Nutrition after gastric resection for peptic ulcer

Abstract

Summary A study of 110 patients from 2 to 7 years after gastric resection for peptic ulcer showed 41.8 per cent to be underweight. Approximately one-third had dumping symptoms, which were severe in 2 patients and moderate in 10. In those underweight, a number of causes for the malnutrition were noted, but inadequate intake and impaired digestion appeared to be the major factors. A careful dietary history was of considerable aid in directing the patients to a regimen designed to improve nutrition and avoid dumping symptoms. This consisted of a return to or toward a normal diet, increased fat and decreased carbohydrate intake, limitation of fluids with meals, and multiple feedings when required to reach adequate caloric intake.