References - Post-Gastrectomy Nutrition Handout

Weight, Muscle & Bone

American Society for Parenteral and Enteral Nutrition. (2020). Nutrition intervention in Enhanced Recovery After Surgery pathway improves outcomes: Fact sheet. https://nutritioncare.org/wp-content/uploads/2024/12/Nutrition-Intervention-in-ERAS-Pathway.pdf

U.S. Department of Health and Human Services & U.S. Department of Agriculture. (2026). Dietary guidelines for Americans, 2025–2030. https://cdn.realfood.gov/DGA.pdf

Cotogni, P., Shaw, C., Jimenez-Fonseca, P., Partridge, D., Pritchett, D., Webb, N., Crompton, A., Garcia-Lorda, P., & Shepelev, J. (2023). High-protein home parenteral nutrition in malnourished oncology patients: a systematic literature review. Supportive Care in Cancer, 32(1), 52. https://doi.org/10.1007/s00520-023-08218-z

Kang, M. K., & Lee, H. J. (2024). Impact of malnutrition and nutritional support after gastrectomy in patients with gastric cancer. Annals of Gastroenterological Surgery, 8(4), 534–552. https://doi.org/10.1002/ags3.12788

Hirsch, K. R., Wolfe, R. R., & Ferrando, A. A. (2021). Pre- and post-surgical nutrition for preservation of muscle mass, strength, and functionality following orthopedic surgery. Nutrients, 13(5), 1675. https://doi.org/10.3390/nu13051675

Kugimiya, N., Harada, E., Oka, K., Kawamura, D., Suehiro, Y., Takemoto, Y., & Hamano, K. (2018). Loss of skeletal muscle mass after curative gastrectomy is a poor prognostic factor. Oncology Letters, 16(1), 1341–1347. https://doi.org/10.3892/ol.2018.8747

National Cancer Institute, Center for Cancer Research. (n.d.). Physical health after total gastrectomy. U.S. Department of Health and Human Services. https://ccr.cancer.gov/surgical-oncology-program/clinical-team/physical-health-after-total-gastrectomy

Oh, H. J., Yoon, B. H., Ha, Y. C., Suh, D. C., Lee, S. M., Koo, K. H., & Lee, Y. K. (2020). The change of bone mineral density and bone metabolism after gastrectomy for gastric cancer: a meta-analysis. Osteoporosis International, 31(2), 267–275. https://doi.org/10.1007/s00198-019-05220-2

Kim, J., Nimeri, A., Khorgami, Z., El Chaar, M., Lima, A. G., Vosburg, R. W., & American Society for Metabolic and Bariatric Surgery (ASMBS) Clinical Issues Committee. (2021). Metabolic bone changes after bariatric surgery: 2020 update, ASMBS Clinical Issues Committee position statement. Surgery for Obesity and Related Diseases, 17(1), 1–8. https://doi.org/10.1016/j.soard.2020.09.031

Nieves, J. W. (2005). Osteoporosis: the role of micronutrients. The American Journal of Clinical Nutrition, 81(5), 1232S–1239S. https://doi.org/10.1093/ajcn/81.5.1232

Murai, I. H., Roschel, H., Dantas, W. S., Gil, S., Merege-Filho, C., de Cleva, R., de Sá-Pinto, A. L., Lima, F., Santo, M. A., Benatti, F. B., Kirwan, J. P., Pereira, R. M., & Gualano, B. (2019). Exercise mitigates bone loss in women with severe obesity after Roux-en-Y gastric bypass: a randomized controlled trial. The Journal of Clinical Endocrinology and Metabolism, 104(10), 4639–4650. https://doi.org/10.1210/jc.2019-00074

Bernstein, C. N., Leslie, W. D., & LeBoff, M. S. (2003). AGA technical review on osteoporosis in gastrointestinal diseases. Gastroenterology, 124(3), 795–841. https://doi.org/10.1053/gast.2003.50106

Dumping Syndrome & Blood Sugar

van Beek, A. P., Emous, M., Laville, M., & Tack, J. (2017). Dumping syndrome after esophageal, gastric or bariatric surgery: pathophysiology, diagnosis, and management. Obesity Reviews, 18(1), 68–85. https://doi.org/10.1111/obr.12467

Teixeira Farinha, H., Bouriez, D., Grimaud, T., Rotariu, A. M., Collet, D., Mantziari, S., & Gronnier, C. (2023). Gastro-intestinal disorders and micronutrient deficiencies following oncologic esophagectomy and gastrectomy. Cancers, 15(14), 3554. https://doi.org/10.3390/cancers15143554

National Institute of Diabetes and Digestive and Kidney Diseases. (2021, July). Low blood glucose (hypoglycemia). U.S. Department of Health and Human Services, National Institutes of Health. https://www.niddk.nih.gov/health-information/diabetes/overview/preventing-problems/low-blood-glucose-hypoglycemia

Nutrient Deficiencies

Blonk, L., Gooszen, J. A. H., Fakkert, R. A., Eshuis, W. J., Rietveld, S. C. M., Wierdsma, N. J., Straatman, J., van Berge Henegouwen, M. I., & Gisbertz, S. S. (2024). Micronutrient deficiencies and anemia in the follow-up after gastroesophageal cancer surgery. Diseases of the Esophagus, 37(11), doae053. https://doi.org/10.1093/dote/doae053

Lopez, R. C., Gallanis, A. F., & Davis, J. L. (2025). The essentials of vitamin and mineral supplementation after total gastrectomy. Journal of Gastrointestinal Cancer, 56(1), 130. https://doi.org/10.1007/s12029-025-01240-w

National Institutes of Health, Office of Dietary Supplements. (2025, July 2). Vitamin B12: Fact sheet for health professionals. https://ods.od.nih.gov/factsheets/VitaminB12-HealthProfessional/

National Institutes of Health, Office of Dietary Supplements. (2026, July 1). Iron: Fact sheet for health professionals. https://ods.od.nih.gov/factsheets/Iron-HealthProfessional/

National Institutes of Health, Office of Dietary Supplements. (2022, November 30). Folate: Fact sheet for health professionals. https://ods.od.nih.gov/factsheets/Folate-HealthProfessional/

National Institutes of Health, Office of Dietary Supplements. (2023, February 9). Thiamin: Fact sheet for health professionals. https://ods.od.nih.gov/factsheets/Thiamin-HealthProfessional/

National Institutes of Health, Office of Dietary Supplements. (2025, June 27). Vitamin D: Fact sheet for health professionals. https://ods.od.nih.gov/factsheets/VitaminD-HealthProfessional/

National Institutes of Health, Office of Dietary Supplements. (2021, March 26). Vitamin E: Fact sheet for health professionals. https://ods.od.nih.gov/factsheets/VitaminE-HealthProfessional/

National Institutes of Health, Office of Dietary Supplements. (2021, March 29). Vitamin K: Fact sheet for health professionals. https://ods.od.nih.gov/factsheets/VitaminK-HealthProfessional/

National Institutes of Health, Office of Dietary Supplements. (2022, October 18). Copper: Fact sheet for health professionals. https://ods.od.nih.gov/factsheets/Copper-HealthProfessional/

National Institutes of Health, Office of Dietary Supplements. (2026, January 6). Zinc: Fact sheet for health professionals. https://ods.od.nih.gov/factsheets/Zinc-HealthProfessional/

National Institutes of Health, Office of Dietary Supplements. (2022, June 2). Magnesium: Fact sheet for health professionals. https://ods.od.nih.gov/factsheets/Magnesium-HealthProfessional/