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Bone disorder following partial and total gastrectomy with reference to bone mineral content

The Japanese journal of surgery volume 16, pages 98–105 (1986)Cite this article

Abstract

To study post-gastrectomy metabolic bone disorders, we measured the radial bone mineral content (BMC), serum levels of calcium, inorganic phosphorus, alkaline phosphatase, and 25-hydroxyvitamin D(25-OH-D) in 59 patients with partial- and 39 patients with total gastrectomy. Total gastrectomy patients manifested a higher incidence of decreased BMC levels than did partial gastrectomy patients (56 per centvs. 25 per cent). Patients subjected to the Billroth II procedure, especially females, manifested abnormally low BMC values. The decline in BMC was age-related; it was pronounced in females. At 10 years postoperatively, many of the partial gastrectomy patients manifested markedly low BMC levels; in totally gastrectomized patients this finding was made at less than 5 years postoperatively. Approximately 30 per cent of our patients showed abnormalities in serum minerals, alkaline phosphatase or 25-OH-D.

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Affiliations

  1. Orthopedic Department of Surgery, School of Medicine, Tottori University, 36-1 Nishimachi, 683, Yonago, Japan

    Hideaki Kishimoto & Kichizo Yamamoto

  2. The First Department of Surgery, School of Medicine, Tottori University, 36-1 Nishimachi, 683, Yonago, Japan

    Okitsugu Nishimura MD, Toyokazu Furumoto, Kimiyasu Nosaka, Kikuhiro Kouno, Manabu Sumikawa, Toshiko Hisaki, Toshinari Odachi, Kiyoshi Mizumoto & Shigemasa Koga

Authors
  1. Okitsugu Nishimura MD
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  2. Toyokazu Furumoto
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  3. Kimiyasu Nosaka
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  4. Kikuhiro Kouno
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  5. Manabu Sumikawa
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  6. Toshiko Hisaki
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  7. Toshinari Odachi
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  8. Kiyoshi Mizumoto
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  9. Hideaki Kishimoto
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  10. Kichizo Yamamoto
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  11. Shigemasa Koga
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Nishimura, O., Furumoto, T., Nosaka, K. et al. Bone disorder following partial and total gastrectomy with reference to bone mineral content. The Japanese Journal of Surgery 16, 98–105 (1986). https://doi.org/10.1007/BF02471078

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  • DOI: https://doi.org/10.1007/BF02471078

Key Words

  • gastrectomy
  • bone mineral content
  • serum minerals
  • vitamin D