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American Journal of Clinical Nutrition, Vol 4, 51-60, Copyright © 1956 by The American Society for Clinical Nutrition, Inc.

Metabolism in Surgical Patients

II. FAT AND MINERAL METABOLISM IN TOTALLY GASTRECTOMIZED PATIENTS

MORTON K. SCHWARTZ PH.D.1, OSCAR BODANSKY M.D.1, and HENRY T. RANDALL M.D.1

1 From the Surgical Metabolism Section, Division of Experimental Surgery, Sloan-Kettering Institute; the Department of Surgery, Memorial Center; and the Sloan-Kettering Division, Cornell University Medical College, New York

Eight of nine totally gastrectomized patients showed a high excretion of fecal fat. Seven of these were systematically studied for 15 three-day metabolic periods from four months to five years following operation. The regression line representing the relationship between fat intake and excretion was significantly different from that in normal persons. The average fecal fat excretion, 20.2 per cent of the intake, was significantly higher than that calculated from normal persons.

The metabolism of calcium, phosphorus, magnesium, and potassium, as represented by the regression equations relating the total excretion to the total intake did not differ in the gastrectomized patients from that in normal persons.






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Copyright © 1956 by The American Society for Nutrition