Journal of the Korean Dietetic Association (대한영양사협회학술지)

The Korean Dietetic Association (대한영양사협회)
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A Study of Dietary Intakes and Nutritional Status after Total Gastrectomy of Early Gastric Cancer Patients

위전절제술을 시행한 조기위암환자의 식사섭취량과 영양상태에 관한 연구

  • Kim, Ji-Yeong (Dept. of Food Service and Nutrition Care, Seoul National University Hospital, Seoul Korea) ;
  • Park, Mi-Seon (Dept. of Food Service and Nutrition Care, Seoul National University Hospital, Seoul Korea) ;
  • Lee, Yeong-Hui (Dept. of Food Service and Nutrition Care, Seoul National University Hospital, Seoul Korea) ;
  • Jo, Sam-Je (Dept of Surgery Seoul National University College of Medicine Seoul Korea) ;
  • Yang, Han-Gwang (Dept of Surgery Seoul National University College of Medicine Seoul Korea)
  • 김지영 (서울대학교병원 급식영양과) ;
  • 박미선 (서울대학교병원 급식영양과) ;
  • 이영희 (서울대학교병원 급식영양과) ;
  • 조삼제 (서울대학교 의과대학 외과학교실) ;
  • 양한광 (서울대학교 의과대학 외과학교실)
  • Published : 2001.02.01
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Abstract

The purpose of this study is to investigate the dietary intakes and nutritional status in total gastrectomized patients. We assessed the nutritional status by dietary intake, anthropometric data and biochemical data. And we also checked the subjective postprandial symptoms and gastrofiberscopy to detect the reflux esophagitis in 22 patients who were free of tumors for more than 1 year after total gastrectomy by the three different reconstruction methods(Loop esophagojejunostomy with A-loop tie/ Roux-en-Y esophagojejunostomy/Roux-en-Y esophagojejunostomy with Paulino pouch). Any patients were not in malnutrition status in respect to biochemical data. By assessing the dietary intake, the average daily calorie intake was 1848.2$\pm$440.2kcal, it was 105.9$\pm$23.8% of energy requirement. But there was weight loss in 21 patients of 22 patients after operation and the weight loss was 12.8% of preoperative weight(61.0$\pm$7.9 vs. 53.5$\pm$6.7kg, preoperatively vs. at the time of study). This may suggest that continuous nutritional care is necessary after total gastrectomy to promote sufficient calorie intake, keeping good nutritional state. There were no significant differences between the methods of reconstruction and dietary intakes or nutritional status. Endoscopic esophagitis was more frequently found in patients of loop esophagojejunostomy than any other reconstruction methods(p<0.001), but it didn't show any effect on the dietary intakes.

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