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Perioperative Medicine pp 227–260Cite as

Endocrine Disease

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Abstract

Surgery and anesthesia stimulate a “stress-response” resulting in production of counter-regulatory hormones, including glucagon, epinephrine, and cortisol, while decreasing endogenous insulin. This in turn increases gluconeogenesis, glycogenolysis, peripheral insulin resistance, and ketogenesis culminating in hyperglycemia.

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Authors and Affiliations

  1. UCI Medical Center, UCI Hospitalist Program, University of California, Irvine, College of Medicine, 101 The City Drive South, Building 26, Room 1006, Orange, CA, 92868, USA

    Amish Ajit Dangodara

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  1. Amish Ajit Dangodara
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  2. Visala S. Muluk
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Correspondence to Amish Ajit Dangodara .

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Editors and Affiliations

  1. Downstate Medical Center, State University of New York (SUNY), Hicks St. 339, Brooklyn, 11201, New York, USA

    Steven L. Cohn

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© 2011 Springer-Verlag London Limited

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Dangodara, A.A., Muluk, V.S. (2011). Endocrine Disease. In: Cohn, S. (eds) Perioperative Medicine. Springer, London. https://doi.org/10.1007/978-0-85729-498-2_22

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  • DOI: https://doi.org/10.1007/978-0-85729-498-2_22

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