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Perioperative Glycemic Control During Colorectal Surgery
Rachel E Thompson1, Elizabeth K Broussard2, David R Flum3
1Department of Medicine, University of Nebraska Medical Center, 986435 Nebraska Medical Center, Omaha, NE, 68198-6435, USA. rachel.thompson@unmc.edu.
Abstract:
Hyperglycemia occurs frequently among patients undergoing colorectal surgery and is associated with increased risk of poor clinical outcomes, especially related to surgical site infections. Treating hyperglycemia has become a target of many enhanced recovery after surgery programs developed for colorectal procedures. There are several unique considerations for patients undergoing colorectal surgery including bowel preparations and alterations in oral intake. Focused protocols for those with diabetes and those at risk of hyperglycemia are needed in order to address the specific needs of those undergoing colorectal procedures.
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