Young Ok Park; So Yoon Yoon; Shin Sook Kang; Sang Mi Han; Eun Hee Kang

doi:10.5720/kjcn.2012.17.1.101

Articles

Page Path: HOME > Korean J Community Nutr > Volume 17(1); 2012 > Article

Original Article
Nutritional Status and Dietary Change after Gastrectomy of Gastric Cancer Patients: Young Ok Park, So Yoon Yoon, Shin Sook Kang, Sang Mi Han, Eun Hee Kang; Korean Journal of Community Nutrition 2012;17(1):101-108.
DOI: https://doi.org/10.5720/kjcn.2012.17.1.101
Published online: February 29, 2012

ASAN Medical Center Dietetics and Nutrition Services Team, Seoul, Korea.

Corresponding author: Eun Hee Kang, ASAN Medical Center Dietetics and Nutrition Services Team 388-1 Pungnap-2 dong, Songpa-gu, Seoul 138-736, Korea. Tel: (02) 3010-5141, Fax: (02) 3010-6973, ehkang@amc.seoul.kr

• Received: December 6, 2011 • Revised: February 15, 2012 • Accepted: February 16, 2012

126 Views
1 Download
8 Crossref

prev next

Full Article

Download PDF

Abstract
REFERENCES

Abstract

The purpose of this survey is to investigate the nutritional status and dietary intake of gastrectomized cancer patients in Asan Medical Center. The subjects were 98 patients, who underwent a gastrectomy due to gastric cancer and were admitted to the General Surgery Department during March 2007 to December 2007. We examined general characteristics (sex, age, clinicopathological stage, type of operation), anthropometric data (height, weight change), biochemical data (red blood cell RBC, hemoglobin HGB, hematocrit HCT, mean corpuscular volume MCV, total lymphocyte count TLC, albumin, total cholesterol), dietary intake and dietary intake related symptoms. Weight loss of gastrectomized patients was 9.0 ± 4.3% from preillness weight to visiting out-patient department (OPD) weight. Biochemical data (RBC, HGB, HCT, MCV, TLC, albumin, total cholesterol) significantly deteriorated after gastrectomy. However, outpatient visits were all restored to the normal range. Postoperative energy intake was 785.0 ± 164.2 kcal, which corresponds to 41.6 ± 9.6% of daily energy requirement. The cause of poor oral intake is mostly fear, abdominal pain and abdominal discomfort. Therefore, to control pre-or post-operative weight change in the future requires, focusing on the body weight to maintain a normal or usual nutrition by interventions and increased caloric intake during hospitalization for the development of nutrient-dense meals. In addition, as the main reason of the lack of intake of meals after the gastrectomy was fear, the patients should be actively encouraged to consider the importance of eating proper meals.
Keywords: nutritional status; gastrectomy; hemoglobin; dietary intake; dumping syndrome

