J.Jpn. Surg. Soc.. 117(3): 194-198, 2016

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Feature topic

MANAGEMENT OF PERIOPERATIVE HYPERGLYCEMIA USING AN ARTIFICIAL PANCREAS

During the perioperative period, hyperglycemia is induced by surgical stress, which is the main risk factor for the development of postoperative infection associated with failure of neutrophil function, resulting in glucose toxicity. In elderly people with weakened immune systems, it is important to control perioperative hyperglycemia by maintaining sufficient nutrition administration. The artificial endocrine pancreas system allows strict glycemic control, which is beneficial in reducing glucose toxicity including postoperative infection not only in patients with diabetes mellitus or glucose intolerance but also in those who develop surgical diabetes during the perioperative period. Furthermore, it can contribute to the prevention of hypoglycemia and medical staff workload reduction. Therefore, the artificial pancreas is expected to come into widespread use in various fields involving glycemic control in patients.

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