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Insulin Therapy in Patients Undergoing Liver Surgery (Paperback) Loot Price: R1,681
Discovery Miles 16 810
Repayment Terms: R158 pm x 12*
Insulin Therapy in Patients Undergoing Liver Surgery (Paperback): Mazen Hassanain, Peter Metrakos, Thomas Schricker

Insulin Therapy in Patients Undergoing Liver Surgery (Paperback)

Mazen Hassanain, Peter Metrakos, Thomas Schricker

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Loot Price R1,681 Discovery Miles 16 810 | Repayment Terms: R158 pm x 12*

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Tissue injury related to liver surgery stimulates the release of stress hormones and proinflammatory cytokines to produce the necessary elements needed for healing. An exaggerated stress limits the liver's capacity to regenerate by depleting its energy stores. This change in metabolism leads to an insulin resistant state in the patient and associated hyperglycaemia. Dextrose supplementation coupled with intravenous insulin given perioperatively affords superior surgical outcomes through preservation of liver glycogen and strict glycaemia control. The goal of this work was to investigate the benefits of a metabolic support protocol involving carbohydrate loading and insulin infusion provided by a hyperinsulinemic normoglycaemic clamp, for patients undergoing major hepatic resection.

General

Imprint: Lap Lambert Academic Publishing
Country of origin: Germany
Release date: December 2011
First published: December 2011
Authors: Mazen Hassanain • Peter Metrakos • Thomas Schricker
Dimensions: 229 x 152 x 11mm (L x W x T)
Format: Paperback - Trade
Pages: 184
ISBN-13: 978-3-8465-2071-0
Categories: Books > Medicine > General issues > General
LSN: 3-8465-2071-3
Barcode: 9783846520710

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