48 cases of esophageal cancer with diabetes mellitus Perioperative.docVIP

 PAGE \* MERGEFORMAT 8 48 cases of esophageal cancer with diabetes mellitus Perioperative [Paper Keywords] esophageal cancer, diabetes, perioperative insulin [Abstract] Objective: esophageal cancer with diabetes experience and perioperative measures methods: analysis of our department in June 1998 - June 2007 48 cases of esophageal cancer with diabetes in the perioperative period of observation and treatment and nursing care Results: Postoperative complications in 10 cases, of which cervical anastomotic fistula in 4 cases of pulmonary infection in 3 patients, wound infection in 2 cases, ketoacidosis in 1. smoothly through the perioperative period, were discharged, no deaths Conclusion: Esophageal diabetes a higher incidence of postoperative complications, should pay close attention. In addition to conventional perioperative care treatment, rational use of insulin to control blood sugar in a certain range is key to successful treatment. Diabetic patients with esophageal cancer, often to the surgery and perioperative adverse impact on our hospital in June 1998 - June 2007 48 cases of esophageal cancer with diabetes underwent surgical treatment, perioperative experience now reported as follows: 1 Materials and Methods 1.1 General Information The group of 31 males and 17 females ranging in age from 46 to 78 years, average 64.6 years old. Esophageal thoracic carcinoma, 8 cases of esophageal cancer, 31 cases of chest segment, thoracic esophageal cancer, 9 cases in accordance with WHO to develop diagnostic criteria for diabetes , who are type Ⅱ diabetes, in which latent diabetes in 29 cases, 19 cases with a history of diabetes. surgical approach to radical surgery in 45 cases, palliative surgery in 2 cases, 1 case of unresectable advanced cancer; left cervical esophagogastric anastomosis in 40 cases, intrathoracic esophagogastric anastomosis in 7 cases. 1.2 Perioperative This group of patients before surgery are not restricted diet, and