Improvement of diabetes and hypertension after gastrectomy: A nationwide cohort study

Abstract

TG was found to decrease the need for anti-diabetic medications which can be reflective of improved glycemic control, to a greater extent than either ER or STG in non-obese diabetic patients.

Total gastrectomy improves glucose metabolism on gastric cancer patients: a nationwide population-based study

“…In addition to oncologic benefits, gastrectomy can also contribute to the improvement of glucose metabolism or remission of diabetes mellitus (DM) [5][6][7][8]. Interestingly, 1 study emphasized that the extent of the gastrectomy plays an important role in DM improvement after curative surgery for GC (total gastrectomy [TG] versus subtotal gastrectomy: 81.8% versus 36.2%, respectively, P = .007) [9].…”

Population-based cohort study of diabetes mellitus and mortality in gastric adenocarcinoma

“…Such interactions between hyperglycaemia and treatment may contribute to the higher risk of mortality among diabetic patients with gastric adenocarcinoma within 1 year of gastrectomy. It should also be noted that in diabetics who undergo gastrectomy postoperative blood glucose levels may vary substantially as a result of postoperative enteral or parenteral nutrition, diabetes remission after gastrectomy and additional pancreatic resections. These factors should be considered in future studies examining the role of hyperglycaemia in mortality after gastrectomy for cancer.…”

<p>Onco-Metabolic Surgery: A Combined Approach to Gastric Cancer and Hypertension</p>

“…25,26 A comprehensive meta-analysis reported similar conclusions. 11 Age was not a parameter for the remission of hypertension in patients with concurrent gastric cancer and hypertension in the previous literature; the possible reason is that one article did not have complete baseline information, 12 while the other article had a relatively small amount of data. 13 In this study, younger patients tended to have better rates of hypertension remission than older patients.…”

“…11 However, for patients with concurrent gastric cancer and hypertension, changes in blood pressure after gastrectomy have rarely been reported. 12,13 Hence, the purpose of the current study was to retrospectively analyze the changes in blood pressure and the dosages of antihypertensive medications after gastrectomy in patients with concurrent gastric cancer and hypertension, and to explore the parameters for the remission of hypertension after gastrectomy.…”

“… 11 However, for patients with concurrent gastric cancer and hypertension, changes in blood pressure after gastrectomy have rarely been reported. 12 , 13…”