Abstract
Seven partially gastrectomized (Billroth II) patients were studied. The following indications of possible postgastrectomy calcium deficiency were found: (1) Increased retention of orally administered47Ca given as CaCl2; (2) low urinary calcium excretion; and (3) decreased bone salt density. The increased retention of Ca was inhibited, when the isotope was given in milk or food. The retention of calcium from milk was the same in gastrectomized and in normal control subjects. The increased retention of47CaCl2 in gastrectomized patients is interpreted as a sign of calcium deficiency. This deficiency might have been caused by malnutrition, and an inability to absorb increased amounts of calcium from food.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Arman E, Reizenstein P: Studies in the dumping syndrome. IV. Effect of calcium therapy on calcium metabolism and osteopenia in gastrectomized patients. Amer J Dig Dis 14:153–162, 1969
Sjöberg HE, Reizenstein P: Nutritional studies in the dumping syndrome. III. Retention of orally administered47Ca in patients after gastrectomy. Amer J Dig Dis 12:1156–1159, 1967
Sjöberg HE, Reizenstein P, Arman E: Retention of orally administered47Ca in man as measured in a whole-body counter. Scand J Clin Lab Invest (in press)
Hanngren Å, Hedenstedt S, Reizenstein P: Nutritional studies in the dumping syndrome. I. Subjects with postcibal symptoms. Amer J Dig Dis 12:71–80, 1967
Reizenstein P: Errors and artefacts in serum folic-acid assays. Acta Med Scand 178:133–139, 1965
Reizenstein P: Radio-B12 in the diagnosis of pernicious anemia. Nord Med (Abst) 61:65–66, 1959
Kramer B, Tisdall F: A simple technique for the determination of calcium and magnesium in small amounts of serum. J Biol Chem 47:475–481, 1921
Simonsen DG, Wertman M, Westover L, et al: The determination of serum phosphate by the molybdivanadate method. J Biol Chem 166:747–755, 1946
Jacobson B: X-ray spectrophotometryin vivo. Amer J Roentgen 91:202–210, 1964
Reizenstein P, Karlsson HÅ: Clinical whole-body counting. I. Whole-body scanning with two crystals. Acta Radiol (Stockholm) 4:209–220, 1966
Arman E, Carlström A, Kjellberg J, et al: To be published. (Presented to Scand. Soc. Gastroenterology, Nyslott, Finland, 1969).
Deller DJ, Worthley BW, Martin H: Measurement of calcium-47 absorption by whole-body gamma spectrometry. Australasian Ann Med 14:223–231, 1965
Deller DJ: Radiocalcium absorption after partial gastrectomy. Amer J Dig Dis 11: 10–19, 1966
Patton MB: Further experiments on the utilization of calcium from salts by college women. J Nutrition 55:519–526, 1955
Sack H: Die Bestimmung der Kalziumresorption mit Radioisotopen, Radioaktive Isotopen in Klinik und Forschung VIII: 174–177, 1968
Ekbom K, Hed R: Calcium studies in partially gastrectomized patients with special reference to the oral intake of calcium. Acta Med Scand 178:193–201, 1965
Ekbom K, Hed R: Disordered calcium metabolism after partial gastrectomy. Surgery Digest 2:9–12, 1967
Author information
Authors and Affiliations
Additional information
Supported by Sandoz AG, Basel, and the Ekhaga Foundation.
Rights and permissions
About this article
Cite this article
Arman, E., Nilsson, L.H. & Reizenstein, P. Studies in the dumping syndrome. Digest Dis Sci 15, 455–462 (1970). https://doi.org/10.1007/BF02283875
Issue Date:
DOI: https://doi.org/10.1007/BF02283875