Journal of Gastric Cancer

The Korean Gastric Cancer Association (대한위암학회)
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Actual 5-Year Nutritional Outcomes of Patients with Gastric Cancer

  • Kim, Ki Hyun (Department of Surgery, Seoul National University Bundang Hospital) ;
  • Park, Dong Jin (Department of Surgery, Seoul National University Bundang Hospital) ;
  • Park, Young Suk (Department of Surgery, Seoul National University Bundang Hospital) ;
  • Ahn, Sang Hoon (Department of Surgery, Seoul National University Bundang Hospital) ;
  • Park, Do Joong (Department of Surgery, Seoul National University Bundang Hospital) ;
  • Kim, Hyung Ho (Department of Surgery, Seoul National University Bundang Hospital)
  • Received : 2016.12.19
  • Accepted : 2017.03.17
  • Published : 2017.06.30
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Abstract

Purpose: In this study, we aimed to evaluate the rarely reported long-term nutritional results of patients with gastric cancer after curative gastrectomy. Materials and Methods: We retrospectively reviewed the prospectively collected medical records of 658 patients who underwent radical gastrectomy with curative intent for gastric cancer from January 2008 to December 2009 and had no recurrences. All patients were followed for 5 years. Nutritional statuses were assessed using measurements of body weight, serum hemoglobin, total lymphocyte count (TLC), protein, albumin, cholesterol, and nutritional risk index (NRI). Results: Patients who underwent total gastrectomy had lower body weights, hemoglobin, protein, albumin, and cholesterol levels. TLC and NRI values after the first postoperative year (P<0.05), and lower hemoglobin and NRI values during the fifth postoperative year than patients who underwent distal gastrectomy (P<0.05). Patients who received adjuvant chemotherapy after gastrectomy had lower hemoglobin, protein, albumin, and cholesterol levels. TLC and NRI values during the first postoperative year, than those who underwent gastrectomy only (P<0.05). Regarding post-distal gastrectomy reconstruction, those who underwent Roux-en-Y had lower cholesterol levels than did those who underwent Billroth-I and Billroth-II reconstruction at the first and fifth years after gastrectomy, respectively (P<0.05). Conclusions: Patients undergoing total or distal gastrectomy with Roux-en-Y anastomosis or adjuvant chemotherapy after surgery should be monitored carefully for malnutrition during the first postoperative year, and patients undergoing total gastrectomy should be monitored for malnutrition and anemia for 5 years.

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References

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