{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T07:05:14Z","timestamp":1790233514860,"version":"4.1.0"},"reference-count":47,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["82371914"],"award-info":[{"award-number":["82371914"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","ejradiology.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["European Journal of Radiology"],"published-print":{"date-parts":[[2026,11]]},"DOI":"10.1016\/j.ejrad.2026.113154","type":"journal-article","created":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T06:50:18Z","timestamp":1786690218000},"page":"113154","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"C","title":["Association of computed tomography-derived body composition and complications after radical gastrectomy for gastric cancer: A systematic review and meta-analysis"],"prefix":"10.1016","volume":"204","author":[{"given":"Tiezhu","family":"Ren","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yue","family":"Peng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Long","family":"Ma","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qianqian","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yunhang","family":"Jing","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuan","family":"Xu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiachen","family":"Sun","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xinan","family":"Su","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wenjuan","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8109-6347","authenticated-orcid":false,"given":"Junlin","family":"Zhou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"10251","key":"10.1016\/j.ejrad.2026.113154_b0005","doi-asserted-by":"crossref","first-page":"635","DOI":"10.1016\/S0140-6736(20)31288-5","article-title":"Gastric cancer","volume":"396","author":"Smyth","year":"2020","journal-title":"Lancet"},{"issue":"1","key":"10.1016\/j.ejrad.2026.113154_b0010","doi-asserted-by":"crossref","first-page":"52","DOI":"10.1186\/s12957-019-1593-9","article-title":"Postoperative complications and prognosis after radical gastrectomy for gastric cancer: a systematic review and meta-analysis of observational studies","volume":"17","author":"Wang","year":"2019","journal-title":"World J. Surg. Oncol."},{"issue":"1","key":"10.1016\/j.ejrad.2026.113154_b0015","doi-asserted-by":"crossref","first-page":"451","DOI":"10.1016\/j.asjsur.2022.05.087","article-title":"Prognostic impacts of categorized postoperative complications in surgery for gastric cancer","volume":"46","author":"Nagata","year":"2023","journal-title":"Asian J. Surg."},{"issue":"14","key":"10.1016\/j.ejrad.2026.113154_b0020","doi-asserted-by":"crossref","DOI":"10.1002\/cam4.70023","article-title":"Effect of nutrition-based prehabilitation on the postoperative outcomes of patients with esophagogastric cancer undergoing surgery: a systematic review and meta-analysis","volume":"13","author":"Shen","year":"2024","journal-title":"Cancer Med."},{"issue":"10","key":"10.1016\/j.ejrad.2026.113154_b0025","doi-asserted-by":"crossref","first-page":"1079","DOI":"10.1038\/ejcn.2015.32","article-title":"The role of computed tomography in evaluating body composition and the influence of reduced muscle mass on clinical outcome in abdominal malignancy: a systematic review","volume":"69","author":"Gibson","year":"2015","journal-title":"Eur. J. Clin. Nutr."},{"issue":"3","key":"10.1016\/j.ejrad.2026.113154_b0030","doi-asserted-by":"crossref","first-page":"1701","DOI":"10.1007\/s00330-019-06526-9","article-title":"Pinto Dos Santos D. Single-slice CT measurements allow for accurate assessment of sarcopenia and body composition","volume":"30","author":"Zopfs","year":"2020","journal-title":"Eur. Radiol."