J.Jpn. Surg. Soc.. 62(5): 415-431, 1961

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STUDY ON THE CALORY-BALANCE OF THE BODY AFTER EACH OPERATION OF THE STOMACH

Since the end of the Second World War, much progress has been made in the surgery of digestive organs, especially in that of the stomach. And now total gastrectomy or that combined with the other organs is relatively easy to be performed. But lately some of these postoperative patients are often seen in low nutritional condition.
Therefore, some counter-measure must be considered to this fact by those who engaged in these operations.
So I have tried a series of experiments about the side of Calory-Balance of the the body, and it can be summarized as following.
1) No difference between normal and partial defect of stomach irrespective of the cardia, corpus or pyloric portion.
2) In the cases of total defect of stomach or combined with other organs, the digestive and absorptive function decreases nearly in relation to the defect sphere of organs, and at first low nutritional condition comes to some of them about 2~3 years after operations.
3) As the secondary influence, the basal metabolism of the case in low nutritional condition decreases little.
4) And due to the defect state of the organs and the depriciation of the digestive and absorbtive functions some changes in the curve of the movement and the depreciation of the calories of the specific dynamic action, can be seen.
5) But no significant difference in labour metabolism. Thus through the data of above-mentioned each process, the standard Calory-Requirement of the body after each operation of the stomach, can be calculated.
(Author's abstract)

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