Patients’ experiences in early satiety after total gastrectomy for gastric cancer: a phenomenological study

IntroductionThis study examines how gastric cancer patients adjust their eating habits and quality of life after total gastrectomy, particularly concerning early satiety. While total gastrectomy may provide a potential cure, it also leads to significant physical, psychological, and social changes. U...

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Main Authors: Salvatore Vaccaro, Matías Eduardo Díaz Crescitelli, Stefano Mastrangelo, Nadia Fornaciari, Elisabetta Reverberi, Silvia Di Leo, Luca Ghirotto
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Nutrition
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Online Access:https://www.frontiersin.org/articles/10.3389/fnut.2024.1511113/full
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author Salvatore Vaccaro
Matías Eduardo Díaz Crescitelli
Stefano Mastrangelo
Nadia Fornaciari
Elisabetta Reverberi
Silvia Di Leo
Luca Ghirotto
author_facet Salvatore Vaccaro
Matías Eduardo Díaz Crescitelli
Stefano Mastrangelo
Nadia Fornaciari
Elisabetta Reverberi
Silvia Di Leo
Luca Ghirotto
author_sort Salvatore Vaccaro
collection DOAJ
description IntroductionThis study examines how gastric cancer patients adjust their eating habits and quality of life after total gastrectomy, particularly concerning early satiety. While total gastrectomy may provide a potential cure, it also leads to significant physical, psychological, and social changes. Understanding these adaptations is essential for enhancing survivorship care.MethodsWe conducted a qualitative study utilizing a phenomenological approach to gain insights into the lived experiences of gastric cancer patients following total gastrectomy. Semi-structured interviews were analyzed to identify key themes related to eating habits and quality of life.ResultsFour core themes emerged: (1) Ineluctability of bodily transformations—patients experienced significant disruptions to their bodily identity; (2) Feelings of weaning and loss of habits—a sense of mourning for lost routines and pleasures; (3) Redefining habits—the process of adapting to new eating patterns; and (4) Experiencing tentative conviviality—struggles to restore social interactions around meals. Social anxiety, particularly regarding dining outside the home, was a notable challenge. Family caregivers played complex roles, providing both support and unintentional obstacles.DiscussionThe findings highlight the multifaceted impact of total gastrectomy on patients’ lives, influencing their physical health, psychological well-being, and social dynamics. Survivorship care plans should consider these aspects to facilitate adaptation. Targeted interventions, such as nutritional counseling, telemonitoring, and digital tools, are suggested to assist patients in adjusting to post-gastrectomy life. These strategies could enhance quality of life and promote improved physical, psychological, and social well-being integration.
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spelling doaj-art-7fc25afa63dc4ca59dcd9cee04f9f2f32025-01-03T05:10:21ZengFrontiers Media S.A.Frontiers in Nutrition2296-861X2025-01-011110.3389/fnut.2024.15111131511113Patients’ experiences in early satiety after total gastrectomy for gastric cancer: a phenomenological studySalvatore Vaccaro0Matías Eduardo Díaz Crescitelli1Stefano Mastrangelo2Nadia Fornaciari3Elisabetta Reverberi4Silvia Di Leo5Luca Ghirotto6Clinical Nutrition Unit and Oncological Metabolic Centre, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, ItalyQualitative Research Unit, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, ItalyClinical Governance Unit, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, ItalyDermatology Department, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, ItalyChild and Adolescent Neuropsychiatry - Northern Area, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, ItalyPsycho-Oncology Unit, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, ItalyQualitative Research Unit, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, ItalyIntroductionThis study examines how gastric cancer patients adjust their eating habits and quality of life after total gastrectomy, particularly concerning early satiety. While total gastrectomy may provide a potential cure, it also leads to significant physical, psychological, and social changes. Understanding these adaptations is essential for enhancing survivorship care.MethodsWe conducted a qualitative study utilizing a phenomenological approach to gain insights into the lived experiences of gastric cancer patients following total gastrectomy. Semi-structured interviews were analyzed to identify key themes related to eating habits and quality of life.ResultsFour core themes emerged: (1) Ineluctability of bodily transformations—patients experienced significant disruptions to their bodily identity; (2) Feelings of weaning and loss of habits—a sense of mourning for lost routines and pleasures; (3) Redefining habits—the process of adapting to new eating patterns; and (4) Experiencing tentative conviviality—struggles to restore social interactions around meals. Social anxiety, particularly regarding dining outside the home, was a notable challenge. Family caregivers played complex roles, providing both support and unintentional obstacles.DiscussionThe findings highlight the multifaceted impact of total gastrectomy on patients’ lives, influencing their physical health, psychological well-being, and social dynamics. Survivorship care plans should consider these aspects to facilitate adaptation. Targeted interventions, such as nutritional counseling, telemonitoring, and digital tools, are suggested to assist patients in adjusting to post-gastrectomy life. These strategies could enhance quality of life and promote improved physical, psychological, and social well-being integration.https://www.frontiersin.org/articles/10.3389/fnut.2024.1511113/fullgastric cancertotal gastrectomyearly satietyphenomenologypatients’ experiencessurvivorship
spellingShingle Salvatore Vaccaro
Matías Eduardo Díaz Crescitelli
Stefano Mastrangelo
Nadia Fornaciari
Elisabetta Reverberi
Silvia Di Leo
Luca Ghirotto
Patients’ experiences in early satiety after total gastrectomy for gastric cancer: a phenomenological study
Frontiers in Nutrition
gastric cancer
total gastrectomy
early satiety
phenomenology
patients’ experiences
survivorship
title Patients’ experiences in early satiety after total gastrectomy for gastric cancer: a phenomenological study
title_full Patients’ experiences in early satiety after total gastrectomy for gastric cancer: a phenomenological study
title_fullStr Patients’ experiences in early satiety after total gastrectomy for gastric cancer: a phenomenological study
title_full_unstemmed Patients’ experiences in early satiety after total gastrectomy for gastric cancer: a phenomenological study
title_short Patients’ experiences in early satiety after total gastrectomy for gastric cancer: a phenomenological study
title_sort patients experiences in early satiety after total gastrectomy for gastric cancer a phenomenological study
topic gastric cancer
total gastrectomy
early satiety
phenomenology
patients’ experiences
survivorship
url https://www.frontiersin.org/articles/10.3389/fnut.2024.1511113/full
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