Open Access, Peer-reviewed
eISSN 2951-3146
    Korean J Community Nutr. 2012 Feb;17(1):101-108. Korean.
    Published online Feb 29, 2012.
    https://doi.org/10.5720/kjcn.2012.17.1.101
    Copyright © 2012 The Korean Society of Community Nutrition
    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 and Eun Hee Kang
      • 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, Email: ehkang@amc.seoul.kr
    Received December 06, 2011; Revised February 15, 2012; Accepted February 16, 2012.

    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

    Figures

    Fig. 1
    Dumping syndrome during admission period.

    Fig. 2
    Dumping syndrome at home.

    Tables

    Table 1
    General characteristics

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

    Table 3
    Biochemical data in each period

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

    Table 5
    Cause of reduced diet intake upon pre-operation

    Table 6
    Cause of reduced diet intake upon post-operation

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    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
    Metrics
    Share
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