[Treatment of bone disease caused by gastrectomy].
Gastrectomy is undergone mainly in patients with gastric cancer. Bone diseases(osteoporosis and osteomalacia)caused by gastractomy are associated with weight loss, calcium and vitamin D inadequancy, and malnutrition. Most patients after gastrectomy have multile risk factors of bone diseases and subsequently are at a higher risk for fractures. In particular, sex hormone deficiency and aging enhance the risk for fractures. The management of bone diseases caused by gastraectomy include adequet intake of calcium, vitamin D and protein, sunlight exposure, and regular weight-bearing exercise, as well as non-smoking and avoiding excess alcohol drinking. The patients at a high risk for fractures shoud be treated with bisphosphonates.
Institute for Integrated Sports Medicine, Keio University School of Medicine, Japan.
Jun
J
Iwamoto
D015519:Bone Density; D001847:Bone Diseases / Q000150:complications / Q000453:epidemiology / Q000517:prevention & control*; D019587:Dietary Supplements; D005081:Exercise Therapy; D050723:Fractures, Bone / Q000517:prevention & control*; D005743:Gastrectomy / Q000009:adverse effects*; D006801:Humans