TY - JOUR T1 - The Effect of Roux-en-Y Reconstruction on Type 2 Diabetes in the Early Postoperative Period JF - Anticancer Research JO - Anticancer Res SP - 4901 LP - 4905 DO - 10.21873/anticanres.12805 VL - 38 IS - 8 AU - HIDEYA KASHIHARA AU - MITSUO SHIMADA AU - KOZO YOSHIKAWA AU - JUN HIGASHIJIMA AU - TOMOHIKO MIYATANI AU - TAKUYA TOKUNAGA AU - MASAAKI NISHI AU - CHIE TAKASU Y1 - 2018/08/01 UR - http://ar.iiarjournals.org/content/38/8/4901.abstract N2 - Aim: The aim of this study was to investigate the effect of Roux-en-Y (RY) reconstruction on type 2 diabetes with gastric cancer in the early postoperative period. Patients and Methods: A total of 44 patients with gastric cancer with type 2 diabetes who underwent total gastrectomy (TG) or distal gastrectomy (DG) with Roux-en-Y reconstruction or DG with Bilroth I were enrolled. All three groups had their fasting glucose and daily insulin dose recorded preoperatively, on day 2 postoperatively (POD2) and at discharge. Results: The TG group showed low fasting glucose and daily insulin dose on POD2 compared to their preoperative state. On discharge, the fasting glucose and daily insulin dose were significantly lower in both TG and DG Roux-en-Y groups than preoperatively. Conclusion: Roux-en-Y reconstruction showed early improvement of type 2 diabetes regardless of any body weight loss. The effect of Roux-en-Y reconstruction in TG on type 2 diabetes was more remarkable than that of DG. ER -