ASSESSMENT OF NUTRITIONAL STATUS AND RELATED FACTORS IN PATIENTS AFTER LAPAROSCOPIC GASTRECTOMY AT THONG NHAT HOSPITAL

Nguyễn Văn Hưng 1, 2 , , Đỗ Duy Đạt 1 , Phạm Thị Hiền Diệu , Nguyễn Thanh Thuỷ 1 , Trần Tố Trinh 2
1 Thong Nhat Hospital image/svg+xml
2 Vietnam National University Ho Chi Minh City image/svg+xml
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DOI
10.63947/bvtn.v2i8.14
Published
2026-06-07
Issue Vol. 2 No. 8 (2026): Geriatric Medicine in the Era of Personalization, Technology, and Prevention
Section
Original Research
Categories
Research

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1.
Văn Hưng N, Duy Đạt Đỗ, Thị Hiền Diệu P, Thanh Thuỷ N, Tố Trinh T. ASSESSMENT OF NUTRITIONAL STATUS AND RELATED FACTORS IN PATIENTS AFTER LAPAROSCOPIC GASTRECTOMY AT THONG NHAT HOSPITAL. JHA [Internet]. Vietnam; 2026 Jun. 7 [cited 2026 Jun. 18];2(8):100–106. https://tcsuckhoelaohoa.vn/bvtn/article/view/197 doi: 10.63947/bvtn.v2i8.14
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Abstract

To describe nutritional status and selected related factors in patients after laparoscopic gastrectomy at Thong Nhat Hospital. This retrospective descriptive study included 30 patients who underwent laparoscopic gastrectomy from January 2021 to December 2024 and had available baseline and 3-month postoperative follow-up data. Variables included clinical characteristics, type of surgery, adjuvant chemotherapy, gastrointestinal symptoms, dietary tolerance, oral nutritional supplement (ONS) use, micronutrient supplementation, anthropometric indices, and biochemical parameters. Nutritional status was classified using the Subjective Global Assessment (SGA). Dietary intake was assessed from follow-up records/nutrition notes, focusing on meal frequency, tolerance, ONS use, and clinically recorded achievement of energy–protein intake. Given the retrospective design and small sample size, comparisons were considered exploratory and intended to describe between-group differences rather than infer causality. Most patients were male, with a mean age of nearly 60 years; gastric cancer was the main diagnosis. At 3 months postoperatively, patients had an average weight loss of approximately 9–10%, decreased BMI, and lower albumin and hemoglobin levels. Approximately 40% of patients were classified as malnourished or at risk by SGA. Common gastrointestinal symptoms included anorexia, nausea/vomiting, and dumping syndrome/symptoms suggestive of dumping. Malnutrition after laparoscopic gastrectomy requires proactive monitoring. Periodic screening, assessment of dietary tolerance, standardized nutritional counseling, appropriate micronutrient supplementation, and larger prospective studies are needed to further evaluate associated factors.

Keywords

Laparoscopic gastrectomy malnutrition micronutrient deficiency nutritional counseling gastric cancer

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