Disturbances in Sugar Metabolism After Subtotal Gastrectomy
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.
these attacks are probably caused by a sudden rise of blood sugar.
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.
dehydration (determination of the blood volume),
a statement of comatose reactions by encephalography,
the question of ketone bodies in blood and urine.
KeywordsAdipose Tissue Hyperglycemia Blood Sugar Blood Sugar Level Fast Blood Sugar
Unable to display preview. Download preview PDF.
- E. Baranyi & E. Sperber, Absorption of glucose against a concentration gradient by the small intestine of the rabbit. Scand Arch, of Physiol., 87, 290, 1939.Google Scholar
- P. Carnot and M. Chassevant. Cr. soc. biol. 58 -1165-1905.Google Scholar
- Cohen, see Shay.Google Scholar
- C. F. Cori, Carbohydrate Metabolism. Phys. Rev. 11, 143, 1931.Google Scholar
- Delhounge, Arch pract. pathol., 1. 159, 1931.Google Scholar
- Diebold, see Lapp.Google Scholar
- Fels, see Shay.Google Scholar
- Fiessinger and Biran. Contr. soc. biol., 119, 839, 1935.Google Scholar
- Gale, see Weddell.Google Scholar
- Glaessner, Charles L., Hyperglycemic Shock. Rev. of Gastr. enteral. 7–528, 1940.Google Scholar
- Gershon, see Shay.Google Scholar
- C. G. Johnston and Ravden, I. S. Action of glucose on emptying of the stomach. Ann. of surg., 101, 500, 1935.Google Scholar
- A. Koranyi. Deut. Arch fuer Clin. Med. 178–353, 1936.Google Scholar
- N. Kotschureff, see London.Google Scholar
- London and Kotschureff, Mech. of ailment. Hyperglycemia, Zeitschr. fuer experim. Med. 101, 767, 1937.Google Scholar
- F. W. Lapp and H. Diebold. Blood sugar curve in its relation to resection of the stomach. D. Arch. f. Clin. Med. 143-5, 1932.Google Scholar
- Laszt, see Verzar and Willbrand.Google Scholar
- H. E. Magee and E. Reid. The absorption of glucose from the alimentary canal. J. of Phys. 73, 163, 1931.Google Scholar
- Necheles, see Schwartz.Google Scholar
- Ravden, J. S., Johnston, P. G., Morrison. Absorption of glucose from the intestine, Am. J. Physiol. 194, 700, 1933.Google Scholar
- Reid, see Magee.Google Scholar
- A. Shay and G. Gershon — Cohen. Exper. studies in gastr. physiol. in men, Surg., gyn, obstetr. 58, 935, 1934.Google Scholar
- Shay, Gershon—Cohen—Fels. Glucose tolerance in anacidity, Am. Arch of Dig. Diseases, 5, 4, 1938.Google Scholar
- Schwartz, Rheingold—Necheles. Experiments about the relationship between blood sugar and general complaints following subtotal gastric resection. Am. J. of Dig. Dis., 9, 151, 1942.Google Scholar
- H. C. Trimble and S. E. Maddoch. The rate of absorption of glucose from the intestine of the dog, J. biol. chem. 107, 133, 1934.Google Scholar
- Verzar and Laszt. Absorption of isotonic solutions of glucose from the intestine. Biol. Zeitsch, 276–21, 1935.Google Scholar
- D. Willbrand and L. Laszt. Investigations of the causes of the selective absorption of sugar from the intestine. Bioch. Zsch. 258, 398, 1933.Google Scholar
- A. G. Weddell and H. E. D. Gale. Changes in blood sugar level associated with surgical operations. Brit. J. of Surg., 22–80, 1934.Google Scholar