},{"key":"10.1016\/j.ejrad.2026.113154_b0035","doi-asserted-by":"crossref","first-page":"1539","DOI":"10.1200\/JCO.2012.45.2722","article-title":"Cancer cachexia in the age of obesity: skeletal muscle depletion is a powerful prognostic factor, independent of body mass index","volume":"31","author":"Martin","year":"2013","journal-title":"J. Clin. Oncol."},{"key":"10.1016\/j.ejrad.2026.113154_b0040","doi-asserted-by":"crossref","first-page":"315","DOI":"10.1002\/jcsm.12267","article-title":"Loss of skeletal muscle during systemic chemotherapy is prognostic of poor survival in patients with foregut cancer","volume":"9","author":"Daly","year":"2018","journal-title":"J. Cachexia. Sarcopenia Muscle"},{"key":"10.1016\/j.ejrad.2026.113154_b0045","doi-asserted-by":"crossref","first-page":"8101","DOI":"10.2147\/CMAR.S213237","article-title":"Preoperative Cachexia predicts poor outcomes in young rather than elderly gastric cancer patients: a prospective study","volume":"11","author":"Chen","year":"2019","journal-title":"Cancer Manag. Res."},{"key":"10.1016\/j.ejrad.2026.113154_b0050","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pmed.1003583","article-title":"The PRISMA 2020 statement: an updated guideline for reporting systematic reviews","volume":"18","author":"Page","year":"2021","journal-title":"PLoS Med."},{"key":"10.1016\/j.ejrad.2026.113154_b0055","unstructured":"Otten R, de Vries R, Schoonmade L. Amsterdam Efficient Deduplication (AED) method (Version 1). Zenodo; 2019. 21."},{"key":"10.1016\/j.ejrad.2026.113154_b0060","doi-asserted-by":"crossref","first-page":"240","DOI":"10.3163\/1536-5050.104.3.014","article-title":"De-duplication of database search results for systematic reviews in EndNote","volume":"104","author":"Bramer","year":"2016","journal-title":"J. Med. Libr. Assoc."},{"key":"10.1016\/j.ejrad.2026.113154_b0065","doi-asserted-by":"crossref","first-page":"210","DOI":"10.1186\/s13643-016-0384-4","article-title":"Rayyan\u2014a web and mobile app for systematic reviews","volume":"5","author":"Ouzzani","year":"2016","journal-title":"Syst. Rev."},{"key":"10.1016\/j.ejrad.2026.113154_b0070","doi-asserted-by":"crossref","first-page":"1520","DOI":"10.1245\/s10434-009-0391-y","article-title":"Accumulation of excess visceral fat is a risk factor for pancreatic fistula formation after total gastrectomy","volume":"16","author":"Tanaka","year":"2009","journal-title":"Ann. Surg. Oncol."},{"key":"10.1016\/j.ejrad.2026.113154_b0075","doi-asserted-by":"crossref","first-page":"524","DOI":"10.1245\/s10434-016-5385-y","article-title":"Impact of sarcopenic obesity on surgical site infection after laparoscopic total gastrectomy","volume":"23","author":"Nishigori","year":"2016","journal-title":"Ann. Surg. Oncol."},{"key":"10.1016\/j.ejrad.2026.113154_b0080","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1097\/01.sla.0000133083.54934.ae","article-title":"Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey","volume":"240","author":"Dindo","year":"2004","journal-title":"Ann. Surg."},{"key":"10.1016\/j.ejrad.2026.113154_b0085","doi-asserted-by":"crossref","first-page":"280","DOI":"10.7326\/0003-4819-158-4-201302190-00009","article-title":"Assessing bias in studies of prognostic factors","volume":"158","author":"Hayden","year":"2013","journal-title":"Ann. Intern. Med."},{"issue":"3","key":"10.1016\/j.ejrad.2026.113154_b0090","doi-asserted-by":"crossref","first-page":"436","DOI":"10.1038\/s41430-017-0032-7","article-title":"Impact of visceral fat on surgical complications and long-term survival of patients with gastric cancer after radical gastrectomy","volume":"72","author":"Wang","year":"2018","journal-title":"Eur. J. Clin. Nutr."