THE EFFECT OF BARIATRIC SURGERY ON BREAST CANCER INCIDENCE AND CHARACTERISTICS: A COMPREHENSIVE SYSTEMATIC REVIEW

Authors

  • Rokhim Suryadi Faculty of Medicine, Trisakti University, Jakarta Special Region, Indonesia
  • Bambang Supriyo General Surgery Consultant, Department of Surgery, Hawari Essa Hospital, Tegal, Central Java, Indonesia
  • Yosie Yulanda Putra H. Bakri Sungai Penuh Regional General Hospital, Jambi, Indonesia
  • Ahsan Auliya Pertamedika Baiturrahim General Hospital, Jambi, Indonesia
  • M. Yudhi Hardiyansah Faculty of Medicine, Malahayati University, Jakarta Special Region, Indonesia

DOI:

https://doi.org/10.61841/vgrh9754

Keywords:

Breast cancer, cancer incidence, bariatric surgery

Abstract

Background: Obesity elevates estrogen levels and pro-inflammatory cytokines, increasing breast cancer risk via macrophage migration to breast tissue and stimulating epithelial proliferation. Observational studies suggest that intentional weight loss, such as through bariatric surgery, can mitigate this risk. This study aims to conduct a comprehensive systematic review, focusing on the impact of bariatric surgery on breast cancer incidence and characteristics using recent literature.

Methods: The systematic review followed PRISMA 2020 standards and examined full-text English literature published between 2014 and 2024. This review excluded editorials, review papers from the same journal, and submissions without a DOI. Literature was sourced from online platforms such as PubMed, SagePub, and SpringerLink.

Result: A total of  1,011 articles s were retrieved from online databases (PubMed, SagePub, and SpringerLink). After three rounds of screening, five articles directly relevant to the systematic review were selected for full-text reading and analysis.

Conclusion: Bariatric surgery decreases overall cancer risk in women, especially for breast cancer, by lowering estrogen levels and altering tumor biology. It also improves glucose homeostasis and reduces insulin resistance, both linked to higher cancer risk.

References

Doumouras AG, Lovrics O, Paterson JM, Sutradhar R, Paszat L, Sivapathasundaram B, et al. Bariatric Surgery and Breast Cancer Incidence: a Population-Based, Matched Cohort Study. OBES SURG. 2022 Apr 1;32(4):1261–9. Available from: https://doi.org/10.1007/s11695-022-05946-9

Winder AA, Kularatna M, MacCormick AD. Does Bariatric Surgery Affect the Incidence of Breast Cancer Development? A Systematic Review. OBES SURG. 2017 Nov 1;27(11):3014–20. Available from: https://doi.org/10.1007/s11695-017-2901-5

Zhang K, Luo Y, Dai H, Deng Z. Effects of Bariatric Surgery on Cancer Risk: Evidence from Meta-analysis. OBES SURG. 2020 Apr;30(4):1265–72. Available from: http://link.springer.com/10.1007/s11695-019-04368-4

Lovrics O, Butt J, Lee Y, Lovrics P, Boudreau V, Anvari M, et al. The effect of bariatric surgery on breast cancer incidence and characteristics: A meta-analysis and systematic review. The American Journal of Surgery. 2021 Oct 1;222(4):715–22. Available from: https://www.sciencedirect.com/science/article/pii/S0002961021001513

Schauer DP, Feigelson HS, Koebnick C, Caan B, Weinmann S, Leonard AC, et al. Bariatric Surgery and the Risk of Cancer in a Large Multisite Cohort. Annals of Surgery. 2019 Jan;269(1):95. Available from: https://journals.lww.com/annalsofsurgery/abstract/2019/01000/bariatric_surgery_and_the_risk_of_cancer_in_a.21.aspx

Hassinger TE, Mehaffey JH, Hawkins RB, Schirmer BD, Hallowell PT, Schroen AT, et al. Overall and Estrogen Receptor–Positive Breast Cancer Incidences Are Decreased Following Bariatric Surgery. OBES SURG. 2019 Mar 1;29(3):776–81. Available from: https://doi.org/10.1007/s11695-018-3598-9

Feigelson HS, Caan B, Weinmann S, Leonard AC, Powers JD, Yenumula PR, et al. Bariatric Surgery is Associated With Reduced Risk of Breast Cancer in Both Premenopausal and Postmenopausal Women. Annals of Surgery. 2020 Dec;272(6):1053.

Downloads

Published

2024-03-26

How to Cite

Suryadi, R. ., Supriyo, B. ., Yulanda Putra, Y. ., Auliya, A., & Hardiyansah, M. Y. . (2024). THE EFFECT OF BARIATRIC SURGERY ON BREAST CANCER INCIDENCE AND CHARACTERISTICS: A COMPREHENSIVE SYSTEMATIC REVIEW. Journal of Advanced Research in Medical and Health Science (ISSN 2208-2425), 10(3), 355-363. https://doi.org/10.61841/vgrh9754