The Cause of Postgastrectomy Steatorrhea

Polak, Monika; Pontes, José Fernandes

doi:10.1016/s0016-5085(56)80111-x

Cited by 27 publications

(1 citation statement)

References 11 publications

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“…Nevertheless, Polak and Pontes (1956) showed that ox bile extract reduced the steatorrhoea to normal )DY WEIGHT Only levels in five patients with total gastrectomy and rage faecal fat level four patients with subtotal gastrectomy, while I lost weight since pancreatin had no effect. Further investigation of ad increased their biliary and hepatic function after vagotomy seems warranted.…”

Section: Methodsmentioning

confidence: 95%

Steatorrhoea and diarrhoea after vagotomy: a comparison of drainage procedures

Logan¹

1964

Gut

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Section: Methodsmentioning

confidence: 95%

Steatorrhoea and diarrhoea after vagotomy: a comparison of drainage procedures

Logan¹

1964

Gut

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Nutrition After Gastric Resection

Vanamee¹

1960

JAMA

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Nutritional impairment often occurs after gastrectomy. In a recent review article, Randall 1 estimated that about one-half of all patients subjected to subtotal gastrectomy have sufficient nutritional problems to prevent their regaining normal preoperative weight, and from 2 to 10% are severely disabled as a result of their operation. With total gastrectomy, at least two-thirds of the patients have nutritional problems, one-third of which are severe. Few such patients regain their preoperative weight. Nutritional impairment after gastrectomy implies either inadequate intake of food, malabsorption of ingested food, increased metabolic requirements, or a combination of all of these factors. The object of this discussion is to evaluate each of these factors in order to present a more comprehensive program for care of the nutritionally disabled patient after gastrectomy.Inadequate Intake of Food There is evidence that gastrectomized patients eat far less than they did prior to surgery. In a study of 35 patients who underwent subtotal gastrectomy, MacLean and co-workers 2 estimated a 20 to 35% decrease in oral intake after operation.In a careful dietary analysis of 40 symptomatic patients subjected to subtotal gastrectomy and 20 patients subjected to total gastrectomy, Roberts and associates :1 found that most patients had an intake of less than 1,800 calories per day and only eight ingested more than 2,200 calories per day. It is necessary to take an actual dietary history to obtain evidence of inadequate intake, since the average patient gives an inaccurate history of intake unless specifically questioned.A number of reasons may account for this decrease in dietary intake. Ablation of the stomach will abolish hunger contractions and hence decrease interest in food. A small remaining gastric pouch after subtotal gastrectomy, if it behaves as a reser-From the Division of Experimental Surgery and Physiology, Sloan\x=req-\ Kettering Institute.

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Magen

Wänke¹

1971

Spezielle Pathologische Anatomie

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The Cause of Postgastrectomy Steatorrhea

Cited by 27 publications

References 11 publications

Steatorrhoea and diarrhoea after vagotomy: a comparison of drainage procedures

Steatorrhoea and diarrhoea after vagotomy: a comparison of drainage procedures

Nutrition After Gastric Resection

Magen

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