지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.95 No.4
- 발행연도
- 2018.10
- 수록면
- 192 - 200 (9page)
이용수
초록· 키워드
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Purpose: This study evaluated midterm changes in body composition after open distal gastrectomy for early gastric cancer.
Methods: Data from 138 gastric cancer patients who underwent open distal gastrectomy at Kyungpook National University Chilgok Hospital between January 2011 and December 2012 were collected and reviewed. Patients with pathological stage I gastric cancer and with no comorbidities at diagnosis were enrolled. Body composition data from segmental multifrequency bioelectrical impedance analysis were obtained preoperatively and at 1, 2, and 3 years after surgery.
Results: The mean body weight losses at 1 and 3 years after surgery were 6.1 kg and 5.8 kg, respectively (P < 0.001). The protein mass, skeletal muscle mass, and fat-free mass decreased continuously until 3 years after surgery (0.5 kg, 1.6 kg, and 2.4 kg, respectively; P < 0.001). The average body fat mass and visceral fat area loss at 1 year after surgery were 4.7 kg and 20.5 ㎠, respectively (P < 0.001). After 1 postoperative year, the body fat mass and visceral fat areas increased continuously, up to 12.2 kg and 74.2 ㎠ at 3 years after surgery, respectively (+1.4 kg and +1.2 ㎠, respectively).
Conclusion: More intense nutritional and exercise programs may be important after gastric cancer surgery, especially during the first postoperative year.
Methods: Data from 138 gastric cancer patients who underwent open distal gastrectomy at Kyungpook National University Chilgok Hospital between January 2011 and December 2012 were collected and reviewed. Patients with pathological stage I gastric cancer and with no comorbidities at diagnosis were enrolled. Body composition data from segmental multifrequency bioelectrical impedance analysis were obtained preoperatively and at 1, 2, and 3 years after surgery.
Results: The mean body weight losses at 1 and 3 years after surgery were 6.1 kg and 5.8 kg, respectively (P < 0.001). The protein mass, skeletal muscle mass, and fat-free mass decreased continuously until 3 years after surgery (0.5 kg, 1.6 kg, and 2.4 kg, respectively; P < 0.001). The average body fat mass and visceral fat area loss at 1 year after surgery were 4.7 kg and 20.5 ㎠, respectively (P < 0.001). After 1 postoperative year, the body fat mass and visceral fat areas increased continuously, up to 12.2 kg and 74.2 ㎠ at 3 years after surgery, respectively (+1.4 kg and +1.2 ㎠, respectively).
Conclusion: More intense nutritional and exercise programs may be important after gastric cancer surgery, especially during the first postoperative year.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (25)
참고문헌 신청
Armbrecht U / 1988 / Causes of malabsorption after total gastrectomy with Roux-en-Y reconstruction / Acta Chir Scand 154:37~41
Adams JF / 1967 / The clinical and metabolic consequences of total gastrectomy. I. Morbidity, weight, and nutrition / Scand J Gastroenterol 2:137~149
Katsube T / 2008 / Changes of nutritional status after distal gastrectomy in patients with gastric cancer / Hepatogastroenterology 55:1864~1867
Lorenzo AD / 2003 / Segmental bioelectrical impedance analysis / Curr Opin Clin Nutr Metab Care 6:551~555
Jaffrin MY / 2008 / Body fluid volumes measurements by impedance: a review of bioimpedance spectroscopy (BIS) and bioimpedance analysis (BIA) methods / Med Eng Phys 30:1257~1269
Adams JF / 1967 / The clinical and metabolic consequences of total gastrectomy. I. Morbidity, weight, and nutrition / Scand J Gastroenterol 2:137~149
Katsube T / 2008 / Changes of nutritional status after distal gastrectomy in patients with gastric cancer / Hepatogastroenterology 55:1864~1867
Lorenzo AD / 2003 / Segmental bioelectrical impedance analysis / Curr Opin Clin Nutr Metab Care 6:551~555
Jaffrin MY / 2008 / Body fluid volumes measurements by impedance: a review of bioimpedance spectroscopy (BIS) and bioimpedance analysis (BIA) methods / Med Eng Phys 30:1257~1269
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UCI(KEPA) : I410-ECN-0101-2018-514-003583642