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[Effect of ROUX-en-Y anastomosis and Billroth-II anastomosis after subtotal gastrectomy on blood glucose in type 2 diabetic patients].
Nan Fang Yi Ke Da Xue Xue Bao. 2010 Jun; 30(6):1288-90, 1294.NF

Abstract

OBJECTIVE

To evaluate the effect of ROUX-en-Y anastomosis and Billroth-II anastomosis after subtotal gastrectomy on blood glucose in patients with type 2 diabetes.

METHODS

From January 2006 to December 2009, 26 and 24 type 2 diabetic patients underwent subtotal gastrectomy for gastric cancer or gastric ulcer and received subsequent ROUX-en-Y anastomosis and Billroth-II anastomosis, respectively. Perioperative and postoperative blood glucose and glycosylated hemoglobin (HbA1c) were detected in these patients to identify the variations.

RESULTS

In ROUX-en-Y group, the fasting blood glucose (FBG) of the patients decreased significantly in the first month after the operation (t=4.46, P<0.05), and the 2-hour postprandial glucose (2hPG) and HbA1c also underwent significant reductions in the first postoperative week and month, respectively (t=3.5, P<0.05; t=2.21, P<0.05). In Billroth-II group, the FBG decreased significantly till 6 months after the operation (t=2.0, P<0.05), and HbA1c reduction occurred 3 months after the operation (t=2.61, P<0.05). There were significant differences in FBG in the first postoperative month, 2hPG in the 6th month, and HbA1c in the 3rd month between the two groups (P<0.05).

CONCLUSION

The ROUX-en-Y anastomosis and Billroth-II anastomosis after subtotal gastrectomy can both reduce blood glucose of type 2 diabetic patients, but the former approach has better effect.

Authors+Show Affiliations

Department of General Surgery, Second People's Hospital of Guangdong Province, Guangzhou 510317, China. chky3213300@126.comNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Evaluation Study
Journal Article
Research Support, Non-U.S. Gov't

Language

chi

PubMed ID

20584659

Citation

Chen, Kai-yun, et al. "[Effect of ROUX-en-Y Anastomosis and Billroth-II Anastomosis After Subtotal Gastrectomy On Blood Glucose in Type 2 Diabetic Patients]." Nan Fang Yi Ke Da Xue Xue Bao = Journal of Southern Medical University, vol. 30, no. 6, 2010, pp. 1288-90, 1294.
Chen KY, Xiang GA, Wang HN, et al. [Effect of ROUX-en-Y anastomosis and Billroth-II anastomosis after subtotal gastrectomy on blood glucose in type 2 diabetic patients]. Nan Fang Yi Ke Da Xue Xue Bao. 2010;30(6):1288-90, 1294.
Chen, K. Y., Xiang, G. A., Wang, H. N., Xiao, J. F., & Li, P. S. (2010). [Effect of ROUX-en-Y anastomosis and Billroth-II anastomosis after subtotal gastrectomy on blood glucose in type 2 diabetic patients]. Nan Fang Yi Ke Da Xue Xue Bao = Journal of Southern Medical University, 30(6), 1288-90, 1294.
Chen KY, et al. [Effect of ROUX-en-Y Anastomosis and Billroth-II Anastomosis After Subtotal Gastrectomy On Blood Glucose in Type 2 Diabetic Patients]. Nan Fang Yi Ke Da Xue Xue Bao. 2010;30(6):1288-90, 1294. PubMed PMID: 20584659.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Effect of ROUX-en-Y anastomosis and Billroth-II anastomosis after subtotal gastrectomy on blood glucose in type 2 diabetic patients]. AU - Chen,Kai-yun, AU - Xiang,Guo-an, AU - Wang,Han-ning, AU - Xiao,Jing-feng, AU - Li,Peng-sheng, PY - 2010/6/30/entrez PY - 2010/6/30/pubmed PY - 2011/12/13/medline SP - 1288-90, 1294 JF - Nan fang yi ke da xue xue bao = Journal of Southern Medical University JO - Nan Fang Yi Ke Da Xue Xue Bao VL - 30 IS - 6 N2 - OBJECTIVE: To evaluate the effect of ROUX-en-Y anastomosis and Billroth-II anastomosis after subtotal gastrectomy on blood glucose in patients with type 2 diabetes. METHODS: From January 2006 to December 2009, 26 and 24 type 2 diabetic patients underwent subtotal gastrectomy for gastric cancer or gastric ulcer and received subsequent ROUX-en-Y anastomosis and Billroth-II anastomosis, respectively. Perioperative and postoperative blood glucose and glycosylated hemoglobin (HbA1c) were detected in these patients to identify the variations. RESULTS: In ROUX-en-Y group, the fasting blood glucose (FBG) of the patients decreased significantly in the first month after the operation (t=4.46, P<0.05), and the 2-hour postprandial glucose (2hPG) and HbA1c also underwent significant reductions in the first postoperative week and month, respectively (t=3.5, P<0.05; t=2.21, P<0.05). In Billroth-II group, the FBG decreased significantly till 6 months after the operation (t=2.0, P<0.05), and HbA1c reduction occurred 3 months after the operation (t=2.61, P<0.05). There were significant differences in FBG in the first postoperative month, 2hPG in the 6th month, and HbA1c in the 3rd month between the two groups (P<0.05). CONCLUSION: The ROUX-en-Y anastomosis and Billroth-II anastomosis after subtotal gastrectomy can both reduce blood glucose of type 2 diabetic patients, but the former approach has better effect. SN - 1673-4254 UR - https://www.unboundmedicine.com/medline/citation/20584659/[Effect_of_ROUX_en_Y_anastomosis_and_Billroth_II_anastomosis_after_subtotal_gastrectomy_on_blood_glucose_in_type_2_diabetic_patients]_ L2 - https://medlineplus.gov/bloodsugar.html DB - PRIME DP - Unbound Medicine ER -