Korean J Community Nutr.  2012 Feb;17(1):101-108. 10.5720/kjcn.2012.17.1.101.

Nutritional Status and Dietary Change after Gastrectomy of Gastric Cancer Patients

• Park YO
• Yoon SY
• Kang SS
• Han SM
• Kang EH

• KMID: 2267389
• DOI: http://doi.org/10.5720/kjcn.2012.17.1.101

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.

Keyword

nutritional status; gastrectomy; hemoglobin; dietary intake; dumping syndrome

MeSH Terms

Abdominal Pain
Blood Cells
Body Weight
Dumping Syndrome
Eating
Energy Intake
Erythrocyte Indices
Gastrectomy
Hematocrit
Hemoglobins
Hospitalization
Humans
Lymphocyte Count
Meals
Nutritional Status
Outpatients
Reference Values
Stomach Neoplasms
Weight Loss
Hemoglobins

Figure

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  Fig. 1 Dumping syndrome during admission period.

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  Fig. 2 Dumping syndrome at home.

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