REFERENCES

1. Adams JF. The clinical and metabolic consequences of total gastrectomy(III): notes on metabolic functions, deficiency states, changes in intestinal histology, and radiology. Scand J Gastroenterol. 1968; 3(2): 152-159.PubMed
2. Bae JM, Park JW, Yang HK, Kim JP. Nutritional status of gastric cancer patients after total gastrectomy. World J Surg. 1998; 22(3): 254-260.Article PubMed PDF
3. Bozzetti F, Ravera E, Cozzaglio L, Dossena G, Agradi E, Bonfanti G, Koukouras D, Gennari L. Comparison of nutritional status after total or subtotal gastrecotmy. Nutrition. 1990; 6(5): 371-375.PubMed
4. Bradley EL, Isaacs J, Hersh T, Davidson ED, Millikan . Nutritional consequences of total gastrectomy. Ann Surg. 1975; 182(4): 415-429.Article PubMed PMC
5. Braga M, Molinari M, Zuliani W, Foppa L, Radaelli G, Cristallo M, Di Carlo V. Surgical treatment of gastric adenocarcinoma- impact on survival and quality of life. Hepatogastroenterology. 1996; 43(7): 187-193.PubMed
6. Braga M, Zuliani W, Foppa L, Di Carlo V, Cristallo M. Food intake and nutritional status after TG-results of a nutritional follow up. Br J Surg. 1988; 75(5): 477-480.PubMed
7. Bragelmann R, Armbrecht U, Rosemeyer D, Schneider B, Zilly W, Stockbrugger RW. Nutrient malassimilation following total gastrectomy. Scand J Gastroenterol Suppl. 1996; 218: 26-33.PubMed
8. Choi JJ. Gastric cancer screening and diagnosis. Korean J Gastroenterol. 2009; 54: 67-76.Article PubMed
9. Cristallo M, Braga M, Agape D, Primignani M, Zuliani W, Vecchi M, Murne M, Sironi M, Di Carlo V, De Franchis R. Nutritional status, function of the small intestine and jejuna morphology after total gastrctomy for carcinoma of the stomach. Surg Gynecol Obstet. 1986; 163(3): 225-230.PubMed
10. Grant JP, Custer PB, Thurlow J. Current technique of nutritional assessment. Surg Clin North Am. 1981; 61(3): 437-461.PubMed
11. Harju E. Metabolic problems after gastric surgery. Int Surg. 1990; 75(1): 27-35.PubMed
12. Jeong MJ, Kim CY, Kim SB. A study on nutritional status after gastrectomy of gastric cancer patients in Jeonbuk province. Korean J Community Nutr. 2006; 11(6): 785-792.
13. Kelly WD, MaClean LD, Perry JF, Wangensteen OH. A study of patient following total and near total gastrectomy. Surgery. 1954; 35(6): 964-982.PubMed
14. Kim TH, Kim WG, Cho YY, Lee YH, Kim JP. A study of nutritional assessment and dietary intake after gastrectomy of gastric cancer patients. Korean J Nutr. 1994; 27(8): 844-855.
15. Kinney JM, Long CL, Duke JH. Tissue composition of weight loss in surgical patients. I. Elective operation. Ann Surg. 1968; 168(3): 459-474.Article PubMed PMC
16. Ministry for Health, Welfare and Family Affairs. Annual report of the Korea Central Center Registry. 2008.
17. Lee CH, Lee SI, Ryu KW, Mok YJ. Chronological changes in the clinical features of gastric cancer. J Korean Surg Soc. 2002; 63(4): 298-304.Article PDF
18. Nam SY, Choi IJ, Park KW, Kim CG, Lee JY, Kook MC, Lee JS, Park SR, Lee JH, Ryu KW, Kim YW. Effect of repeated endoscopic screening on the incidence and treatment of gastric cancer in health screenees. Eur J Gastroenterol Hepatol. 2009; 21(8): 855-860.Article PubMed
19. Stael vom Holstein C, Ibrahimbegovic E, Walther B, Akesson B. Nutrient intake and biochemical markers of nutritional status during long-term follow-up after total and partial gastrectomy. Eur J Clin Nutr. 1992; 46(4): 265-272.PubMed
20. Studley HP. Percentage of weight loss-A basic indicator of surgical risk in patients with chronic peptic ulcer. JAMA. 1936; 16(4): 458.
21. Young GA, Hill GL. Assessment of protein-calorie malnutrition in surgical patients from plasma proteins and anthropometric measurement. Am J Clin Nutr. 1978; 31(3): 429-435.PubMed
22. Yu WS, Chung HY. Nutritional status after curative surgery in patients with gastric cancer: comparison of total versus subtotal gastrectomy. J Korean Surg Soc. 2001; 60(3): 297-301.
23. Zelnick R, Auguste LJ, Wise L. Nutritional effects of postgastrectomy reconstruction: a clinical evaluation. J Surg Oncol. 1989; 40(4): 219-221.Article PubMed

Fig. 1

Dumping syndrome during admission period.

Fig. 2

Dumping syndrome at home.

Table 1

General characteristics

Table 2

Changes of BMI, body weight loss, percentage of IBW(ideal body weight) in each period

1) BMI: body mass index (kg/m²)

2) Mean ± SD

3) OPD: out-patient department

Table 3

Biochemical data in each period

1) Mean ± SD

2) OPD: outpatient department

3) RBC: Red blood cell

4) HGB: Hemoglobin

5) HCT: Hematocrit

6) MCV: Mean corpuscular volume

7) TLC: Total lymphocyte count

Table 4

Energy intake in each period (N=98)

