[Carbohydrate metabolism disturbances after pancreatoduodenal resection in patients with cancer of the head of pancreas].
Khirurgiia (Mosk)
; (5): 21-4, 2010.
Article
em Ru
| MEDLINE
| ID: mdl-20559206
ABSTRACT
Carbohydrate metabolism was explored in 52 patients with cancer of the head of pancreas before and after pylorus-preserving pancreatoduodenal resection. Glycemia, insulin dosage, glucosuria and acetonuria were assessed retrospectively to reveal correlation with postoperative carbohydrate metabolism disturbances. Preoperatively 46.2% of patients had no metabolic problems, whereas postoperatively only 38.5% of patients showed normal sugar metabolism. 9 (17.3%) patients developed disturbed glucose tolerance, 5 (9.6%) patients developed mild diabetes mellitus and 18 (34.6%) patients had diabetes of medium severity. Combination of first diagnosed diabetes mellitus, progressive weight loss and abdominal pain proved to be the negative prognostic set of symptoms and should urge on pancreatic tumor search. Glucose level in early postoperative period is a valuable prognostic criteria for the development of carbohydrate metabolism disturbances in long-term postoperative period.
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Base de dados:
MEDLINE
Assunto principal:
Complicações Pós-Operatórias
/
Pancreaticoduodenectomia
/
Transtornos do Metabolismo de Glucose
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
/
Prognostic_studies
Limite:
Female
/
Humans
/
Male
/
Middle aged
Idioma:
Ru
Revista:
Khirurgiia (Mosk)
Ano de publicação:
2010
Tipo de documento:
Article