scholarly journals An innocent bystander or a harbinger of doom? - impact of diabetes mellitus on perioperative outcomes and survival in pancreatic and periampullary adenocarcinoma

HPB ◽  
2021 ◽  
Vol 23 ◽  
pp. S259
Author(s):  
R. Gupta ◽  
K.B. Deo ◽  
G. Krishnamurthy ◽  
A. Kulkarni ◽  
R. Nada ◽  
...  
2020 ◽  
Vol 158 (6) ◽  
pp. S-1561
Author(s):  
Rajesh Gupta ◽  
Kunal Bikram Deo ◽  
Gautham Krishnamurthy ◽  
Aditya Kulkarni ◽  
Praveen Kumar-M ◽  
...  

2009 ◽  
Vol 91 (7) ◽  
pp. 1621-1629 ◽  
Author(s):  
Milford H Marchant ◽  
Nicholas A Viens ◽  
Chad Cook ◽  
Thomas Parker Vail ◽  
Michael P Bolognesi

2010 ◽  
Vol 210 (4) ◽  
pp. 463-473 ◽  
Author(s):  
Carrie K. Chu ◽  
Ashley E. Mazo ◽  
Juan M. Sarmiento ◽  
Charles A. Staley ◽  
N. Volkan Adsay ◽  
...  

2019 ◽  
Vol 33 (03) ◽  
pp. 228-234 ◽  
Author(s):  
Alex Gu ◽  
Chapman Wei ◽  
Hannah N. Robinson ◽  
Shane A. Sobrio ◽  
Jiabin Liu ◽  
...  

AbstractTotal knee arthroplasty (TKA) is a common and effective treatment of knee osteoarthritis. As the amount of TKAs performed increases, so does the number of TKA failures and subsequent revisions. Diabetes mellitus (DM) has been shown to increase complications following orthopaedic procedures. For these reasons, it is important to understand the association between severity of DM and the risk of postoperative adverse events following revision TKA. A retrospective cohort study was conducted using the American College of Surgeons' National Surgical Quality Improvement Program database. Patients who underwent revision TKAs between 2007 and 2016 were identified and recorded as having noninsulin-dependent DM (NIDDM), insulin-dependent DM (IDDM), or no DM. Univariate and multivariate analysis were used to evaluate the incidence of multiple adverse events within 30 days after revision TKA. A total of 13,246 patients who underwent revision TKA were selected (without DM = 10,381 [78.4%]; NIDDM = 1,890 [14.3%]; IDDM = 975 [7.4%]). Patients with NIDDM were found to have an increased risk of developing renal insufficiency and urinary tract infection (UTI) compared with patients without DM, while patients with IDDM were found to have an increased risk of developing 10 of 20 adverse events compared with patients without DM. NIDDM is an independent risk factor for UTI and IDDM is an independent factor for development of three complications compared with no DM. Insulin dependency is an independent factor for septic shock, postoperative blood transfusion, and extended postoperative hospital stay. Relative to patients with NIDDM, those with IDDM have a greater likelihood of developing more adverse perioperative outcomes than patients without DM. Although complication rates remain relatively low, orthopaedic surgeons must consider the implications of diabetes and insulin dependence on patient selection, preoperative risk stratification, and postoperative outcomes.


2021 ◽  
Vol 8 (2) ◽  
pp. 182-184
Author(s):  
Liz Mary Paul ◽  
Shamsudeen M ◽  
Shahul Hameed C P ◽  
Lubna Abdul Azeez ◽  
Faris Hussain K N ◽  
...  

We report a case of 48 year old male with past medical history of poorly controlled Diabetes mellitus, Chronic Liver Disease-child Pugh B who came with complaints of left frontal headache and left orbital pain. A clinical diagnosis of possible Rhinorbital Mucormycosis was made and further confirmed by potassium hydroxide (KOH) mount from tissue, which showed broad sparsely septate hyphae and fungal culture grew Rhizopus oryzae. Covid 19 infection was detected as an incidental finding on admission to the hospital. The patient was successfully treated with surgical debridement and liposomal Amphotericin B followed by oral Posaconazole.


2014 ◽  
Vol 57 (2) ◽  
pp. 101-105 ◽  
Author(s):  
Marius Hoogerboord ◽  
Shannon Wiebe ◽  
Dennis Klassen ◽  
Tom Ransom ◽  
Diana Lawlor ◽  
...  

1998 ◽  
Vol 39 (5) ◽  
pp. 663-668 ◽  
Author(s):  
Harry N. Bawden ◽  
Aidan Stokes ◽  
Carol S. Camfield ◽  
Peter R. Camfield ◽  
Sonia Salisbury

Author(s):  
Bruce R. Pachter

Diabetes mellitus is one of the commonest causes of neuropathy. Diabetic neuropathy is a heterogeneous group of neuropathic disorders to which patients with diabetes mellitus are susceptible; more than one kind of neuropathy can frequently occur in the same individual. Abnormalities are also known to occur in nearly every anatomic subdivision of the eye in diabetic patients. Oculomotor palsy appears to be common in diabetes mellitus for their occurrence in isolation to suggest diabetes. Nerves to the external ocular muscles are most commonly affected, particularly the oculomotor or third cranial nerve. The third nerve palsy of diabetes is characteristic, being of sudden onset, accompanied by orbital and retro-orbital pain, often associated with complete involvement of the external ocular muscles innervated by the nerve. While the human and experimental animal literature is replete with studies on the peripheral nerves in diabetes mellitus, there is but a paucity of reported studies dealing with the oculomotor nerves and their associated extraocular muscles (EOMs).


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