1) Mean ± SD

2) NPO: nothing by mouse

Table 5

Cause of reduced diet intake upon pre-operation

Table 6

Cause of reduced diet intake upon post-operation

Figure & Data

REFERENCES

Citations

Citations to this article as recorded by

Comparison of blood biochemical characteristics and dietary intake by sex in gastric cancer patients over 40 years in Korea based on 7th (2016-2018) Korea National Health and Nutrition Examination Survey: a cross-sectional study
Hyeon-Ju Lee, Sung-Won Oh, Sook-Bae Kim
Korean Journal of Community Nutrition.2023; 28(1): 48. CrossRef
Oral Nutritional Supplements Reduce Body Weight Loss after Gastrectomy in Patients with Gastric Cancer: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
Mijoo Choi, Jong-Yeup Kim, Hyun-Hi Kang, Eunju Park, Sung Ryul Shim
Nutrients.2023; 15(18): 3924. CrossRef
[Republished study] Assessing Nutritional Status in Outpatients after Gastric Cancer Surgery: A Comparative Study of Five Nutritional Screening Tools
Jae Won Cho, Jiyoung Youn, Min-Gew Choi, Mi Young Rha, Jung Eun Lee
Korean Journal of Community Nutrition.2022; 27(3): 205. CrossRef
Assessing Nutritional Status in Outpatients after Gastric Cancer Surgery: A Comparative Study of Five Nutritional Screening Tools
Jae Won Cho, Jiyoung Youn, Min-Gew Choi, Mi Young Rha, Jung Eun Lee
Korean Journal of Community Nutrition.2021; 26(4): 280. CrossRef
A Case Study on the Customized Nutrition Intervention for a Patient with Primary Gastrointestinal Non-Hodgkin Lymphoma Underlying Chronic Kidney Disease
Young-Hwa Song, Han-Na Kwon, Jeong-Im Hong, Juyeon Park, Ji-Yeon Kim, Hye-Jin Kim
Clinical Nutrition Research.2020; 9(4): 332. CrossRef
Change in Dietary Intake and Nutritional Status Using Mealworms as Hospital Meal in Postoperative Patie
Seong Hyeon Kim, Jin Young Shon, Jun Sung Park, Jong Won Kim, Jung Hyun Kang, Eun Young Yun, Jae Sam Hwang, Hyung Mi Kim
Journal of the Korean Dietetic Association.2016; 22(4): 292. CrossRef
Development of a Self-Care Performance Scale for Patients with Stomach Cancer after Gastrectomy
Min Kyung Jeon, Geum Ja Park
Asian Oncology Nursing.2016; 16(2): 67. CrossRef
Postoperative Changes in Body Weight, Anxiety, Depression, and Quality of Life after Radical Gastrectomy among Patients with Gastric Cancer
Jin Ha Kim, Ja Yun Choi
Asian Oncology Nursing.2014; 14(3): 139. CrossRef

PubReader

Cite

CITE: export Copy Download Format; Close

Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.

Format:

RIS — For EndNote, ProCite, RefWorks, and most other reference management software
BibTeX — For JabRef, BibDesk, and other BibTeX-specific software

Include:

Citation for the content below
Citation and abstract for the content below

Nutritional Status and Dietary Change after Gastrectomy of Gastric Cancer Patients

Korean J Community Nutr. 2012;17(1):101-108. Published online February 29, 2012

DOI: https://doi.org/10.5720/kjcn.2012.17.1.101

XML Download

Figure

We recommend

Nutritional Status and Dietary Change after Gastrectomy of Gastric Cancer Patients

Fig. 1 Dumping syndrome during admission period.

Fig. 2 Dumping syndrome at home.

Fig. 1

Fig. 2

Nutritional Status and Dietary Change after Gastrectomy of Gastric Cancer Patients

Table 1

General characteristics

Table 2

Changes of BMI, body weight loss, percentage of IBW(ideal body weight) in each period

1) BMI: body mass index (kg/m²)

2) Mean ± SD

3) OPD: out-patient department

Table 3

Biochemical data in each period

1) Mean ± SD

2) OPD: outpatient department

3) RBC: Red blood cell

4) HGB: Hemoglobin

5) HCT: Hematocrit

6) MCV: Mean corpuscular volume

7) TLC: Total lymphocyte count

Table 4

Energy intake in each period (N=98)

1) Mean ± SD

2) NPO: nothing by mouse

Table 5

Cause of reduced diet intake upon pre-operation

Table 6

Cause of reduced diet intake upon post-operation

Table 1 General characteristics

Table 2 Changes of BMI, body weight loss, percentage of IBW(ideal body weight) in each period

1) BMI: body mass index (kg/m²)

2) Mean ± SD

3) OPD: out-patient department

Table 3 Biochemical data in each period

1) Mean ± SD

2) OPD: outpatient department

3) RBC: Red blood cell

4) HGB: Hemoglobin

5) HCT: Hematocrit

6) MCV: Mean corpuscular volume

7) TLC: Total lymphocyte count

Table 4 Energy intake in each period (N=98)

1) Mean ± SD

2) NPO: nothing by mouse

Table 5 Cause of reduced diet intake upon pre-operation

Table 6 Cause of reduced diet intake upon post-operation