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The American Journal of Digestive Diseases

, Volume 12, Issue 5, pp 157–162 | Cite as

Disturbances in Sugar Metabolism After Subtotal Gastrectomy

  • Charles L. Glaessner
Article

Conclusions

In a series of 14 cases of subtotal gastrectomy, I could show:
  1. 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.

     
  2. 2)

    these attacks are probably caused by a sudden rise of blood sugar.

     
  3. 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:
  1. 1)

    dehydration (determination of the blood volume),

     
  2. 2)

    a statement of comatose reactions by encephalography,

     
  3. 3)

    the question of ketone bodies in blood and urine.

     

Keywords

Adipose Tissue Hyperglycemia Blood Sugar Blood Sugar Level Fast Blood Sugar 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer-Verlag 1945

Authors and Affiliations

  • Charles L. Glaessner
    • 1
  1. 1.New York

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