},{"issue":"6","key":"10.1016\/j.ejrad.2026.113154_b0095","doi-asserted-by":"crossref","first-page":"1298","DOI":"10.1007\/s11605-019-04259-0","article-title":"Visceral fat area (VFA) superior to BMI for predicting postoperative complications after radical gastrectomy: a prospective cohort study","volume":"24","author":"Yang","year":"2020","journal-title":"J. Gastrointest. Surg."},{"issue":"7","key":"10.1016\/j.ejrad.2026.113154_b0100","doi-asserted-by":"crossref","first-page":"1467","DOI":"10.1016\/j.clnu.2022.05.002","article-title":"Impact of body fat and muscle quantity on short- and long-term outcome after gastrectomy for cancer","volume":"41","author":"Uchida","year":"2022","journal-title":"Clin. Nutr."},{"issue":"20","key":"10.1016\/j.ejrad.2026.113154_b0105","doi-asserted-by":"crossref","first-page":"4236","DOI":"10.3390\/nu14204236","article-title":"Preoperative high visceral fat increases severe complications but improves long-term prognosis after gastrectomy for patients with advanced gastric cancer: a propensity score matching analysis","volume":"14","author":"Matsui","year":"2022","journal-title":"Nutrients"},{"issue":"6","key":"10.1016\/j.ejrad.2026.113154_b0110","doi-asserted-by":"crossref","first-page":"1520","DOI":"10.1245\/s10434-009-0391-y","article-title":"Accumulation of excess visceral fat is a risk factor for pancreatic fistula formation after total gastrectomy","volume":"16","author":"Tanaka","year":"2009","journal-title":"Ann. Surg. Oncol."},{"issue":"3","key":"10.1016\/j.ejrad.2026.113154_b0115","doi-asserted-by":"crossref","first-page":"1151","DOI":"10.1007\/s00464-023-10638-1","article-title":"Effect of sarcopenia on short-term and long-term outcomes of older patients with locally advanced gastric cancer: a multicenter study","volume":"38","author":"Zheng","year":"2024","journal-title":"Surg. Endosc."},{"key":"10.1016\/j.ejrad.2026.113154_b0120","doi-asserted-by":"crossref","first-page":"196","DOI":"10.1016\/j.jss.2021.12.051","article-title":"Effects of sarcopenia on postoperative outcomes in patients who underwent gastrectomy for gastric cancer","volume":"274","author":"Erkul","year":"2022","journal-title":"J. Surg. Res."},{"issue":"4","key":"10.1016\/j.ejrad.2026.113154_b0125","doi-asserted-by":"crossref","first-page":"213","DOI":"10.1159\/000504283","article-title":"Sarcopenia is associated with perioperative outcomes in gastric cancer patients undergoing gastrectomy","volume":"75","author":"Shi","year":"2019","journal-title":"Ann. Nutr. Metab."},{"issue":"6","key":"10.1016\/j.ejrad.2026.113154_b0130","doi-asserted-by":"crossref","first-page":"1092","DOI":"10.1016\/j.ejso.2018.09.030","article-title":"Sarcopenia is an effective prognostic indicator of postoperative outcomes in laparoscopic-assisted gastrectomy","volume":"45","author":"Chen","year":"2019","journal-title":"Eur. J. Surg. Oncol."},{"issue":"8","key":"10.1016\/j.ejrad.2026.113154_b0135","doi-asserted-by":"crossref","DOI":"10.1111\/eci.14201","article-title":"Myosteatosis predicts postoperative complications and long-term survival in robotic gastrectomy for gastric cancer: a propensity score analysis","volume":"54","author":"Ding","year":"2024","journal-title":"Eur. J. Clin. Invest."},{"issue":"4","key":"10.1016\/j.ejrad.2026.113154_b0140","doi-asserted-by":"crossref","first-page":"510","DOI":"10.1002\/ags3.12452","article-title":"Impact of preoperative muscle quality on postoperative severe complications after radical gastrectomy for gastric cancer patients","volume":"5","author":"Matsui","year":"2021","journal-title":"Ann. Gastroenterol. Surg."},{"issue":"3","key":"10.1016\/j.ejrad.2026.113154_b0145","doi-asserted-by":"crossref","first-page":"473","DOI":"10.1002\/jso.25509","article-title":"Prognostic and predictive implications of sarcopenia in Western patients undergoing gastric resections for carcinoma of the stomach","volume":"120","author":"Sierzega","year":"2019","journal-title":"J. Surg. Oncol."