%0 Journal Article %A JUN KIUCHI %A SHUHEI KOMATSU %A TOSHIYUKI KOSUGA %A TAKESHI KUBOTA %A KAZUMA OKAMOTO %A HIROTAKA KONISHI %A ATSUSHI SHIOZAKI %A HITOSHI FUJIWARA %A DAISUKE ICHIKAWA %A EIGO OTSUJI %T Long-term Postoperative Nutritional Status Affects Prognosis Even After Infectious Complications in Gastric Cancer %D 2018 %J Anticancer Research %P 3133-3138 %V 38 %N 5 %X Aim: This study was designed to investigate the clinical impact of postoperative serum albumin level on severe postoperative complications (SPCs) and prognosis. Materials and Methods: Data for a total of 728 consecutive patients who underwent curative gastrectomy for gastric cancer between 2004 and 2013 were retrospectively analyzed. From these patients, a propensity score-matched analysis was performed based on 14 clinicopathological and surgical factors. Results: Short-term decrease in postoperative serum albumin level was not associated with the occurrence of SPCs. Regarding long-term decrease in serum albumin level, a decrease of ≥0.5 g/dl at 3 months did not affect the long-term survival of patients without SPCs, but was related to a significantly poorer prognosis in patients with SPCs. By multivariate analysis, long-term decrease of serum albumin level was an independent prognostic factor in patients with SPCs. Conclusion: Long-term postoperative nutritional status as shown by a low level of albumin was related to prognosis in patients with SPCs. %U https://ar.iiarjournals.org/content/anticanres/38/5/3133.full.pdf