NUTRITIONAL CONSEQUENCES OF TOTAL GASTRECTOMY : THE RELATIONSHIP BETWEEN MODE OF RECONSTRUCTION, POSTPRANDIAL SYMPTOMS, AND BODY COMPOSITION

作者: H. J. Meyer , R. Pichlmayr , A. Weimann , J. Miholic , M. J. Müller

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摘要: Body composition, postprandial symptoms, and social performance were assessed in 41 patients who free of tumors 16 to 63 months (median, months) after total gastrectomy with Roux-en-Y esophagojejunostomy (n = 15) or jejunal interposition 26). There no significant differences respect age, sex, initial tumor stage, interval since operation, premorbid weight/height2 (body mass index). The lowest postoperative body index (BMI) was 72% +/- 3% the preillness BMI reconstruction 79% 2% (p less than 0.05). At time study relative 88% but only 81% 0.01). Muscle lean estimated from anthropometric bioelectric impedance measurements correlated sex 0.0001) mode 0.02) independently, which confirmed by multiple linear regression. symptoms not significantly associated changes composition except for an inverse relationship between Sigstad's dumping score extracellular mass/body cell ratio (r 0.553; p 0.0002). Of under 60 years 10 15 two eight back at work 0.057). persons had resumed their a higher (90% vs 82% 3%), (53 3 kg 46 kg), muscle (25 2 21 1 kg) early retirement. We concluded that preserving duodenal transit should be main objective gastric replacement gastrectomy.

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