A Study on Nutritional Status after Gastrectomy of Gastric Cancer Patients in Jeonbuk Province

전북지역 위암환자의 위절제술 전.후 영양상태 평가

  • Jeong, Mi-Jin (Nutrition Support Team, Chonbuk National University Hospital) ;
  • Kim, Chan-Young (Department of Surgery Medicine, Chonbuk National University) ;
  • Kim, Sook-Bae (Department of Food Science & Human Nutrition, Research Institute of Human Ecology, Chonbuk National University)
  • 정미진 (전북대학교병원 영양지원팀) ;
  • 김찬영 (전북대학교 의과대학 외과학교실) ;
  • 김숙배 (전북대학교 생활과학대학 식품영양학과, 전북대학교 부설 인간생활과학연구소)
  • Published : 2006.12.31

Abstract

The purpose of this study was to investigate the nutritional status before and after gastrectomy of gastric cancer patients in Jeonbuk Province. The subjects were 136 patients with gastrectomy of gastric cancer. We assessed the nutritional status before and after an operation by general characteristics (age, clinicopathological stage, type of operation, method of reconstruction), anthropometric characteristics (height, weight, skeletal muscle mass, body fat mass, body mass index (BMI), percent body fat, arm muscle circumference AMC, arm circumference AC) and biochemical characteristics (hemoglobin Hb, hematocrit Hct, mein corpuscular volume MCV, mean corpuscular hemoglobin MCH, total lymphocyte count TLC, serum albumin, serum transferrin). Mean ages were 60.0 yrs in males and 58.8 yrs in females. Age, clinicopathological stage, types of operation and reconstruction methods were not significantly different between males and females. Weight, skeletal muscle mass, body fat mass, BMI, percent body fat, AMC and AC significantly deteriorated by gastrectomy. There were severe weight losses in males and females after gastrectomy. Hemoglobin, Hct, MCV, MCH, TLC, albumin and transferrin significantly deteriorated by gastrectomy. After gastrectomy, subjects who were assessed as malnounrished in Hb and Hct were increased in male and those who were assessed as malnounrished in Hb were increased in females. These results suggest that a nutrition intervention, specially for energy, protein and iron, is necessary to improve the nutritional status of gastric cancer patients with gastrectomy.

