Summary
A case of hypoglycaemia following the removal of a phaeochromocytoma is reported and the mechanisms that influence the blood sugar before and after the removal of that tumour are discussed.
Résumé
Nous rapportons un cas ďhypoglycémie post-opératoire suivant ľexcision ďun phéo-chromocytome, et nous discutons les mécanismes physiologiques qui influencent la glycémie avant et après ľexcision de cette tumeur.
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References
Thorn, G.W., Adams, R.D., Braunwald, E., IsselBACHER, K.J. &Petersdorf, R.G. Principles of internal medicine 8 ed., McGraw-Hill. New York. 560 (1977).
Suore, Y., Beck-Girandon, B., Pouget-Abadie, J.F.,et al. Le diabète du phéo-chromocytome. Sem. Hôp. Paris52: 1893–1902 (1976).
Perry, L.B. &Gould, A.B., {jrJr.} The anesthetic management of pheochromocytoma: effect of preoperative adrenergic blocking drugs. Anesth. Analg. (deve)51: 36 (1972).
Allen, C.T.B. &Imrie, D. Hypoglycemia as a complication of removal of a pheochromocytoma. Can. Med. Ass. J.116: 363–364 (1977).
Wilkins. G.E., Schmidt, N. &Doll, W.A. Hypoglycemia following excision of pheochromocytoma. Can. Med. Ass. J.116: 367–368 (1977).
Porte, D., {jrJr.} A receptor mechanism for the inhibition of insulin release by epinephrine in man. J. Clin. Invest.46: 86 (1967).
Cerasi, E., Effendic, S. &Luft, R. Role of adrenergic receptors in glucose-induced insulin secretion in man. Lancet2: 301 (1969).
Spergel, G., Bleicher, S.H. &Ertel, N.H. Carbohydrate and fat metabolism in patients with pheochromocytoma. N. Engl. J. Med.278: 803 (1968).
Randle, P.H., Garland. P.B., Hales, C.N.,et al. Glucose fatty-acid cycle: its role in insulin sensitivity and metabolic disturbance of diabetes mellitus. Lancet1: 785 (1963).
Schalch, D.S. &Kipnis, D.M. Abnormalities in carbohydrate tolerance associated with elevated plasma nonesferified fatty acids. J. Clin. Invest.44: 2010 (1965).
Goldenberg, I.S., Hayes, M.A. &Greene, N.M. Endocrine response during operative procedures. Ann. Surg.150: 190 (1959).
Lindseth, R.E. Postoperative glucose metabolism in diabetic and non-diabetic patients. Arch. Surg.105: 741 (1972).
Cooper, C.E. &Nelson, D.H. ACTH levels in plasma in preoperative and surgically stressed patients. J.Clin. Invest.41: 1599 (1962).
Greene, N.M. &Goldenberg, I.S. The effect of anesthesia on thyroid activity in humans. Anesthesiology20: 125 (1959).
Porte, D., {jrJr.},Graber, A., Kuzuya, T.,et al. The effect of epinephrine on immunoreactive insulin levels in man. J. Clin. Invest.45: 228 (1966).
Shand, D.G. Propanolol. N. Engl. J. Med.293: 280 (1975).
Skinner, D.J. Uses of propanolol. N. Engl. J. Med.293: 1205 (1975).
Lloyd-Mostyn, R.H. &Oram. S. Modification by propanolol of cardio-vascular effects of induced hypoglycemia. Lancet2: 1213–1215 (1975).
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Martin, R., St-Pierre, B. & Moliner, OR. Phaeochromocytoma and postoperative hypoglycaemia. Canad. Anaesth. Soc. J. 26, 260–262 (1979). https://doi.org/10.1007/BF03006284
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DOI: https://doi.org/10.1007/BF03006284