抄録
In order to study the nutritional assessment after total gastrectomy, 131I-triolein and vitamin B12 absorption tests were performed and other parameters were measured over ten years from the viewpoints of reconstruction procedures performed, aging of the patients and pathological stage of gastric cancer. The following results were ascertained.
1) A significant hindrance in fat and vitamin B12 absorption was occurred after total gastrectomy.
2) Reconstruction method after total gastrectomy and aging of the patients affect upon the nutritional status after the surgery.
3) The recovery of each chemical and/or physical parameter was delayed considerably and not recover to the preoperative level after the operation.
4) Postoperative malnutrition is observed immediately after the operation. In such condition, measurement of rapid turnover transport protein appears to be useful for the sensitive determination.
5) In order to improve subclinical malnutrition after total gastrectomy, powerful and positive countermeasures such as total parenteral nutrition and enteral nutrition should be applied.
