title: [Malnutrition after total gastrectomy].
abstract: We studied food intake and nutritional status of 28 patients who had undergone total gastrectomy for gastric cancer. At discharge, patients were instructed to keep a high protein, high calorie diet and to record food intake on a specific form, twice weekly. Nutritional follow-up, consisting in a computerized determination of dietary intake and nutritional assessment was performed monthly during the first postoperative year. The average calorie intake was 1,431.8 Kcal/day one month after operation and 2,225.4 Kcal/day one year after surgery (p less than 0.001). In particular, only one patient exceeded 2,000 Kcal/day one month after total gastrectomy, while 21 patients exceed 2,00 Kcal/day one year after operation. The evaluation of nutritional parameters in the postoperative course showed that a significant increase in body weight, serum albumin and total iron binding capacity was observed only in patients who exceed 2,000 Kcal/day one year after operation. These results indicate that malnutrition is not an inevitable consequence of total gastrectomy; in fact, a close relationship between calorie intake and the variations of nutritional parameters was observed.
authors.affiliation: Istituto Scientifico San Raffaele-Patologia Chirurgica, Università degli Studi di Milano.
authors.forename: M
authors.initials: M
authors.lastname: Braga
authors.forename: L
authors.initials: L
authors.lastname: Foppa
authors.forename: W
authors.initials: W
authors.lastname: Zuliani
authors.forename: M
authors.initials: M
authors.lastname: Cristallo
authors.forename: V
authors.initials: V
authors.lastname: Di Carlo
mesh_terms: D000328:Adult; D000368:Aged; D002149:Energy Intake; D005260:Female; D005500:Follow-Up Studies; D005743:Gastrectomy / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009748:Nutrition Disorders / Q000209:etiology*; D009752:Nutritional Status
vernacular_title: Malnutrizione dopo gastrectomia totale.