{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,29]],"date-time":"2025-11-29T07:46:08Z","timestamp":1764402368322},"reference-count":21,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2007,2,14]],"date-time":"2007-02-14T00:00:00Z","timestamp":1171411200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2007,3]]},"abstract":"<jats:p><jats:bold>Background:\u2003<\/jats:bold> We investigated the postoperative changes in visceral fat, as compared with subcutaneous fat in patients who underwent total gastrectomy (TG) or subtotal gastrectomy (STG).<\/jats:p><jats:p><jats:bold>Methods:\u2003<\/jats:bold> Thirty\u2010eight patients of gastric cancer who underwent abdominal and pelvic computed tomography scans before and after STG (<jats:italic>n<\/jats:italic>\u2003=\u200328) or TG (<jats:italic>n<\/jats:italic>\u2003=\u200310) were examined. The volumes of the total, visceral and subcutaneous adipose tissues (TAT, VAT and SAT, respectively) were calculated in each scan using the multislice method. Changes between the preoperative data and results obtained at 6 and 12\u2003months after surgery were evaluated.<\/jats:p><jats:p><jats:bold>Results:\u2003<\/jats:bold> In the first 6\u2003months, there were significant decreases in TAT, VAT and SAT values in the TG (\u22122424\u2003\u00b1\u20031309, \u22121535\u2003\u00b1\u20031056 and \u2212889\u2003\u00b1\u2003613\u2003cm<jats:sup>3<\/jats:sup>, respectively) and STG (\u22121590\u2003\u00b1\u20031309, \u22121024\u2003\u00b1\u2003645, and \u2212578\u2003\u00b1\u2003659 cm<jats:sup>3<\/jats:sup>, respectively) groups. From 6 to 12\u2003months after surgery, a further significant reduction in VAT (\u2212351\u2003\u00b1\u2003196\u2003cm<jats:sup>3<\/jats:sup>) in the TG group and significant regains in TAT and SAT (850\u2003\u00b1\u20031205 and 757\u2003\u00b1\u20031032\u2003cm<jats:sup>3<\/jats:sup>, respectively) in the STG group were observed. The ratio of VAT to SAT calculated in both groups decreased continuously in all periods of observation.<\/jats:p><jats:p><jats:bold>Conclusion:\u2003<\/jats:bold> Patients who underwent gastrectomy lost TAT, VAT and SAT during the postoperative period up to 6\u2003months and the decrease in VAT was greater and more persistent than the decrease in SAT, particularly in the TG group.<\/jats:p>","DOI":"10.1111\/j.1445-2197.2006.03990.x","type":"journal-article","created":{"date-parts":[[2007,2,15]],"date-time":"2007-02-15T07:09:03Z","timestamp":1171523343000},"page":"121-125","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":24,"title":["CHANGES IN THE ABDOMINAL FAT DISTRIBUTION AFTER GASTRECTOMY: COMPUTED TOMOGRAPHY ASSESSMENT"],"prefix":"10.1111","volume":"77","author":[{"given":"Dae Young","family":"Yoon","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hyeon Kyu","family":"Kim","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ju Ae","family":"Kim","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chul Soon","family":"Choi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eun Joo","family":"Yun","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suk Ki","family":"Chang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yu\u2010Jin","family":"Lee","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chan Heun","family":"Park","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2007,2,14]]},"reference":[{"key":"e_1_2_6_2_2","first-page":"37","article-title":"Causes of malabsorption after total gastrectomy with Roux\u2010en\u2010Y reconstruction","volume":"154","author":"Armbrecht U","year":"1988","journal-title":"Acta Chir. 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