title: Food intake after gastrectomy for gastric carcinoma: the role of a gastric reservoir.
abstract: Patients with carcinoma of the stomach who underwent curative resection were randomized to total gastrectomy (n = 49), total gastrectomy and an S-shaped gastric substitute (n = 28) or subtotal gastrectomy (n = 12); all had a Roux-en-Y reconstruction. The gastric substitute and gastric remnant allowed a volume of 400-500 ml to be installed without increments in basal pressures. The corresponding volume in the Roux limb was 100 ml. Energy intake was approximately 120 kJ/kg preoperative weight per day 3 months after operation, and then remained constant. Patients who had subtotal gastrectomy ate less (91.7 kJ/kg preoperative weight) 3 months after operation, but thereafter increased their intake. Patients allocated to have a gastric pouch or subtotal gastrectomy complained more frequently of adverse postprandial symptoms (P < 0.03) as a major cause of reduced calorie intake. The construction of a gastric reservoir did not improve nutritional adaptation after surgery for gastric carcinoma.
authors.affiliation: Department of Surgery, University of Gothenburg, Sweden.
authors.forename: B
authors.initials: B
authors.lastname: Liedman
authors.forename: H
authors.initials: H
authors.lastname: Andersson
authors.forename: B
authors.initials: B
authors.lastname: Berglund
authors.forename: I
authors.initials: I
authors.lastname: Bosaeus
authors.forename: I
authors.initials: I
authors.lastname: Hugosson
authors.forename: L
authors.initials: L
authors.lastname: Olbe
authors.forename: L
authors.initials: L
authors.lastname: Lundell
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000713:Anastomosis, Roux-en-Y; D004435:Eating; D002149:Energy Intake; D005260:Female; D005743:Gastrectomy / Q000379:methods*; D006801:Humans; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D011182:Postoperative Care; D013274:Stomach Neoplasms / Q000503:physiopathology / Q000601:surgery*; D013997:Time Factors