Postgastrectomy Syndromes and Nutritional Considerations Following Gastric Surgery.

Jeremy L Davis, R Taylor Ripley

Journal: The Surgical clinics of North America 2017;97(2):277-293

PMID: 28325187

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Abstract

Postgastrectomy syndromes result from altered form and function of the stomach. Gastrectomy disrupts reservoir capacity, mechanical digestion and gastric emptying. Early recognition of symptoms with prompt evaluation and treatment is essential. Many syndromes resolve with minimal intervention or dietary modifications. Re-operation is not common but often warranted for afferent and efferent loop syndromes and bile reflux gastritis. Preoperative nutritional assessment and treatment of common vitamin and mineral deficiencies after gastrectomy can reduce the incidence of chronic complications. An integrated team approach to risk assessment, patient education, and postoperative management is critical to optimal care of patients with gastric cancer.

Published by Elsevier Inc.

Address: Surgical Oncology Section, Thoracic & Gastrointestinal Oncology Branch, National Cancer Institute, 10 Center Drive, MSC1201, Room 4-3940, Bethesda, MD 20892, USA. Electronic address: [email protected].; Surgical Oncology Section, Thoracic & Gastrointestinal Oncology Branch, National Cancer Institute, 10 Center Drive, MSC1201, Room 4-3940, Bethesda, MD 20892, USA.

DOI: 10.1016/j.suc.2016.11.005

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MeSH Terms: Afferent Loop Syndrome, Anastomosis, Roux-en-Y, Bile Reflux, Diarrhea, Dietary Supplements, Dumping Syndrome, Gastric Emptying, Gastric Stump, Gastritis, Gastroparesis, Humans, Malnutrition, Postgastrectomy Syndromes, Reoperation