duodenal bypass does not decrease glucose levels of lean individuals with gastric cancer submitted to partial or total gastrectomy o desvio do duodeno não diminui os níveis glicêmicos em indivíduos magros com câncer gástrico submetidos a gastrectomia parcial ou total

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ID: 153795
2009
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Abstract
Change in glucose metabolism after bariatric operations may be credited to duodenal bypass. This study aims to evaluate the effect of duodenal bypass on glucose levels in lean individuals submitted to gastrectomy for gastric cancer. We reviewed 56 non-diabetic and 6 diabetic patients submitted to gastrectomy and Roux-en-Y for gastric cancer (partial gastrectomy in 66%/total gastrectomy in 34%). Glucose levels were not significantly altered after operation (P = 0.5). Diabetes control was improved in one patient with oral medication. In conclusion, duodenal bypass do not decrease glucose levels in lean individuals treated for gastric cancer.
Alterações no metabolismo da glucose após cirúrgias bariátricas podem ser creditadas ao desvio do duodeno. Este estudo avaliou o efeito do desvio do duodeno nos níveis glicêmicos de pacientes magros submetidos a gastrectomia por câncer. Foram revistos 56 pacientes não-diabéticos e 6 pacientes diabéticos submetidos a gastrectomia com reconstrução em Y-de-Roux por câncer (gastrectomia parcial em 66% e total em 34%). Os níveis glicêmicos não se alteraram significantemente depois da operação (P = 0,5). Houve melhora do diabetes em um paciente com medicação oral. Em conclusão, o desvio duodenal não diminui os níveis glicêmicos de indivíduos magros tratados por câncer gástrico.
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Authors ;Fernando A. Herbella;Ana C. Tineli;Jorge L. Wilson Jr;Jose C. Del Grande
Journal journal of heterocyclic chemistry
Year 2009
DOI
10.1590/S0004-28032009000300017
URL
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-28032009000300017
Keywords
diabetes mellitus gastrectomy Gastroenterology

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