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[Total gastrectomy and malnutrition]

N Calomino1, M Malerba, G Palasciano

  • 1Policlinico Le Scotte, Istituto di Clinica e Terapia Chirurgica, Università degli Studi, Siena.

Minerva Chirurgica
|February 12, 1999
PubMed
Summary
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Total gastrectomy patients experience significant weight loss post-operation. A structured follow-up program helps stabilize weight within weeks and manage potential malabsorption, aiding recovery and rehabilitation.

Area of Science:

  • Surgical Oncology
  • Gastroenterology
  • Nutritional Science

Context:

  • Total gastrectomy is a common procedure for gastric malignancy.
  • Post-operative weight loss is a frequent concern for patients undergoing gastrectomy.
  • Distinguishing between malnutrition and malabsorption is crucial for effective patient management.

Purpose:

  • To investigate the effectiveness of a structured follow-up program for patients after total gastrectomy.
  • To assess the impact of the program on weight stabilization and management of malabsorption.
  • To evaluate the program's role in patient rehabilitation and nutritional status.

Summary:

  • A prospective study followed 23 patients after total gastrectomy with Roux en Y esophago-jejunostomy.
  • Significant initial weight loss was observed, but a structured follow-up program led to weight stabilization within 3-4 weeks.

Related Experiment Videos

  • The program successfully controlled malabsorption and facilitated weight regain, enabling patients to return to normal social and working lives.

    • Impact:

    • The implemented follow-up program effectively manages post-gastrectomy weight loss and malabsorption.
    • It aids in the nutritional rehabilitation of patients, allowing them to regain weight and improve their quality of life.
    • This approach helps identify and address potential deficiencies, such as iron or vitamin B12, post-surgery.