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Digestive and nutritional status after total gastrectomy with a long Roux‐en‐Y reconstruction
Author(s) -
SMITH ROSS C.,
HOLLINSHEAD JOHN,
EADE YVONNE L.,
HOLLOWAY RICHARD,
GILLETT DAVID J.
Publication year - 1988
Publication title -
journal of gastroenterology and hepatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.214
H-Index - 130
eISSN - 1440-1746
pISSN - 0815-9319
DOI - 10.1111/j.1440-1746.1988.tb00247.x
Subject(s) - medicine , gastrectomy , asymptomatic , gastroenterology , creatinine , malabsorption , body mass index , surgery , cancer
Nineteen patients underwent clinical and nutritional review 1–5.5 years after gastrectomy and long Roux‐en‐Y jejunal reconstruction. Of these, 79% had little or no restriction of daily activity and only one patient became housebound. Although body weight was only maintained at postoperative levels, body protein status, as measured by arm muscle circumference, creatinine height index and plasma proteins, was normal. Body fat stores were reduced, indicating that fat or carbohydrate digestion was impaired. Mild asymptomatic anaemia in six patients was due to iron deficiency in three and folate deficiency in three. Eight patients had low red cell folate values and these patients had low folic acid intakes. It is concluded that a total gastrectomy using a long Roux‐en‐Y loop is usually associated with a satisfactory nutritional and digestive outcome but long‐term supplements of iron and folic acid should be taken.