Colorectal cancer and perioperative management of diabetes.docVIP

 PAGE \* MERGEFORMAT 8 Colorectal cancer and perioperative management of diabetes [Abstract] Objective: To investigate the colorectal cancer patients with diabetes mellitus Perioperative treatment. Methods: 32 elderly patients with diabetes mellitus in patients with colorectal cancer surgery were analyzed retrospectively. Results: 32 cases of perioperative blood glucose control in patients with ideal underwent surgical treatment, no operative deaths, no serious complications, all patients were successfully spent the perioperative period. Conclusion: Perioperative strict control of blood sugar, choose a reasonable operation time and anesthesia, and then providing them with effective nutritional support in patients with colorectal cancer with diabetes can safely through the perioperative period. [Keywords:] colorectal cancer; diabetes; Perioperative Because colorectal cancer patients, mostly elderly patients, combined large number of elderly disease, clinical diabetes mellitus is more common, diabetes is a risk factor for surgery, postoperative complications and mortality were higher in our hospital in 2003 12 months to December 2007 admitted 32 cases of elderly diabetes mellitus patients with colorectal cancer surgery were retrospectively analyzed. 1 Data and methods 1.1 Clinical data The group of 32 patients, male 21 cases, 11 females, aged 60 to 86 years, mean 68 years. Both type 2 diabetes, improved Dukes stages: Ⅰ period of 4 cases, Ⅱ period of 16 cases, Ⅲ period of 8 cases, Ⅳ period of 4 cases. The whole group, 8 cases complicated with other diseases, of which 2 cases with urinary tract infection, 6 cases of coronary heart disease. Blind 3 cases of colon cancer or colon cancer in 11 cases, seven cases of hepatic flexure of colon, transverse colon in 4 cases, 2 cases of splenic flexure of colon, sigmoid colon cancer in 5 cases. Pathological diagnosis: adenocarcinoma, 21 cases were poorly differentiated adenocarcinoma in 5 cases, adenoma in 6 case