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Results of a nationwide questionnaire-based survey on nutrition management following gastric cancer resection in Japan

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Abstract

Purpose

A study was conducted to clarify the actual status of nutrition management after gastric cancer surgery in Japan and obtain basic data for optimizing perioperative nutrition management.

Methods

A questionnaire was sent to 354 hospitals with at least 50 cases of gastric cancer surgery per year. Questions included the perioperative nutrition management and length of hospital stay for patients who underwent gastric cancer surgery within three months of the survey.

Results

Responses were obtained from 242 hospitals (68%; 20,858 patients). Nutrition management was consistent between laparotomy and laparoscopic surgery for 84% of respondents. The number of postoperative days was the most commonly chosen index for starting oral feeding. The most commonly chosen index for hospital dischargeability was diet composition/amount consumed in 182 hospitals (44%), followed by laboratory data stabilization in 106 hospitals (26%), and the number of postoperative days in 87 hospitals (21%). A positive correlation was found between the mean length of postoperative hospital stay and starting oral feeding (r = 0.23 for distal gastrectomy; r = 0.34 for total gastrectomy). The length of hospital stay tended to be shorter with an earlier start of oral feeding (p < 0.01).

Conclusion

Early postoperative oral feeding may be a factor in reducing the length of hospital stay after gastric cancer surgery.

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Acknowledgements

The authors thank the medical institutions listed in the Online Resource for their cooperation in the study. This study was conducted on a research contract from EN Otsuka Pharmaceutical Co., Ltd.

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Authors and Affiliations

  1. Department of Surgery, International University of Health and Welfare, Sanno Hospital, 8-10-16, Akasaka, Minato-ku, Tokyo, 107-0052, Japan

    Nobuyuki Shimizu

  2. Department of Gastrointestinal Surgery, Metabolic Care and Endocrine Surgery, University of Tokyo Hospital, Tokyo, Japan

    Nobuyuki Shimizu, Fumihiko Hatao, Susumu Aikou, Yukinori Yamagata, Kazuhiko Mori, Hiroharu Yamashita, Sachiyo Nomura & Yasuyuki Seto

  3. Surgical Center, University of Tokyo Hospital, Tokyo, Japan

    Kazuhiko Fukatsu

Authors
  1. Nobuyuki Shimizu
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  2. Fumihiko Hatao
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  3. Kazuhiko Fukatsu
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  4. Susumu Aikou
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  5. Yukinori Yamagata
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  6. Kazuhiko Mori
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  7. Hiroharu Yamashita
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  8. Sachiyo Nomura
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  9. Yasuyuki Seto
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Corresponding author

Correspondence to Nobuyuki Shimizu.

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Conflict of interest

The authors and corresponding authors have no conflicts of interest for EN Otsuka Pharmaceutical Co., Ltd.

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Shimizu, N., Hatao, F., Fukatsu, K. et al. Results of a nationwide questionnaire-based survey on nutrition management following gastric cancer resection in Japan. Surg Today 47, 1460–1468 (2017). https://doi.org/10.1007/s00595-017-1552-4

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  • DOI: https://doi.org/10.1007/s00595-017-1552-4

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