Long-term postoperative analysis of nutritional status after limited gastrectomy for early gastric cancer.
OBJECTIVE
An examination was made of the postoperative long-term effects of limited gastrectomy (LG) on nutritional status, as one of the factors that influence quality of life.


METHODS
Nutritional status in 33 patients who underwent LG for early gastric cancer, was compared with that of 36 patients who underwent standard gastrectomy (SG). Nutritional conditions were assessed preoperatively, and then 1 and 2 weeks, 1 and 6 months, and 1, 2 and 3 years after surgery.


RESULTS
Postoperative recovery of both body weight and body fat mass was greater in LG than SG, and there were significant differences between the two groups of patients from six months after surgery until three years had elapsed.


CONCLUSIONS
LG minimized the extent of nutritional impairment during long-term recovery from surgery, as compared with SG. LG would seem to be a suitable operative procedure for some patients with mucosal gastric cancer, without reducing radicality for cancer.
First Department of Surgery, Faculty of Medicine, Tottori University Yonago, Japan.
S
S
Takahashi
M
M
Maeta
K
K
Mizusawa
T
T
Kaneko
T
T
Naka
K
K
Ashida
S
S
Tsujitani
N
N
Kaibara
D000368:Aged; D015992:Body Mass Index; D001835:Body Weight; D005260:Female; D005500:Follow-Up Studies; D005743:Gastrectomy / Q000379:methods; D006801:Humans; D008297:Male; D008875:Middle Aged; D009752:Nutritional Status; D011788:Quality of Life; D012885:Skinfold Thickness; D013274:Stomach Neoplasms / Q000601:surgery*