摘要
AIM:To investigate the incidence and management of nutritional deficiencies following a gastrectomy.METHODS:A gastrectomy population of 227 patients in London was followed up for 30 years after operation to detect and treat nutritional deficiencies.RESULTS:By the end of the first decade iron deficiency was the commonest problem. Vitamin B(12) deficiency became more important in the second decade. During the third decade both reached equal prevalence, being found in some 90% of the female and 70% of the male residual population. Vitamin D deficiency was a lesser problem, reaching its climax in the second decade. Overall, all women fared worse than men.CONCLUSION:The importance of long-term follow-up of gastrectomy patients for iron, Vitamin B(12) and Vitamin D deficiencies is emphasised.
AIM To investigate the incidence andmanagement of nutritional deficiencies followinga gastrectomy.METHODS A gastrectomy population of 227patients in London was followed up for 30 yearsafter operation to detect and treat nutritionaldeficiencies.RESULTS By the end of the first decade irondeficiency was the commonest problem.VitaminB<sub>12</sub>deficiency became more important in thesecond decade.During the third decade bothreached equal prevalence,being found in some90% of the female and 70% of the male residualpopulation.Vitamin D deficiency was a lesserproblem,reaching its climax in the seconddecade.Overall,all women fared worse thanmen.CONCLUSION The importance of long-termfollow-up of gastrectomy patients for iron,Vitamin B<sub>12</sub>and Vitamin D deficiencies isemphasised.
