eISSN: 1897-4317
ISSN: 1895-5770
Gastroenterology Review/Przegląd Gastroenterologiczny
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2/2021
vol. 16
 
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abstract:
Original paper

Association between serum 25-hydroxy vitamin D level and gastric adenocarcinoma – a cross sectional study

Arulraj Kevin
1
,
Amaranathan Anandhi
1
,
Subitha Lakshminarayanan
1
,
Sathasivam Sureshkumar
1
,
Sadishkumar Kamalanathan
1

  1. Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
Gastroenterology Rev 2021; 16 (2): 155–160
DOI: https://doi.org/10.5114/pg.2020.100659
Online publish date: 2020/11/05
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Introduction
Vitamin D is found to have anti-cancer properties. Although the preventive role of vitamin D in cancer is proven, its role in gastric cancer is equivocal.

Aim
To evaluate vitamin D deficiency in patients with gastric adenocarcinoma and its relationship with the disease characteristics.

Material and methods
This single-centre, prospective, cross sectional study was carried out from February 2017 to December 2018. Serum 25-hydroxy vitamin D levels of 94 patients with gastric adenocarcinoma and 94 age- and sex-matched healthy controls were estimated. Among cases, vitamin D levels and disease characteristics such as TNM stage, tumour grade, clinical stage and patient demographics were analysed.

Results
The vitamin D levels among cases (13.83 ±5.97 ng/ml) were significantly lower (p < 0.0001) than the control group (29.15 ±4.13 ng/ml). Vitamin D deficiency was found in 88% of cases and in 3% of controls. Among cases, age, T stage and clinical stage had a significant inverse relationship with vitamin D levels. Cases with distant metastasis and cases with pain had significantly lower levels of vitamin D compared to the cases without distant metastasis and without pain respectively. Other study parameters did not have a significant relationship with vitamin D.

Conclusions
Vitamin D deficiency is associated with occurrence of gastric adenocarcinoma and correlates with the disease severity. However, to assign a causal relationship and to study the beneficial effect of vitamin D in gastric cancer, further research is needed.

keywords:

gastric carcinoma, vitamin D, vitamin D deficiency
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