Obesity and the Risk of Gastrointestinal Cancers.
Jacek KarczewskiBeata Begier-KrasińskaRafał StaszewskiEdyta PopławskaKatarzyna Gulczynska-ElhadiAgnieszka DobrowolskaPublished in: Digestive diseases and sciences (2019)
Obesity is a risk factor for all major gastrointestinal cancers. With the rapid increase in the prevalence of obesity worldwide, this link could lead to an elevated burden of cancers of the digestive system. Currently, three main mechanisms explaining the link between excess adiposity and gastrointestinal cancer risk are being considered, including altered insulin signaling, obesity-associated chronic low-grade inflammation, and altered sex hormone metabolism, although new potential mechanisms emerge. This review is aimed to present our current knowledge on biological mechanisms involved in adiposity-related gastrointestinal carcinogenesis supported by results collected in epidemiological studies.