2022 Volume 4 Issue 3 Pages 117-123
Aim: The purpose of the study was to examine the incidence of anemia and the nutrient sufficiency associated with anemia one year after gastrectomy for patients with gastric cancer.
Subjects and Methods: The subjects were 100 patients who underwent gastrectomy for gastric cancer at our hospital from December 2016 to April 2020 and had a follow-up examination one year later. Anemia status and iron, vitamin B12, zinc, and folic acid levels and the effects of food passing through the duodenum were compared for subjects who underwent total or remnant gastrectomy.
Results: Patients who underwent total gastrectomy had low hemoglobin, poor nutrition, and low serum iron, zinc, and vitamin B12 levels. Similar results and a higher red blood cell distribution width (RDW) were obtained in patients who underwent duodenum bypass reconstruction. Cases with low ferritin and vitamin B12 had microcytic anemia, hypopigmentation, and a high RDW. Serum zinc and iron levels were weakly positively correlated, but zinc and ferritin levels were not correlated.
Conclusion: Many anemia-related nutrient deficiencies were present at one year after gastrectomy for gastric cancer. This situation needs to be kept in mind in diagnosis and management of this disease.
