老年与非老年胃癌患者胃切除术后饮食摄入丢失的比较。

The Comparison of the Dietary Intake Loss Between Elderly and Non-Elderly Patients After Gastrectomy for Gastric Cancer.

机构信息

Department of Gastrointestinal Surgery, Kanagawa Cancer Center, 2-3-2 Nakao, Asahi-ku, Yokohama, 241-8515, Japan.

Department of Surgery, Yokohama City University, Yokohama, Japan.

出版信息

J Gastrointest Cancer. 2023 Mar;54(1):35-43. doi: 10.1007/s12029-021-00776-x. Epub 2022 Jan 3.

DOI:10.1007/s12029-021-00776-x

PMID:34978046

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10182928/

Abstract

BACKGROUND/AIM: The present study quantified the changes in the dietary and nutritional intake after gastrectomy between elderly and non-elderly patients.

PATIENTS AND METHODS

This prospective observational study enrolled patients who underwent curative gastrectomy for gastric cancer.

RESULTS

Twenty-three patients ≥ 75 years old were classified into the elderly group, and 127 patients < 75 years old were classified into the non-elderly group. The respective median % dietary intake losses at 1 and 3 months postoperatively were -12.4% and -5.3% in the elderly group and -8.3% and -2.8% in the non-elderly group (p = 0.075 and 0.080). On comparing the intake loss of three major nutrients, the respective median % lipid intake losses at 1 and 3 months postoperatively were -13.5% and -5.8% in the elderly group and -7.3% and 0% in the non-elderly group (p = 0.029 and 0.045).

CONCLUSION

Our results suggested that elderly patients experienced more serious lipid intake loss after gastrectomy than non-elderly patients.

摘要

背景/目的：本研究定量分析了老年和非老年胃癌患者胃切除术后饮食和营养摄入的变化。

方法

本前瞻性观察研究纳入了接受根治性胃切除术的胃癌患者。

结果

23 名年龄≥75 岁的患者被归入老年组，127 名年龄<75 岁的患者归入非老年组。老年组术后 1 个月和 3 个月的膳食摄入量分别减少了-12.4%和-5.3%，非老年组分别减少了-8.3%和-2.8%（p=0.075 和 0.080）。比较三大营养素的摄入量损失，老年组术后 1 个月和 3 个月的脂肪摄入量分别减少了-13.5%和-5.8%，而非老年组分别减少了-7.3%和 0%（p=0.029 和 0.045）。