumor was significantly higher in nonobese while the percent of stage IV tumor was surprisingly higher in obese patients ( was 0.011 and 0.004, resp.). Percent of patients who did not have any surgical intervention was significantly lower in overweight and obese patients than normal and/or underweight patients. Conclusions. At the time of diagnosis, obese patients had significantly higher percent of stage IV tumor than nonobese patients. Despite of that, there were no differences in survival rates among BMI subgroups. Our study results are consistent with “obesity paradox” in gastric cancer patients. We also did not find any relationship between BMI and localization of gastric tumor.