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3005 北関東医学会 >
330501 The Kitakanto medical journal >
Vol.64 (2014) >

Please use this identifier to cite or link to this item: http://hdl.handle.net/10087/8526

Title: 糖質制限の実践により短期間で血糖値が安定し,安全に胆囊摘出術を施行できた1例
Other Titles: A Low Carbohydrate Diet During the Perioperative Period for Cholecystectomy : Improvement in the Body Weight and Glycemic Control for Patients with Gallstones
Authors: 門脇, 晋
Kadowaki, Susumu
Keywords: 糖質制限
周術期管理
胆囊摘出術
糖尿病
肥満症
low carbohydrate diet
perioperative period
cholecystectomy
diabetes
obesity
Issue Date: 1-May-2014
Publisher: 北関東医学会
Citation: The Kitakanto medical journal = 北関東医学. 2014, 64(2), p.153-157
Abstract: 39歳男性. 20歳代で糖尿病を指摘され近医通院していた. 胆石発作のため入院.入院時は身長175cm,体重97kg (BMI 31.6), HbA1c 8.5% (JDS), 空腹時血糖値210mg/dlと肥満及びコントロール不良の糖尿病を認めた. 胆囊摘出術を予定し, 江部らが提唱する糖質制限食を自宅で実践した. インスリンや経口血糖降下薬は一切使用しなかった.2か月半後に体重88kg (BMI 28.7),HbA1c 5.6% (JDS),空腹時血糖値108mg/dlまで改善し, 胆囊摘出術を安全に施行できた. 本稿は外科周術期に糖質制限という概念を応用した初めての報告であり, 糖質制限は術後合併症の低下をもたらし, 医療経済的にも大きなメリットがあると考えられた.(Kitakanto Med J 2014;64:153~157)
Description: A 39-year-old male was admitted to our hospital due to an attack of gallbladder stones. He complained of poorly controlled diabetes and obesity. Elective cholecystectomy was planned,and a low carbohydrate diet during the perioperative period was recommended. His hemoglobin A1c (HbA1c) was improved from 8.5% (JDS) to 5.6% and his bodyweight was decreased from 97 kg to 88 kg during the 2.5-month interval. We were able to safely perform cholecystectomy. A low carbohydrate diet seems to be safe and effective for improving the condition of patients prior to surgery. Physicians should advise obese patients with diabetes to follow a low carbohydrate diet during the perioperative period, because it can have dramatic effects on the body weight and glycemic control.(Kitakanto Med J 2014;64:153~157)
URI: http://hdl.handle.net/10087/8526
ISSN: 1343-2826
Appears in Collections:Vol.64 (2014)

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