Original Articles
Copyright ©The Author(s) 2000. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Feb 15, 2000; 6(1): 45-48
Published online Feb 15, 2000. doi: 10.3748/wjg.v6.i1.45
Post-gastrectomy patients need to be followed up for 20-30 years
Frank I. Tovey, Michael Hobsley
Frank I. Tovey, Michael Hobsley, Department of Surgery, Royal Free and University College Medical School, London 67-73 Riding House Street, London W1P 7LD, UK
Frank I. Tovey, OBE, ChM, FRCS (Eng) was born in England in 1921. After qualifying as a surgeon he worked in China between 1947 and 1949 and then in India from 1951 to 1967. In 1968 he was appointed as a consultant surgeon at Basingstoke in England and also as an honorary surgical research fellow at University College in London. His interests have been in leprosy reconstructive surgery and in aetiology and management of duodenal ulcer. He has travelled widely investigating the relationship between staple diets and the prevalence of duodenal ulcer in many countries. He is retired but continuing with his research projects.
Author contributions: All authors contributed equally to the work.
Correspondence to: Frank I. Tovey, 5 Crossborough Hill, Basingst oke RG21 4AG, United Kingdom
Telephone: 01256-461521 Fax: 01256-323696
Received: September 28, 1999
Revised: November 2, 1999
Accepted: November 15, 1999
Published online: February 15, 2000

AIM: To investigate the incidence and management of nutritional deficiencies following a gastrectomy.

METHODS: A gastrectomy population of 227 patients in London was followed up for 30 years after operation to detect and treat nutritional deficiencies.

RESULTS: By the end of the first decade iron deficiency was the commonest problem. Vitamin B12 deficiency became more important in the second decade. During the third decade both reached equal prevalence, being found in some 90% of the female and 70% of the male residual population. Vitamin D deficiency was a lesser problem, reaching its climax in the second decade. Overall, all women fared worse than men.

CONCLUSION: The importance of long-term follow-up of gastrect omy patients foriron, Vitamin B12 and Vitamin D deficiencies is emphasised.

Keywords: gastrectomy, nutrition, iron, vitamin B12, vitamin D