Diabetes mellitus elderly patients with gallstone disease Perioperative.docVIP

 PAGE \* MERGEFORMAT 9 Diabetes mellitus elderly patients with gallstone disease Perioperative [Abstract] Objective of diabetes on the impact of elderly gallstone patients and perioperative blood glucose control. Methods of 23 cases of gallstone disease over the age of 60 diabetic patients with clinical features and perioperative blood glucose management on the prognosis of gallstone disease. Results elderly patients with diabetes mellitus gallstone mostly hidden, easy missed, the incidence of such patients in the emergency surgery (15/23), rapid progression, multiple gangrene, perforation, cholangitis merger (9 / 23), the perioperative management of blood glucose, may reduce the incidence of complications. Conclusions elderly patients with gallstone disease before surgery must be carried out blood sugar screening, appropriate preoperative preparation and perioperative blood glucose management and life-enhancing organ function after the monitoring and support, is to reduce the key complications and mortality. [Keywords:] the elderly, gallstones, diabetes during surgery Gallstone disease with the incidence of diabetes with the aging of society and significant increase in diabetes is not only susceptible to gallstone disease, and involves multiple organs, multiple site exception. On the elderly surgical patients with perioperative more potentially dangerous complications and mortality is also higher than non-diabetic patients [1]. I will be in our hospital in January 2005 ~ December 2007 aged 23 cases of cholelithiasis cholecystectomy patients with diabetes mellitus or common bile duct exploration in the situation analysis as follows. 1 Materials and Methods 1.1 General information on 23 cases of gallstone disease after preoperative combined different levels of diabetes, including 18 males and 5 females, aged 63 to 87 years, with an average age of 75. Fasting blood glucosegt; = 7.0mmol / L 9 patients,gt; = 8.3mmol / L 8 ,gt; = 13.9mmol / L 6 cases.