J.Jpn. Surg. Soc.. 89(9): 1414-1417, 1988
Report on the annual meeting
NUTRITIONAL ASSESSMENTS IN THE LONG-TERM SURVIVORS FOLLOING MASSIVE RESECTION OF THE SMALL INTESTINE
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The 1st Department of Surgery, Niigata University School of Medicine, Niigata, Japan Katsuyoshi Hatakeyama, Yukio Oda, Satoshi Shimoda, Yuichiro Inoue, Yoichi Yamadera, Yasuo Sakai, Terukazu Muto |
Prealbumin, retinol binding protein and zinc in serum and arm muscle circumference were significantly lower than the normal range. Serum albumin had a tendency to correlate to the length of the remaining small intestine. Nutritional risk index had a correlation with the length of the remaining small intestine.
In this study, nutritional assessments in the patients with a massive resection of the small intestine indicated to be in preclinical malnutritional state. This may support that supplementary nutritional therapy is necessary for such patients.
In addition, we reported a patient with sensory polyneuropathy caused by vitamin E deficiency due to short bowel syndrome. The level of vitamin E was low in his serum, 294μg/dl(normal: 1004±65)and in his red blood cellls, 136μg/dl(normal: 176±9). His symptom was markedly decreased within two weeks after the administration of large doses of vitamin E.
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