[Care of esophageal cancer patients with diabetes mellitus--preoperative management and treatment].
The care of esophageal cancer patients with diabetes mellitus is described. The main points are as follows. 1. Prevention and control of infection. 2. Sufficient nutritional support (2000 Kcal/day) and hydration. 3. Control of plasma glucose level (150 mg/dl-250 mg/dl) by means of insulin. 4. An absence of ketone bodies and minimum glucose level (< 10 g/day) in the urine. 5. Prevention and control of hypoglycemia. Good control of diabetes mellitus in esophageal cancer patients may contribute to reduced surgical rislcs.
Shimada
Y
Y
First Department of Surgery, Kyoto University, Japan.
Imamura
M
M
D001786:Blood Glucose; D048909:Diabetes Complications; D003920:Diabetes Mellitus / Q000175:diagnosis / Q000628:therapy*; D004938:Esophageal Neoplasms / Q000150:complications* / Q000601:surgery*; D006029:Glycosuria; D007003:Hypoglycemia / Q000517:prevention & control; D007328:Insulin / Q000008:administration & dosage; D007430:Intraoperative Care; D007657:Ketone Bodies / Q000652:urine; D011300:Preoperative Care; D012306:Risk
D001786:Blood Glucose; D007328:Insulin; D007657:Ketone Bodies