• Journal of Nutrition and Health
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• 제27권8호
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• pp.844-855
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• 1994

The purpose of this study is to investigate the nutritional status and dietary intake of gastrectomized cancer patients. For this study, from 1993. 1 to 1993. 8, 50 postoperative gastric cancer patients were selected to examine anthropometric and laboratory data(Body Weight, Body Fat, serum Albumin, Total Lympocyte count), and dietary intake related symptoms. The results were 1) All anthropometric and laboratory data were significantly deteriorated by gastrectomy(s-Albumin, TLC. Body Fat : p<0.001). Weight loss of gastrectomized patients was 8.23$\pm$3.72% from admission to discharge. 2) In many gastrectomized cancer patients, preoperative dietary intake was decreased by abdominal discomfort, indigestion, early satiety, and anorexia. 3) Postoperative energy intake was 602$\pm$158㎉, and it is correspond to 31.18$\pm$.90% of daily energy requirement(1918$\pm$236㎉). The cause of poor oral intake is mostly fear, abdominal distension and fullness, and early satiety. In consideration of the fact that an inadequate energy intake was the main cause of the decreasing nutritional status, a careful nutritional care and dietary education is necessry after gastrectomy.

• Journal of Gastric Cancer
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• 제6권2호
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• pp.69-75
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• 2006

목적: 본 연구는 Saccharomyces boulardii가 위암으로 위절제술을 받은 환자에서 위장관 증상과 영양상태를 호전시키는지 평가하고자 하였다. 대상 및 방법: 2002년 12월부터 2004년 7월까지 서울대학교병원 외과에서 조기위암으로 위절제술을 받은 환자 90명을 대상으로 하여 시험군과 위약군(대조군)을 무작위 배정하여 12주 복용하게 하였다. 투약 전, 투약 12주 후, 투약종료 4주 후에 담당의사와 환자에 눈가림법을 적용하여 두 군의 위장관 증상과 영양 지표(혈액검사 및 체위)를 비교하였다. 결과: 남녀 비는 2.3 : 1이었고 평균 연령은 $56.3{\pm}10.2$세였다. 수술은 위아전절제술이 69예, 위전절제술이 21예였다. 연구가 시작된 후 중도 탈락한 환자가 14명(15.6%)이었고 이 중 시험군은 5명이었다. 위장관 증상에 있어서 시험군과 대조군 간의 의미 있는 차이는 보이지 않았다(P>0.05). 전체적으로(n=76)투약 종료 4주 후의 혈중 알부민이 시험군에서 더 높게 나왔다(P=0.046). 위아전절제술과 위전절제술을 나누어 비교하였을 때, 위아전절제술을 받은 환자들(n=57)에서 역시 투약 종료 4주 후의 알부민이 시험군에서 더 높게 나왔다(P=0.049). 결론: 위암으로 위절제술을 받은 환자에서 Saccharomyces boulardii를 투여한 시험군에서 혈중 알부민이 높게 나와 Saccharomyces boulardii가 위절제술 후 영양을 호전시키는데 도움을 줄 수 있겠다.

• 한국영양학회:학술대회논문집
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• 한국영양학회 1994년도 춘계심포지움 및 발표논문 초록
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• pp.55-55
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• 1994

• 대한지역사회영양학회지
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• 제17권1호
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• pp.101-108
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• 2012

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 $9.0{\pm}4.3$% 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 $785.0{\pm}164.2$ kcal, which corresponds to $41.6{\pm}9.6$% 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.

• Journal of Gastric Cancer
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• 제16권4호
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• pp.230-239
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• 2016

Purpose: The European Organization for Research and Treatment of Cancer quality-of-life questionnaire-OG25 was developed to evaluate the quality of life in patients with stomach and esophageal cancer. The following are included in the OG25 but not in the STO22: odynophagia, choked when swallowing, weight loss, trouble eating with others, trouble swallowing saliva, trouble talking, and trouble with coughing. In this study, we evaluated the quality of life of gastrectomized patients using both, the OG25 and the STO22. Materials and Methods: A total of 138 patients with partial gastrectomy (PG) (distal gastrectomy=91; pylorus-preserving gastrectomy=47) and 44 patients with total gastrectomy (TG) were prospectively evaluated. Body weight and scores from the OG25 and STO22 were evaluated preoperatively and at 3 weeks, 3 months, and 6 months after surgery. Results: Patients with TG had significant weight loss compared to patients with PG. At 3 months, TG was associated with worse scores for dysphagia, eating, odynophagia, trouble eating with others, trouble with taste, and weight loss on the OG25. TG was also associated with dysphagia, eating restrictions, and anxiety on the STO22. The OG25 helped differentiate between the groups with respect to weight loss, odynophagia, choked when swallowing, and trouble eating with others. The OG25 scores changed over time and were significantly different. Conclusions: The OG25 is a more sensitive and useful scale than the STO22 for evaluating the quality of life of gastrectomized patients, especially those with total gastrectomy.

• 대한영양사협회학술지
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• 제7권1호
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• pp.72-79
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• 2001

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.

• Journal of Gastric Cancer
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• 제8권4호
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• pp.262-266
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• 2008

목적: 위절제술을 시행받은 환자에게 있어서 빈혈은 흔하게 보고되고 있으며, 이들 중 일부는 빈혈의 교정이 필요하다. 본 연구의 목적은 빈혈의 치료로서 정맥용 철분제제인 Iron sucrose 사용의 유효성에 대하여 알아보고자 하였다. 대상 및 방법: 2007년 5월부터 2007년 10월까지 연세대학교 세브란스병원에서 위절제술을 시행받은 환자 중 외래추적관찰시 헤모글로빈 수치가 11 g/dl 이하인 47명의 환자들을 대상으로 하였다. Iron sucrose를 투여하기 전과 투여후 1주,2주,3주,3개월,6개월 뒤에 각각 혈색소(Hgb), 적혈구용적률(Hct), 혈청철(Serum iron), 총철결합능(TIBC), 혈청페리틴(Serum ferritin), 트란스페린(Transferrin)을 측정하여 효과를 전향적으로 비교 분석하였다. 결과: 47명의 환자 중 처방대로 치료를 받은 36명이 분석의 대상이 되었고 남자가 11명, 여자가 25명이었다. Hgb은 치료 전과 비교하여 치료 후 1주, 2주, 3주, 3개월, 6개월 후에는 0.6, 0.8, 1.3, 2.1, 2.2 g/dl 상승하여 통계적으로 유의한 변화를 보였다(각각 P<0.001). 그리고, 각 기간별로 비교하였을 때 3개월까지는 의미 있는 상승을 보였으나 3개월과 6개월 사이의 변화는 통계적으로 유의하지는 않았다. 26명(72%)에 있어서는 Hgb이 12 g/dl 이상까지 상승하였다. 한 명의 환자에게 있어서 일시적인 오심이 발생하였고 다른 부작용이나 합병증은 보고되지 않았다. 결론: 위절제술을 시행받은 빈혈환자에 있어 정맥용 철분제제인 Iron sucrose 투여한 경우 투여 후 일주일 이내에 Hgb 상승효과를 기대할 수 있으며 적어도 3개월까지는 지속적인 Hgb의 상승을 보인다. 위절제술 후 빈혈의 치료로 Iron sucrose는 안전하면서도 빠르고 효과적으로 빈혈을 교정할 수 있다.