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Tight glycemic control using an artificial endocrine pancreas may play an important role in preventing infection after pancreatic resection

Tight glycemic control using an artificial endocrine pancreas may play an important role in preventing infection after pancreatic resection

作     者:Kazuhiro Hanazaki 

作者机构:Department of SurgeryKochi Medical SchoolKochi UniversityKohasuOkochoNankoku-CityKochi 783-8505Japan 

出 版 物:《World Journal of Gastroenterology》 (世界胃肠病学杂志(英文版))

年 卷 期:2012年第18卷第29期

页      面:3787-3789页

核心收录:

学科分类:1002[医学-临床医学] 100210[医学-外科学(含:普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

基  金:Japan Society for the Promotion of Science  JSPS: 23592011 

主  题:Tight glycemic control Pancreatic resection Surgical site infection Artificial endocrine pancreas 

摘      要:It is well known that perioperative hyperglycemia is the main cause of infectious complications after *** improve perioperative glycemic control,we wish to highlight and comment on an interesting paper published recently by the Annals of Surgery entitled:Early postoperative hyperglycemia is associated with postoperative complications after pancreatoduodenectomy(PD) by Eshuis et *** authors concluded that early postoperative glucose levels more than 140 mg/dL was significantly associated with complications after *** we recommend that perioperative tight glycemic control(TGC) is an effective method to prevent postoperative complications including surgical site infection after distal,proximal,and total pancreatic resection,we support strongly this conclusion drawn in this ***,if early postoperative glucose control in patients undergoing PD was administrated by conventional method such as sliding scale approach as described in this article,it is difficult to maintain ***,we introduce a novel perioperative glycemic control using an artificial endocrine pancreas against pancreatogenic diabetes after pancreatic resection including PD.

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