},{"issue":"3","key":"10.1016\/j.ejrad.2026.113154_b0150","doi-asserted-by":"crossref","first-page":"837","DOI":"10.1111\/cts.12940","article-title":"Sarcopenia in patients with normal body mass index is an independent predictor for postoperative complication and long-term survival in gastric cancer","volume":"14","author":"Sun","year":"2021","journal-title":"Clin. Transl. Sci."},{"key":"10.1016\/j.ejrad.2026.113154_b0155","doi-asserted-by":"crossref","DOI":"10.1016\/j.nut.2024.112408","article-title":"Impact of preoperative sarcopenia on postoperative complications and prognosis in patients undergoing robotic gastric cancer surgery: a propensity score matching study","volume":"123","author":"Ding","year":"2024","journal-title":"Nutrition"},{"issue":"8","key":"10.1016\/j.ejrad.2026.113154_b0160","doi-asserted-by":"crossref","first-page":"1976","DOI":"10.1016\/j.ejso.2021.03.004","article-title":"Sarcopenia is a predictive factor of poor quality of life and prognosis in patients after radical gastrectomy","volume":"47","author":"Zou","year":"2021","journal-title":"Eur. J. Surg. Oncol."},{"issue":"3","key":"10.1016\/j.ejrad.2026.113154_b0165","doi-asserted-by":"crossref","first-page":"297","DOI":"10.1016\/j.surg.2019.03.020","article-title":"Myosteatosis predicts prognosis after radical gastrectomy for gastric cancer: a propensity score-matched analysis from a large-scale cohort","volume":"166","author":"Zhuang","year":"2019","journal-title":"Surgery"},{"issue":"5","key":"10.1016\/j.ejrad.2026.113154_b0170","doi-asserted-by":"crossref","first-page":"e411","DOI":"10.3747\/co.25.4014","article-title":"Computed tomography-quantified body composition predicts short-term outcomes after gastrectomy in gastric cancer","volume":"25","author":"Zhang","year":"2018","journal-title":"Curr. Oncol."},{"issue":"3","key":"10.1016\/j.ejrad.2026.113154_b0175","doi-asserted-by":"crossref","first-page":"317","DOI":"10.1080\/17474124.2021.1836959","article-title":"CT assessment of preoperative nutritional status in gastric cancer: severe low skeletal muscle mass and obesity-related low skeletal muscle mass are unfavorable factors of postoperative complications","volume":"15","author":"Fang","year":"2021","journal-title":"Expert Rev. Gastroenterol. Hepatol."},{"issue":"3","key":"10.1016\/j.ejrad.2026.113154_b0180","doi-asserted-by":"crossref","first-page":"815","DOI":"10.1007\/s00268-020-05857-9","article-title":"Impacts of preoperative psoas muscle mass and visceral fat area on postoperative short- and long-term outcomes in patients with gastric cancer","volume":"45","author":"Taniguchi","year":"2021","journal-title":"World J. Surg."},{"issue":"1","key":"10.1016\/j.ejrad.2026.113154_b0185","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1007\/s11605-022-05492-w","article-title":"Impact of sarcopenic obesity on long-term cancer outcomes and postoperative complications after gastrectomy for gastric cancer","volume":"27","author":"Juez","year":"2023","journal-title":"J. Gastrointest. Surg."},{"issue":"11","key":"10.1016\/j.ejrad.2026.113154_b0190","doi-asserted-by":"crossref","first-page":"1861","DOI":"10.1007\/s11605-018-3835-5","article-title":"Sarcopenic obesity is associated with severe postoperative complications in gastric cancer patients undergoing gastrectomy: a prospective study","volume":"22","author":"Zhang","year":"2018","journal-title":"J. Gastrointest. Surg."},{"key":"10.1016\/j.ejrad.2026.113154_b0195","doi-asserted-by":"crossref","unstructured":"Antuna E, Cach \u223c an-Vega C, Bermejo-Millo JC, et al. Inflammaging: implications in sarcopenia. Int J Mol Sci 2022;23 (23):15039.","DOI":"10.3390\/ijms232315039"},{"key":"10.1016\/j.ejrad.2026.113154_b0200","doi-asserted-by":"crossref","DOI":"10.1016\/j.arr.2019.100980","article-title":"Inflammaging as a common ground for the development and maintenance of sarcopenia, obesity, cardiomyopathy and dysbiosis","volume":"56","author":"Livshits","year":"2019","journal-title":"Ageing Res. Rev."