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Pancreatectomy and metabolic alterations.
M Sammartino1, G Morelli Sbarra, M L Guidi
1Istituto di Anestesia e Rianimazione, Università Cattolica del Sacro Cuore, Roma.
Rivista Europea Per Le Scienze Mediche E Farmacologiche = European Review for Medical and Pharmacological Sciences = Revue Europeenne Pour Les Sciences Medicales Et Pharmacologiques
|September 1, 1991
Summary
Managing anesthesia for total pancreatectomy patients presents challenges, especially regarding metabolic control. An artificial pancreas can aid in post-operative care for these complex cases.
Area of Science:
- Anesthesiology
- Endocrinology
- Surgical Management
Background:
- Total pancreatectomy necessitates complex anesthesia management due to potential metabolic derangements.
- Peri-operative and post-operative periods pose significant challenges in maintaining metabolic homeostasis.
- Existing literature highlights unsolved problems in managing metabolic alterations following this procedure.
Purpose of the Study:
- To describe anesthesia management issues in patients undergoing total pancreatectomy.
- To highlight persistent challenges in metabolic control during peri- and post-operative phases.
- To evaluate the utility of artificial pancreas in post-operative management.
Main Methods:
- Retrospective analysis of anesthesia management in seven patients undergoing total pancreatectomy.
- Monitoring of metabolic parameters in the peri- and post-operative periods.
- Assessment of the effectiveness of artificial pancreas in selected cases.
Main Results:
- Anesthesia management presented difficulties in peri- and post-operative periods for all seven patients.
- Significant metabolic alterations were observed, indicating unresolved management issues.
- The use of an artificial pancreas proved beneficial in the post-operative management of some patients.
Conclusions:
- Anesthesia management for total pancreatectomy patients requires careful attention to metabolic stability.
- Metabolic alterations remain a critical challenge post-total pancreatectomy.
- Artificial pancreas technology offers a promising solution for post-operative metabolic management in these patients.