Nutritional and digestive effects of gastrectomy for gastric cancer

Chiara Colavelli, Manuela Pastore, Emanuela Morenghi, Massimiliano Coladonato, Chiara Tronconi, Lorenza Rimassa, Uberto Fumagalli, Riccardo Rosati, Roberto Doci, Luca Cozzaglio

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Gastrectomy often leads to malnutrition. Objective: The aim of this study was to analyze nutritional and digestive effects of gastrectomy for cancer. Patients and methods: Gastrectomized patients were studied by nutritional assessment including a weekly nutritional diary exploring digestive symptoms. Results: Thirty-two patients were analyzed after a mean follow-up of 41.8 months. The mean percentage of weight loss was 12.9% ± 13.5%. After total gastrectomy, mean weight loss was 22% ± 1.2%, against 7.4% ±11.9% for subtotal gastrectomy (p = 0.002). Moreover, advancing age was related to weight loss (p = 0.02), with a peak around 70 years. The most frequent postprandial symptoms were abdominal swelling (62%) and early satiety (59%). Finally, findings of the present study imply that overm a long follow-up, there are no specific intolerances related to gastrectomy. Conclusions: Patients who have undergone a total gastrectomy and elderly gastrectomized patients are at risk of malnutrition and need postoperative nutritional support.

Original languageEnglish
Pages (from-to)129-136
Number of pages8
JournalNutritional Therapy and Metabolism
Volume28
Issue number3
Publication statusPublished - Jul 2010

Keywords

  • Digestive functions
  • Gastrectomy
  • Nutritional status
  • Weight loss

ASJC Scopus subject areas

  • Critical Care and Intensive Care Medicine
  • Nutrition and Dietetics

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