Preserving Duodenal Passage for Bone Mineralization: Billroth I versus Billroth II Reconstruction After Partial Gastrectomy in Growing Minipigs

Königsrainer, Ingmar; Königsrainer, Alfred; Maier, Gerhard

doi:10.1016/j.jss.2008.07.026

Cited by 3 publications

(2 citation statements)

References 49 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In addition, Konigsrainer et al . first reported that B‐II reconstruction caused BMD loss more frequently after gastrectomy than B‐I reconstruction because B‐II reconstruction could not preserve food passage in the duodenum, which is a main portion for absorption of calcium and vitamin D . This result suggested that the reconstruction method affects postoperative BMD loss and strongly supports our results.…”

Section: Discussionsupporting

confidence: 86%

Reconstruction method as an independent risk factor for postoperative bone mineral density loss in gastric cancer

Imamura

Komatsu

Ichikawa

et al. 2018

J of Gastro and Hepatol

View full text Add to dashboard Cite

show abstract

Section: Discussionsupporting

confidence: 86%

Reconstruction method as an independent risk factor for postoperative bone mineral density loss in gastric cancer

Imamura

Komatsu

Ichikawa

et al. 2018

J of Gastro and Hepatol

View full text Add to dashboard Cite

show abstract

“…Post gastrectomy, physiological differences in digestion and absorption are known to develop depending on the type of operation performed [ 3 4 ]. Moreover, postoperative changes in digestion and absorption due to altered gastrointestinal anatomy may provoke dumping symptoms, the most common of post-gastrectomy syndromes.…”

Section: Introductionmentioning

confidence: 99%

Postprandial Asymptomatic Glycemic Fluctuations after Gastrectomy for Gastric Cancer Using Continuous Glucose Monitoring Device

Nunobe

Ida

et al. 2021

J Gastric Cancer

View full text Add to dashboard Cite

Purpose Although dumping symptoms are thought to involve postprandial glycemic changes, postprandial glycemic variability without dumping symptoms remains poorly understood due to the lack of a method that allows the easy and continuous measurement of blood glucose levels. Materials and Methods Patients having undergone distal gastrectomy with Billroth-I (DG-BI) or Roux-en-Y reconstruction (DG-RY), total gastrectomy with RY (TG-RY) and pylorus preserving gastrectomy (PPG) for gastric cancer 3 months to 3 years prior, diagnosed as pathological stage I or II, were prospectively enrolled from March 2018 to January 2020. The interstitial tissue glycemic levels were measured every 15 min, up to 14 days by continuous glucose monitoring. Moreover, using a diary recording the diet and symptoms, asymptomatic glucose profiles without sugar supplementation within 3 h postprandially were compared among the four procedures. Results A total of 40 patients were enrolled, 10 patients for each of the four procedures. There were 47 glucose profiles with DG-BI, 46 profiles with DG-RY, 38 profiles with TG-RY, and 46 profiles with PPG. PPG showed the slowest increase with a subsequent gradual decrease in glucose fluctuations, without hyperglycemia or hypoglycemia, among the four procedures. In contrast, TG-RY and DG-RY showed spike-like glycemic variability, sharp rises during meals, and rapid drops. The glucose profiles of DG-BI were milder than those of RY. Conclusions The asymptomatic glycemic changes after meals differ among the types of surgical procedures for gastric cancer. Given the mild glycemic fluctuations in PPG and the glucose spikes in TG-RY and DG-RY, pylorus preservation and physiological reconstruction without changes in food pathways may optimize postprandial glucose profiles after gastrectomy.

show abstract

Gastrointestinal Tract and the Control of Bone Mass

Schinke¹,

Amling²

2013

Translational Endocrinology of Bone

View full text Add to dashboard Cite

Preserving Duodenal Passage for Bone Mineralization: Billroth I versus Billroth II Reconstruction After Partial Gastrectomy in Growing Minipigs

Cited by 3 publications

References 49 publications

Reconstruction method as an independent risk factor for postoperative bone mineral density loss in gastric cancer

Reconstruction method as an independent risk factor for postoperative bone mineral density loss in gastric cancer

Postprandial Asymptomatic Glycemic Fluctuations after Gastrectomy for Gastric Cancer Using Continuous Glucose Monitoring Device

Gastrointestinal Tract and the Control of Bone Mass

Contact Info

Product

Resources

About