J.Jpn. Surg. Soc.. 58(1): 131-147, 1957

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STUDY ON BASAL METABOLISM AFTER TOTAL GASTRECTOMY

Total gastrcctomy as radical treatment of gastric cancer has been perfomed more commonly during the past few years. As it is reasonable that this type of operation may produc disturbances in digestion and resorption by complete absence of gastric function, studies on the metabolisms after total gastrectomy were reported from the Tomoda's Clinic.
The author has researched the basal metabolic ratio, specific dynamic actions of proteins and carbon hydrates after total gastrectomy which would be the conclusive result of the above mentioned metabolisms. The results are summarized as follows :
1) Basal metabolic ratio has a tendency to be increased in patients with gastric cancer prior to surgery, and the basal metabolic ratio returns to normal in 4 weeks after operation. Basal metabalic ratios are within the normal limits or higher, with follow-up to two years. From three to four years, all metabolic ratios are within the normal limits and show the lowest of ratios especially after five years.
2) A postoperative in the basal metabolic ratio may be taken as a sign of a recurrence of cancer.
3) The change produced by the specific dynamic action of proteins gradually approaches the corresponding change in normal persons and becomes normal in 4 weeks after operation.
4) The change produced by the specific dynamic action of carbon hydrates is restored nearly to the normal in 3 weeks after operation.
5) These cases show no considerable changes in basal metabolic ratio by physical exertion of shorter period.
6) But, agastric patients show the value below the normal level in basal metabolic ratio when they are subjected to a continuing abnormal environment such as a rainy season.
(author's abstract)

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