scholarly journals Current Recommendations for Surgical Treatment of Diabetes

10.5772/59182 ◽  
2015 ◽  
Author(s):  
Anca Elena Sirbu ◽  
Aura Reghina ◽  
Carmen Barbu ◽  
Simona Fica
Keyword(s):  
Surgical Treatment ◽  
Treatment Of Diabetes

scholarly journals The Safety of Pharmacological and Surgical Treatment of Diabetes in Patients with Diabetic Retinopathy—A Review

2021 ◽  
Vol 10 (4) ◽  
pp. 705
Author(s):  
Wojciech Matuszewski ◽  
Angelika Baranowska-Jurkun ◽  
Magdalena Maria Stefanowicz-Rutkowska ◽  
Katarzyna Gontarz-Nowak ◽  
Ewa Gątarska ◽  
...  
Keyword(s):  
Diabetic Retinopathy ◽  
Surgical Treatment ◽  
World Literature ◽  
Vision Loss ◽  
Modern World ◽  
Diabetic Patients ◽  
Surgical Methods ◽  
Treatment Of Diabetes ◽  
Diabetic Population ◽  
Islet Transplants

Background. Diabetes mellitus (DM) is a non-infectious pandemic of the modern world; it is estimated that in 2045 it will affect 10% of the world’s population. As the prevalence of diabetes increases, the problem of its complications, including diabetic retinopathy (DR), grows. DR is a highly specific neurovascular complication of diabetes that occurs in more than one third of DM patients and accounts for 80% of complete vision loss cases in the diabetic population. We are currently witnessing many groundbreaking studies on new pharmacological and surgical methods of treating diabetes. Aim. The aim of the study is to assess the safety of pharmacological and surgical treatment of DM in patients with DR. Material and methods. An analysis of the data on diabetes treatment methods currently available in the world literature and their impact on the occurrence and progression of DR. Results. A rapid decrease in glycaemia leads to an increased occurrence and progression of DR. Its greatest risk accompanies insulin therapy and sulfonylurea therapy. The lowest risk of DR occurs with the use of SGLT2 inhibitors; the use of DPP-4 inhibitors and GLP-1 analogues is also safe. Patients undergoing pancreatic islet transplants or bariatric surgeries require intensive monitoring of the state of the eye, both in the perioperative and postoperative period. Conclusions. It is of utmost importance to individualize therapy in diabetic patients, in order to gradually achieve treatment goals with the use of safe methods and minimize the risk of development and progression of DR.

Effective surgical treatment of diabetes for the obese patient

2006 ◽  
Vol 6 (2) ◽  
pp. 85-87 ◽  
Author(s):  
George L. Blackburn ◽  
Daniel B. Jones
Keyword(s):  
Surgical Treatment ◽  
Obese Patient ◽  
Treatment Of Diabetes

scholarly journals Surgical Treatment of Diabetes Mellitus with Pancreas Transplantation

1994 ◽  
Vol 220 (6) ◽  
pp. 809-820 ◽  
Author(s):  
Robert J. Stratta ◽  
Rodney J. Taylor ◽  
J. Stevenson Bynon ◽  
Jeffrey A. Lowell ◽  
Rakesh Sindhi ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Surgical Treatment ◽  
Pancreas Transplantation ◽  
Treatment Of Diabetes

Human Stapes Crura: Normal Ultrastructure. Scanning Electron Microscopic Findings

1975 ◽  
Vol 33 ◽  
pp. 528-529
Author(s):  
M.D. Graham
Keyword(s):  
Electron Microscope ◽  
Surgical Treatment ◽  
Scanning Electron Microscope ◽  
Osmic Acid ◽  
Human Cadaver ◽  
Electron Microscopic ◽  
Scanning Electron Microscopic ◽  
Normal Human ◽  
Microscopic Findings ◽  
Scanning Electron

The recent development of the scanning electron microscope has added great impetus to the study of ultrastructural details of normal human ossicles. A thorough description of the ultrastructure of the human ossicles is required in order to determine changes associated with disease processes following medical or surgical treatment.Human stapes crura were obtained at the time of surgery for clinical otosclerosis and from human cadaver material. The specimens to be examined by the scanning electron microscope were fixed immediately in the operating room in a cold phosphate buffered 2% gluteraldehyde solution, washed with Ringers, post fixed in cold 1% osmic acid and dehydrated in graded alcohol. Specimens were transferred from alcohol to a series of increasing concentrations of ethyl alcohol and amyl acetate. The tissue was then critical point dried, secured to aluminum stubs and coated with gold, approximately 150A thick on a rotating stage in a vacuum evaporator. The specimens were then studied with the Kent-Cambridge S4-10 Scanning Electron Microscope at an accelerating voltage of 20KV.

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