},{"key":"10.1016\/j.ejrad.2026.113154_b0205","doi-asserted-by":"crossref","DOI":"10.1016\/j.exger.2022.111931","article-title":"Inflammaging: the ground for sarcopenia?","volume":"168","author":"Liang","year":"2022","journal-title":"Exp. Gerontol."},{"key":"10.1016\/j.ejrad.2026.113154_b0210","doi-asserted-by":"crossref","first-page":"e540","DOI":"10.1111\/nmo.12157","article-title":"Systemic inflammation with enhanced brain activation contributes to more severe delay in postoperative ileus","volume":"25","author":"van Bree","year":"2013","journal-title":"Neurogastroenterol Motility: off J Eur Gastroint Motility Soc."},{"key":"10.1016\/j.ejrad.2026.113154_b0215","doi-asserted-by":"crossref","first-page":"881","DOI":"10.1038\/nature05488","article-title":"Abdominal obesity and metabolic syndrome","volume":"444","author":"Despres","year":"2006","journal-title":"Nature"},{"key":"10.1016\/j.ejrad.2026.113154_b0220","doi-asserted-by":"crossref","first-page":"1234","DOI":"10.1161\/CIRCULATIONAHA.107.710509","article-title":"Visceral and subcutaneous adipose tissue volumes are cross-sectionally related to markers of inflammation and oxidative stress: the Framingham Heart Study","volume":"116","author":"Pou","year":"2007","journal-title":"Circulation"},{"issue":"3","key":"10.1016\/j.ejrad.2026.113154_b0225","doi-asserted-by":"crossref","first-page":"696","DOI":"10.1016\/j.ajcnut.2024.06.009","article-title":"Influence of weight-adjusted contrast enhancement on computed tomography-derived skeletal muscle measures: a retrospective proof-of-concept comparative study between Danish females and males","volume":"120","author":"Brath","year":"2024","journal-title":"Am. J. Clin. Nutr."},{"key":"10.1016\/j.ejrad.2026.113154_b0230","doi-asserted-by":"crossref","first-page":"898","DOI":"10.1016\/j.arr.2013.07.003","article-title":"Skeletal muscle atrophy during short-term disuse: implications for age-related sarcopenia","volume":"12","author":"Wall","year":"2013","journal-title":"Ageing Res. Rev."},{"key":"10.1016\/j.ejrad.2026.113154_b0235","doi-asserted-by":"crossref","first-page":"500","DOI":"10.1186\/s12877-020-01873-5","article-title":"The impact of disease-related immobilization on thigh muscle mass and strength in older hospitalized patients","volume":"20","author":"Rommersbach","year":"2020","journal-title":"BMC Geriatr."}],"container-title":["European Journal of Radiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0720048X26005024?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0720048X26005024?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T06:47:50Z","timestamp":1790232470000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0720048X26005024"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,11]]},"references-count":47,"alternative-id":["S0720048X26005024"],"URL":"https:\/\/doi.org\/10.1016\/j.ejrad.2026.113154","relation":{},"ISSN":["0720-048X"],"issn-type":[{"value":"0720-048X","type":"print"}],"subject":[],"published":{"date-parts":[[2026,11]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Association of computed tomography-derived body composition and complications after radical gastrectomy for gastric cancer: A systematic review and meta-analysis","name":"articletitle","label":"Article Title"},{"value":"European Journal of Radiology","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.ejrad.2026.113154","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Published by Elsevier B.V.","name":"copyright","label":"Copyright"}],"article-number":"113154"}}