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Blood loss after partial gastrectomy.

I M Baird, D R Sutton

    Gut
    |August 1, 1972
    PubMed
    Summary
    This summary is machine-generated.

    Whole body counting did not detect significant iron loss in most patients after partial gastrectomy. More sensitive methods are needed for detecting increased free iron loss, but whole body counting is useful for monitoring acute blood loss.

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    Area of Science:

    • Gastroenterology
    • Nuclear Medicine
    • Hematology

    Background:

    • Partial gastrectomy can lead to iron deficiency.
    • Assessing iron loss post-surgery is crucial for patient management.

    Purpose of the Study:

    • To investigate iron loss in patients after partial gastrectomy using whole body counting.
    • To evaluate the utility of whole body counting in detecting iron loss and acute blood loss.

    Main Methods:

    • Whole body counting was used to measure percentage (59)Fe retention in six male and three female patients.
    • Iron loss was compared between postgastrectomy patients and controls over 175–225 days.

    Main Results:

    • No significant difference in iron loss was found between postgastrectomy patients and controls in most subjects.
    • Whole body counting provided clinically useful data on acute blood loss in two patients.
    • A double isotope fecal recovery method may be more sensitive for detecting increased free iron loss.

    Conclusions:

    • Whole body counting is not sensitive enough to detect subtle increases in iron loss after partial gastrectomy.
    • Whole body counting is valuable for monitoring acute gastrointestinal blood loss in these patients.
    • Gastrointestinal bleeding after partial gastrectomy necessitates exclusion of recurrent ulcers or other sources of blood loss.