Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Observational Study
. 2021 Jul-Aug;35(4):2369-2377.
doi: 10.21873/invivo.12514.

Comparison of the Dietary Intake Loss Between Total and Distal Gastrectomy for Gastric Cancer

Masato Nakazono  1   2 , Toru Aoyama  3   2 , Tsutomu Hayashi  1 , Kentaro Hara  1 , Kenki Segami  1   2 , Yota Shimoda  1 , Shinsuke Nagasawa  1 , Yuta Kumazu  1 , Takanobu Yamada  1 , Hiroshi Tamagawa  2 , Manabu Shiozawa  1 , Soichiro Morinaga  1 , Yasushi Rino  2 , Munetaka Masuda  2 , Takashi Ogata  1 , Takashi Oshima  1
Affiliations
Observational Study

Comparison of the Dietary Intake Loss Between Total and Distal Gastrectomy for Gastric Cancer

Masato Nakazono et al. In Vivo. 2021 Jul-Aug.

Abstract

Background/aim: The changes of dietary intake (DI) after gastrectomy have not been objectively reported. It has not been clear how much DI loss is experienced after total gastrectomy (TG) in comparison to after distal gastrectomy (DG). This study quantified the changes of DI after gastrectomy, and clarified how much DI loss is experienced after TG.

Patients and methods: This was a prospective observational study. Patients who underwent gastrectomy for gastric cancer were enrolled. The DI loss was evaluated at 1 and 3 months postoperatively.

Results: Thirty-three patients underwent TG, and 117 patients underwent DG. The median %DI loss of the overall study population at 1 and 3 months after surgery was -9.3% and -3.6%. The median %DI loss at 1 and 3 months postoperatively was -15.6% and -5.3% in TG group, -8.9% and -3.3% in DG group (p=0.10 and 0.49, respectively).

Conclusion: The patients experienced DI loss of approximately 10% at 1 month after gastrectomy. Patients who received TG tended to show a greater %DI loss at 1 month postoperatively.

Keywords: Gastric cancer; body weight; dietary intake; gastrectomy; nutrition status..

PubMed Disclaimer

Conflict of interest statement

The Authors declare no competing interests in association with the present study.

Figures

Figure 1
Figure 1. Rate of decrease in dietary intake (%) in the total gastrectomy (TG) and distal gastrectomy (DG) groups.
Figure 2
Figure 2. Rate of decrease in body weight (%) in the total gastrectomy (TG) and distal gastrectomy (DG) groups.
Figure 3
Figure 3. Scatter plot between the dietary intake and the body weight before surgery.
Figure 4
Figure 4. Scatter plot between the rate of decrease of dietary intake at 1 month postoperatively and the rate of decrease of body weight at 1 month postoperatively.
Figure 5
Figure 5. Scatter plot between the rate of decrease of dietary intake at 1 month postoperatively and the rate of decrease of body weight at 3 months postoperatively.
See this image and copyright information in PMC

References

    1. Japanese Gastric Cancer Association Japanese gastric cancer treatment guidelines 2014 (ver. 4) Gastric Cancer. 2017;20(1):1–19. doi: 10.1007/s10120-016-0622-4. - DOI - PMC - PubMed
    1. Waddell T, Verheij M, Allum W, Cunningham D, Cervantes A, Arnold D. Gastric cancer: ESMO-ESSO-ESTRO Clinical Practice Guidelines for diagnosis, treatment and follow-up. Radiother Oncol. 2014;110(1):189–194. doi: 10.1016/j.radonc.2013.09.015. - DOI - PubMed
    1. Yoshikawa T, Rino Y, Yukawa N, Oshima T, Tsuburaya A, Masuda M. Neoadjuvant chemotherapy for gastric cancer in Japan: a standing position by comparing with adjuvant chemotherapy. Surg Today. 2014;44(1):11–21. doi: 10.1007/s00595-013-0529-1. - DOI - PubMed
    1. Liedman B, Andersson H, Bosaeus I, Hugosson I, Lundell L. Changes in body composition after gastrectomy: results of a controlled, prospective clinical trial. World J Surg. 1997;21(4):416–20. doi: 10.1007/pl00012264. discussion 420-1. - DOI - PubMed
    1. Fein M, Fuchs KH, Thalheimer A, Freys SM, Heimbucher J, Thiede A. Long-term benefits of Roux-en-Y pouch reconstruction after total gastrectomy: a randomized trial. Ann Surg. 2008;247(5):759–765. doi: 10.1097/SLA.0b013e318167748c. - DOI - PubMed

Publication types

LinkOut - more resources