Wechsler J G
Abteilung Innere Medizin II, Universität Ulm.
Leber Magen Darm. 1987 Dec;17(6):387-92.
A number of nutritional complications occur after total gastrectomy, such as protein malnutrition, dumping syndrome, diarrhoea, weight loss, iron deficiency and osteomalacia. Lack of appetite, absence of the sensation of hunger, oesophagitis, dysphagia and the limited capacity for food in most cases are the causes of suboptimal dietary intake after total gastrectomy. To avoid underweight and symptoms after gastrectomy it is necessary that all patients are seen soon after operation and at regular intervals thereafter not only by physicians but by dietitians additionally.
全胃切除术后会出现多种营养并发症，如蛋白质营养不良、倾倒综合征、腹泻、体重减轻、缺铁和骨软化症。食欲不振、无饥饿感、食管炎、吞咽困难以及在大多数情况下食物容纳量有限，是全胃切除术后饮食摄入不足的原因。为避免胃切除术后体重过轻和出现症状，所有患者不仅术后应尽快就诊，且此后要定期接受医生和营养师的检查。
