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KMID : 0371319740160040023
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Journal of the Korean Surgical Society
1974 Volume.16 No. 4 p.23 ~ p.28
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Surgical Diabetes?
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Abstract
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Diabetics have long been known to have a high incidence of biliary tract disorder, and biliary -tract disorder may adversely predispose to or aggrative diabetes. This causal relationship is -related to the anatomic and physiologic relationships of biliary tract and pancreas; an obstructive nature in the distal common bile duct may cause pancreatitis and subsequent diabetes mellitus occasionally. So called "Hepatogenic Diabetes" caused by either hepatocellular dysfunction or ob ti uctive jaundice would be related in this situation too. We have experienced 5 cases of choledchithiasis with diabetes mellitus. Among them 3 patients had long been known to have a diabetes and placed on hypoglacemic agent before admission, and 2 patients were found as diabetics after .admission and also placed on hypoglycemic agent preoperatively.
After operation, urine sugar was dramatically disappeared and the level of blood sugar become down to near normal and or normal level without hypoglycemic agent. The stone was impacted tightly around the ampulla of Vater in all cases. There were evidence of pancreatitis in two cases at laparatomy and I case was proved to have liver cirrhosis by biopsy. Our experience would justify that early regognition of biliary tract disorder and appropriate surgical correction of such lesion might be contemplated as important role in management of diabetes mellitus.
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KEYWORD
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