Postgastrectomy Syndromes and Nutritional Considerations Following Gastric Surgery

被引：81

作者：

Davis, Jeremy L. ^{[1
]}

Ripley, R. Taylor ^{[1
]}

机构：

[1] NCI, Surg Oncol Sect, Thorac & Gastrointestinal Oncol Branch, 10 Ctr Dr,MSC1201,Room 4-3940, Bethesda, MD 20892 USA

来源：

SURGICAL CLINICS OF NORTH AMERICA | 2017年 / 97卷 / 02期

关键词：

Postgastrectomy syndromes; Nutritional deficiencies; Dumping; Bile reflux; Roux-en-Y; ROUX-EN-Y; ALKALINE REFLUX GASTRITIS; AFFERENT LOOP SYNDROME; QUALITY-OF-LIFE; VASOACTIVE INTESTINAL PEPTIDE; DUODENAL SWITCH OPERATION; SEVERE DUMPING SYNDROME; IRON-DEFICIENCY ANEMIA; PARTIAL GASTRECTOMY; WEIGHT-LOSS;

D O I：

10.1016/j.suc.2016.11.005

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

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.

引用

页码：277 / +

页数：19

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