esophageal adenocarcinoma (cancer of the esophagus) and obesity
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients with newly diagnosed esophageal adenocarcinoma who are referred to surgery at the Erasmus Medical Center will be included in our study. Sex- and BMI-matched patients who are referred for surgery at the Erasmus Medical Center for other reasons than esophageal cancer/ Barrett*s disease/GERD will be included as controls.
Exclusion criteria
Exclusion criteria: - Patients with severe weight loss (>10% during the last 3 months before surgery) - Patients without information on height and weight at the time of surgery - Patients with a BMI
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Collected samples will be immediately frozen in liquid nitrogen and stored at -80°C until total RNA preparation. Total RNA will be extracted from adipose tissue and expression levels of the genes of interest are quantified with real-time-quantitative-PCR (RTq-PCR). We will use at least 2 housekeeping genes as an endogenous reference to compensate for variations in input RNA amounts. | — |
Secondary
| Measure | Time frame |
|---|---|
| Dependent on the results of our study on gene expression we will possibly measure the size of adipocytes in those 2 groups later in this study. Previously validated methods include: direct microscopy and manual/automated measurement of diameters from digital images. Influence of other patient characteristics on adipokines production/development of cancer: Patient information on prior weight loss, tumor stage and chronic diseases will be collected from the hospital information system and preoperative status. Other study parameters: Patient information on smoking, alcohol use, use of PPI and LES-relaxing and other drugs, history of reflux, DM, preoperative plasma-glucose-values as well as levels of HbA1c, cholesterol, triglycerides, CRP etc. will be collected from the patients* charts/ Elpado hospital information system if available. | — |
Countries
Netherlands