Conclusions
In a series of 14 cases of subtotal gastrectomy, I could show:
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1)
that even oral intake of 100 grams glucose provoked characteristic attacks of hyperglycemic shock consisting in manifestations of nausea, vomiting, headache, cramps in the abdomen, coma, nystagmus, in a similar way as Beckerman and Lawrence described them.
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2)
these attacks are probably caused by a sudden rise of blood sugar.
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3)
new observations during this shock were made: disorders of the vascular system as increase of the pulse rate, decrease of the systolic and especially, the diastolic blood pressure. In a few cases a comatose condition could be observed: disorientation and soft eyeballs. The objection of Schwartz, Rheingold and Necheles could be refuted.
Further studies are planned to solve the following questions in this type of shock:
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1)
dehydration (determination of the blood volume),
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2)
a statement of comatose reactions by encephalography,
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3)
the question of ketone bodies in blood and urine.
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Glaessner, C.L. Disturbances in Sugar Metabolism After Subtotal Gastrectomy. Jour. D. D. 12, 157–162 (1945). https://doi.org/10.1007/BF02998659
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DOI: https://doi.org/10.1007/BF02998659