A Prospective Observational Study Evaluating the Change of Nutritional Status and the Incidence of Dumping Syndrome after Gastrectomy

doi:10.15747/jcn.2014.6.2.59

Articles

Page Path: HOME > J Clin Nutr > Volume 6(2); 2014 > Article

Original Article A Prospective Observational Study Evaluating the Change of Nutritional Status and the Incidence of Dumping Syndrome after Gastrectomy: Ju-Ri Na¹, Yuhn-Suk Suh^1,2, Seong-Ho Kong^1,2, Jeong Hyun Lim^2,3, Dal-Lae Ju^2,3, Han-Kwang Yang^1,2,4, Hyuk-Joon Lee^1,2,4
위절제술 후 영양 상태의 변화와 덤핑 증후군 발생에 대한 전향적 관찰 연구: 나주리¹, 서윤석^1,2, 공성호^1,2, 임정현^2,3, 주달래^2,3, 양한광^1,2,4, 이혁준^1,2,4; Journal of Clinical Nutrition 2014;6(2):59-70.
DOI: https://doi.org/10.15747/jcn.2014.6.2.59
Published online: August 30, 2014

¹Division of Gastrointestinal Surgery,
²Nutritional Support Team,
³Department of Food Service and Nutrition Care, Seoul National University Hospital,
⁴Department of Surgery and Cancer Research Institute, Seoul National University College of Medicine, Seoul, Korea

서울대학교병원 ¹위장관외과,
²영양집중지원팀,
³급식영양과,
⁴서울대학교 의과대학 외과학교실 및 암연구소

Received: 6 July 2014 • Revised: 1 August 2014 • Accepted: 1 August 2014

prev next

86 Views
1 Download
8 Crossref
0 Scopus

prev next

Full Article

Download PDF

Abstract

Purpose
The aim of this study was to investigate the change of nutritional status and the incidence of dumping syndrome after gastrectomy for gastric cancer.Methods: From January 2013 to May 2014, 36 patients who underwent gastrectomy for gastric cancer were prospectively investigated in terms of nutritional status by body weight, anthropometric measurements, biochemical data, and Patient-Generated Subjective Global Assessment (PG-SGA). Dumping syndrome was assessed using a newly developed questionnaire based on the Japanese Society of Gastroenterological Surgery survey and Sigstad’s scoring system. Results: Body weight losses were 4.6%, 8.1%, and 6.9% at discharge, six months, and one year after discharge, respectively. Triceps skinfold thickness had no significance, however, mid-arm muscle circumference showed significant loss after gastrectomy. A part of the biochemical data showed significant change after gastrectomy, but almost indicated a restoring tendency within two months after discharge. In terms of PG-SGA, 33 patients (91.7%) were classified as A (well-nourished) before surgery, however, the number of well-nourished patients showed a sharp decrease to 1 (2.8%) at two weeks after discharge, and then gradually increased to 25 (69.4%) at one year. The main obstacles against diet intake were reported as ‘early satiety’ and ‘anxiety’. The number of patients who had experience in at least one dumping syndrome related symptom was 21 (58.3%) at discharge, 26 (72.2%) at two months after discharge, and 11 (30.6%) at one year after discharge. Conclusion: Nutritional deficit as well as dumping syndrome is encountered in a large number of gastric cancer patients after gastrectomy. Postoperative nutritional support and personalized education seem to be very important during the postoperative period.

Keywords: Gastrectomy, Nutritional status, Body weight, Patient-Generated Subjective Global Assessment, Dumping syndrome

Figure & Data

References

Citations

Citations to this article as recorded by

Development and Feasibility Assessment of Mobile Application-Based Digital Therapeutics for Postoperative Supportive Care in Gastric Cancer Patients Following Gastrectomy
Ji-Hyeon Park, Hyuk-Joon Lee, JeeSun Kim, Yo-Seok Cho, Sunjoo Lee, Seongmin Park, Hwinyeong Choe, Eunhwa Song, Youngran Kim, Seong-Ho Kong, Do Joong Park, Byung-Ho Nam, Han-Kwang Yang
Journal of Gastric Cancer.2024; 24(4): 420. CrossRef
Oral Nutritional Supplements Reduce Body Weight Loss after Gastrectomy in Patients with Gastric Cancer: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
Mijoo Choi, Jong-Yeup Kim, Hyun-Hi Kang, Eunju Park, Sung Ryul Shim
Nutrients.2023; 15(18): 3924. CrossRef
A Case Study of Korean Medical Treatment for Indigestion and Abdominal Pain after Gastrectomy
Aram Han, Hyun-Jin Lee, Yun-jae Cho, Chang-Yul Keum, Chae-rim Yoon, Su-hyun Choi, Na-yeon Ha, Jinsung Kim
The Journal of Internal Korean Medicine.2022; 43(2): 201. CrossRef
Long-Term Changes of Body Mass Index and Nutritional Biochemical Markers in the Obese Elderly with Gastric Cancer
Eunjung Kim, Ji-Hyeon Park, Eun-Mi Seol, Seong-Ho Kong, Do Joong Park, Han-Kwang Yang, Hyuk-Joon Lee
Annals of Clinical Nutrition and Metabolism.2021; 13(2): 52. CrossRef
Postprandial Dizziness/Syncope Relieved by Alfa-Glucosidase Inhibitor: A Case Report
Hakyeu An, Seong-Hae Jeong, Hyun Jin Kim, Eun Hee Sohn, Ae Young Lee, Jae Moon Kim
Research in Vestibular Science.2018; 17(2): 67. CrossRef
Effect of perioperative oral nutritional supplementation in malnourished patients who undergo gastrectomy: A prospective randomized trial
Seong-Ho Kong, Hyuk-Joon Lee, Ju-ri Na, Won Gyoung Kim, Dong-Seok Han, Shin-Hoo Park, Hyunsook Hong, Yunhee Choi, Hye Seong Ahn, Yun-Suhk Suh, Han-Kwang Yang
Surgery.2018; 164(6): 1263. CrossRef
Prognostic Roles of Perioperative Body Mass Index and Weight Loss in the Long-Term Survival of Gastric Cancer Patients
Young Suk Park, Do Joong Park, Yoontaek Lee, Ki Bum Park, Sa-Hong Min, Sang-Hoon Ahn, Hyung-Ho Kim
Cancer Epidemiology, Biomarkers & Prevention.2018; 27(8): 955. CrossRef
Effects of intensive nutrition education on nutritional status and quality of life among postgastrectomy patients
Hye Ok Lee, So Ra Han, Sung Il Choi, Jung Joo Lee, Sang Hyun Kim, Hong Seok Ahn, Hyunjung Lim
Annals of Surgical Treatment and Research.2016; 90(2): 79. CrossRef

Cite