| Theme |
Clinical Problems after Gastrectomy |
| Title |
Nutrition Disorders in Postgastrectomy Patients |
| Author |
Hironori Tsujimoto |
Department of Surgery, National Defense Medical College |
| Author |
Takashi Ichikura |
Department of Surgery, National Defense Medical College |
| Author |
Naoko Sakamoto |
Department of Surgery, National Defense Medical College |
| Author |
Yoshihisa Yaguchi |
Department of Surgery, National Defense Medical College |
| Author |
Shuichi Hiraki |
Department of Surgery, National Defense Medical College |
| Author |
Takayoshi Akase |
Department of Surgery, National Defense Medical College |
| Author |
Kazuo Hase |
Department of Surgery, National Defense Medical College |
| [ Summary ] |
Both total and subtotal radical gastrectomies with D2 lymphadenectomy have been widely employed for both early and advanced gastric cancers in order to improve mortality rates in Japan. Although curative resection for malignancies is essential to improve survival rates after surgery, these surgical procedures lead to persistent functional disorders, small gastric symptoms, anemia, and nutritional disorders, resulting in diminished quality of life for the rest of the patient's life. In addition to nutritional support, several function preserving surgical procedures have been developed, such as pylorus preserving gastrectomy, jejunal pouch reconstruction, and sentinel lymph node navigation surgery. These procedures have produced favorable results. Surgeons should pay greater attention to preventing nutritional disorders to improve long term postoperative outcomes. |