Keywords

References

  1. Ahn SM, Yoon YK, Kim ES, Kang WG, Ryu DW, Kim TH, Choi KH, Jung EA, Lim SG, Kim HS, Lee KS, Kim JS, Lee SO (2002): Initial Nutritional Status of Stomach Cancer Patients. J Korean Diet Assoc 8(3): 217-226
  2. Bae JM, Park JW, Kim JP (1996): Nutritional Assessment and Intestinal Absorption Studies on Total Gastrectomized Gastric Cancer Patients. J Korean Surg Soc 50(4): 475-487
  3. Bae HS, Cho YH, Kim JY, Ahn HS (2006): Comparison of nutrient intake and antioxidant status in female college students by skin types. Korean J Community Nutrition 11(1): 63-71
  4. Bragelman R, Armbrecht U, Rosemeyer D, Schneider B, Zilly W, Wtockbrugger RW (1996): Nutrient malabsorption following total gastrectomy. Scand J Gastroenterlo 218: 26-33
  5. Chang YK, Kwon JS, Choue RW, Kim YH (2001): Clinical Nutrition, pp. 29-47, Shingwang Publishing Co., Seoul
  6. Chung YD, Hong SI, Na HB, Shim YH (1993): The Study on Concentration of Serum Copper and Zinc in Stomach Cancer Patients: Korean J Nutrition 26(5): 603-614
  7. Harju E (1990): Metabolic problems after gastric surgery. Int Surg 75: 27-35
  8. Jung JM Han CJ, Hong YJ. Cho HH, Kim YH, Choi DH, Cho SH, Cho KH, Kim J, Jung SH, Kim YC, Lee JO (2002): Usefulness of the Tests for Iron Deficiency in Detection of Gastric Cancer. Korean J Gastroenterol 39: 179-185
  9. Kim CB, Choi SH, Kim YI, Lee YS (1994a): The Effects of Gastrectomy on Calcium Balance. J Korean Surg Soc 46(4): 472-480
  10. Kim TH, Kim WG. Cho YY, Lee YH. Kim JP (1994b): A Study of Nutritional Assessment and Dietary Intake after Gastrectomy of Gastric Cancer Patients. Korean J Nutrition 27(8): 844-855
  11. Kim YO. Han B (2000): Association of Nutritional Status with Clinical Outcome of Stomach Cancer Patients. J Korean Soc Food Sci Nutr 29(6): 1185-1189
  12. Ko YW, Min JS. Seo HC. Cho JS, Lee S. Chung SH, Yu NC, Min YH, Han JS (1998): Vitamin B12 deficiency anemia after total gastrectomy in patients with stomach cancer. Korean J Medicine 54(3): 386-396
  13. Lee CH. Lee SI. Ryu KW. Mok YJ(2002): Chronological Changes in the Clinical Features of Gastric Cancer. J Korean Surg Soc 63(4): 298-304
  14. Liedman B. Anderson H. Berglund B. Bosaeus J. Hugosson I. Olbe L (1996): Food intake after gastrectomy for gastric carcinonate role of gastric reservoir. Br J Surg 83: 1138-1143 https://doi.org/10.1002/bjs.1800830835
  15. Ministry of Health and Welfare (1999): Report on 1998 National Health and Nutrition Survey
  16. Moon SJ, Jeon HJ, Kirn YH (1991): A study on dietary intakes and body fat of the male / female sthletic and nonathletic university students. Korean J Nutrition 124(2): 104-113
  17. National Cancer Center (2004): Cancer Registry and Statistics in Korea / Cancer Statistics http://www.ncc.re.kr
  18. Noh SH. Yoo CH, Kim YI, Kim CB, Min JS. Lee KS (1998): Results after Gastrectomy of 2,603 Patients with Gastric Cancer: Analysis of Survival Rate and Prognostic Factor. J Korean Surg Soc 55(2): 206-213
  19. Olbe L, Lundell L(1987): Intestinal function after total gastrectomy and possible consequences of gastric replacement. World J Surg 11: 713-719 https://doi.org/10.1007/BF01656593
  20. Park HS, Jegal YJ, Kim CK (1983): Nutritional assessment in surgical patients. J Korean Surg Soc 25(10): 1283-1289
  21. Rho ST, Kim YT, Lee SK, Han YC, Mun HS, Kim SY, Kim YJ, Lee KJ (1992); The study of anemia following gastrectomy. Korean J Internal Medicine 42(6): 751-758
  22. Stael von HC, Ibrahimbegovic E, Walther B, Akesson B (1992): Nutrient intake and biochemical markers of nutritional status during long-term follow-up after total and partial gastrectomy. Eur J Clin Nutr 46: 265-272
  23. Weimann A, Meyer HJ, Muller MJ (1992): Significance of preoperative weight loss for perioperative in patients with tumors of the upper gastrointestinal tracts. Langenbecks Arch Chir 377: 45-52
  24. Wu CW, Hsieh MC, Lo SS, Lui WY, P'eng FK (1997): Quality of life of patients with gastric adenocarcinoma after curative gastrectomy. World Surg 21: 777-782 https://doi.org/10.1007/s002689900305
  25. Yang EJ, Kim WY (1993): A Study on Dietary Factors Related to the Incidence of Stomach Cancer and Colon Cancer in Korean. Korean J Nutrition 26(5): 603-614
  26. Yoon EY (2004): Dietary risk factors of gastric cancer nutrition intervention. Korean J Community Nutrition 9(3): 53-365
  27. Young GA, Chem C, Hill GS(1978): Assessment of protein calorie malnutrition in surgical patients from plasma protein and anthropometric measurements. Am J Clin Nutr 31: 429-435 https://doi.org/10.1093/ajcn/31.3.429
  28. Yu HJ, YangHK, Kim JP (1996): Comparison of nutritional status after subtotal gastrectomy according to reconstruction methods. J. Korean Cancer Assoc 28(4): 710-717