[Postoperative treatment of patients after pancreatectomy. Closely meshed monitoring of blood sugar (author's transl)].
A report is presented on the postoperative treatment of 4 patients who had undergone duodeno-pancreatectomy because of chronic pancreatitis. When the patients co-operate well satisfactory metabolic compensation can be achieved with small doses of insulin. Replacement of the pancreatic enzymes with the appropriate preparations can be particularly well monitored by means of the fat content of the faeces. The substitution of vitamins A, D, K, and B12 parenterally at intervals of several weeks is also advisable as a safety measure. A method is described for the closely meshed monitoring of the blood sugar. This method is suitable in co-operative patients who are capable of collecting capillary blood for achieving a particularly good control of the metabolic state.
D000328:Adult; D000681:Amylases / Q000008:administration & dosage; D001774:Blood Chemical Analysis / Q000379:methods; D001786:Blood Glucose / Q000032:analysis*; D001800:Blood Specimen Collection; D004386:Duodenum / Q000601:surgery; D005243:Feces / Q000032:analysis; D005260:Female; D006801:Humans; D007328:Insulin / Q000008:administration & dosage; D008049:Lipase / Q000008:administration & dosage; D008055:Lipids / Q000032:analysis; D008297:Male; D010180:Pancreatectomy; D010194:Pancreatin / Q000008:administration & dosage; D010195:Pancreatitis / Q000601:surgery; D010349:Patient Compliance; D010447:Peptide Hydrolases / Q000008:administration & dosage; D011182:Postoperative Care; D013048:Specimen Handling
D001786:Blood Glucose; D007328:Insulin; D008055:Lipids; D010194:Pancreatin; D008049:Lipase; D000681:Amylases; D010447:Peptide Hydrolases
Nachbehandlung und Uberwachung total pankreatektomierter Patienten. Erfassung eines engmaschigen Blutzuckerprofils unter Alltagsbedingungen