“…Young patients with BMI <20 kg/m 2 , an ASA score of 1, and a Charlson Comorbidity Index of 0 comprised less than 10% of the study population, whereas these characteristics are typically present, on average, in 50% of patients in eastern series. 24,25 The clinical and oncological features of the 1349 patients analyzed in this study were also typically western; at least half of patients had lost weight, half of them underwent neoadjuvant chemotherapy, 60% had T3/T4 cancer, while only 20% of patients had early gastric cancers; corresponding values of these parameters in the eastern series are 20%, 20%, 30%, and 60%. 25 The proximal localization of the tumor or linitis plastica was reported in 60% of cases, against an average of 30% in the eastern series.…”