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[Acute appendicitis in patients with diabetes mellitus]
Klinicheskaia Khirurgiia
|January 1, 1989
Summary
Diabetic patients with acute appendicitis show altered disease progression based on diabetes severity. Low-dose, fractional insulin injections are recommended for managing carbohydrate metabolism in these individuals.
Area of Science:
- Endocrinology
- Gastroenterology
- Surgical Pathology
Context:
- Acute appendicitis presents unique challenges in patients with diabetes mellitus.
- Diabetes mellitus severity and compensation status directly influence appendicitis pathology.
Purpose:
- To elucidate the specific clinical, preoperative, and postoperative characteristics of acute appendicitis in diabetic patients.
- To establish the correlation between diabetes control and appendiceal pathomorphology.
- To identify optimal strategies for managing carbohydrate metabolism during appendicitis treatment.
Summary:
- The study analyzed 157 patients with acute appendicitis and diabetes mellitus, detailing clinical presentations, preoperative management, and postoperative outcomes.
- Pathomorphological changes in the appendix were found to be directly dependent on the degree of diabetes severity and compensation.
- Fractional, low-dose injections of common (crystalline) insulin were identified as the most effective method for correcting carbohydrate metabolism in this patient group.
Impact:
- Provides critical insights for surgical and endocrine management of appendicitis in diabetic populations.
- Highlights the importance of glycemic control in influencing surgical outcomes for appendicitis.
- Recommends a specific insulin regimen to optimize patient recovery and reduce complications.