Youn So Young, Kim Bo Eun, Kim Eun Mee
Department of Dietetics, Samsung Medical Center, Seoul 06351, Korea.
Clin Nutr Res. 2023 Jan 26;12(1):1-6. doi: 10.7762/cnr.2023.12.1.1. eCollection 2023 Jan.
Gastrectomy is the most effective method of treating gastric cancer, but it is commonly associated with weight loss, nutritional deficiencies, and the increased risk of malnutrition due to post-surgery complications, including gastric stasis, dumping syndrome, malabsorption, and maldigestion. Malnutrition is a risk factor for postoperative complications and poor prognosis. To prevent it and guarantee a quick recovery after surgery, continuous and individualized nutrition intervention should be performed both before surgery and postoperatively. The Department of Dietetics at Samsung Medical Center (SMC) performed nutritional status assessment before gastrectomy, initial nutritional assessment within 24 hours of admission, description of therapeutic diet after surgery, nutrition counselling before discharge, and nutritional status assessment and individual nutrition counselling after 1, 3, 6, and 12 months from surgery. This is a case report of a patient who underwent gastrectomy as well as intensive nutrition intervention in SMC.
胃切除术是治疗胃癌最有效的方法,但由于术后并发症,包括胃潴留、倾倒综合征、吸收不良和消化不全,它通常与体重减轻、营养缺乏以及营养不良风险增加有关。营养不良是术后并发症和预后不良的危险因素。为预防营养不良并确保术后快速康复,术前和术后均应进行持续且个性化的营养干预。三星医疗中心(SMC)营养科在胃切除术前进行营养状况评估,入院24小时内进行初始营养评估,描述术后治疗饮食,出院前进行营养咨询,并在术后1、3、6和12个月进行营养状况评估和个体营养咨询。这是一例在SMC接受胃切除术及强化营养干预的患者的病例报告。