Postgastroresection syndrome

Postgastroresection syndrome (syndromum postgastroresectionale; Latin post after + Greek gaster stomach + resection; synonym: agastric asthenia, agastric syndrome) is a complex of metabolic, endocrine and trophic disorders that develop after extensive gastric resection.

It is characterized by impaired absorption and digestion of food, deficiency of proteins and vitamins, and loss of body weight. Clinically manifested by weakness, dizziness, muscle hypotension, tachycardia, anemia, hypocalcemia, osteoporosis.

Treatment consists of following a diet with split meals, vitamin and mineral support, and taking enzyme preparations. The prognosis with adequate therapy is generally favorable.

Postgastroresection syndrome: understanding and consequences

Postgastroresection syndrome, also known as agastric asthenia or agastric syndrome, is a condition that can occur after surgical removal of the stomach (gastrectomy) or part of it. This syndrome is characterized by a combination of various symptoms and disorders that can significantly affect the patient's quality of life.

Gastrectomy is a major surgical procedure used to treat various stomach diseases such as stomach cancer or ulcers. During this surgery, part or all of the stomach is removed, which may change the overall anatomy and function of the digestive system.

The main symptoms of post-gastroresection syndrome include:

1. Dyspeptic symptoms: Patients may experience abdominal discomfort or pain, heartburn, nausea and vomiting. This is due to changes in the digestive process and the function of the gastrointestinal tract.

2. Gastroesophageal reflux disease (GERD): After a gastrectomy, patients often experience reflux of stomach contents into the esophagus, which can cause a sensation of hot or sour fluid in the chest and throat, frequent heartburn, and discomfort when eating.

3. Dumping syndrome: This is a condition in which food passes through the stomach too quickly and is not digested enough. This can cause symptoms such as nausea, dizziness, sweating, weakness, and a fast heart rate after eating.

4. Food intolerance: Some patients may have difficulty tolerating certain types of food, such as fatty or sugary foods. It is associated with changes in digestive function and can lead to diarrhea, bloating and discomfort.

5. Loss of appetite and nutritional deficiencies: After a gastrectomy, patients may experience a decrease in appetite and have difficulty getting enough nutrients from food. This can lead to a lack of vitamins, minerals and other important nutrients in the body.

Postgastroresection syndrome can significantly reduce patients' quality of life and require changes in their lifestyle and diet. Treatment for this syndrome usually includes medication, nutritional and dietary management, and consultation with a digestive specialist or nutritionist.

In addition, patients may be recommended the following approaches to manage postgastroresection syndrome:

1. Diet changes: Patients may be offered changes in diet and eating habits to reduce symptoms and ensure they are getting enough nutrition. This may include eating more small meals throughout the day, avoiding certain foods such as fatty or sugary foods, and increasing your protein and nutrient intake.

2. Drug therapy: Depending on the symptoms and their severity, the doctor may prescribe medications to relieve discomfort and improve digestion. For example, anatacids can be used to reduce stomach acid, and probiotics can help restore normal bacterial flora in the digestive system.

3. Support and lifestyle: Patients may require psychological support and counseling, especially if post-gastroresection syndrome has a significant impact on their emotional well-being and quality of life. Additional measures such as physical activity, stress management and support from loved ones may also be helpful.

It is important to note that the symptoms and severity of post-gastroresection syndrome may vary between patients. Some people may have mild symptoms that are well controlled with diet and lifestyle changes, while for others symptoms may be more severe and require drug therapy.

In conclusion, post-gastroresection syndrome is a condition that can occur after surgical removal of the stomach or part of it. It is characterized by a collection of symptoms that can significantly affect the patient's life. Timely diagnosis, adequate treatment and specialist support can help patients effectively manage this condition and improve their quality of life.