Hypoglycemia after resection of pheochromocytoma

Background Hypoglycemia after resection of pheochromocytoma is a rare and poorly understood complication thought to be secondary to rebound hyperinsulinemia and increased peripheral glucose uptake. We examined the incidence of this complication and aimed to identify predisposing risk factors. Method...

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Veröffentlicht in:	Surgery 2014-12, Vol.156 (6), p.1404-1409
Hauptverfasser:	Chen, Yufei, MD, Hodin, Richard A., MD, Pandolfi, Chiara, Ruan, Daniel T., MD, McKenzie, Travis J., MD
Format:	Artikel
Sprache:	eng
Schlagworte:	Academic Medical Centers Adrenal Gland Neoplasms - diagnosis Adrenal Gland Neoplasms - surgery Adrenalectomy - adverse effects Adrenalectomy - methods Adult Aged Analysis of Variance Blood Glucose - analysis Cohort Studies Confidence Intervals Female Follow-Up Studies Humans Hypoglycemia - epidemiology Hypoglycemia - etiology Hypoglycemia - physiopathology Incidence Male Middle Aged Odds Ratio Pheochromocytoma - diagnosis Pheochromocytoma - surgery Postoperative Complications - epidemiology Postoperative Complications - physiopathology Prognosis Registries Retrospective Studies Risk Assessment Statistics, Nonparametric Surgery Time Factors
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Zusammenfassung:	Background Hypoglycemia after resection of pheochromocytoma is a rare and poorly understood complication thought to be secondary to rebound hyperinsulinemia and increased peripheral glucose uptake. We examined the incidence of this complication and aimed to identify predisposing risk factors. Methods Patients who underwent pheochromocytoma resection between 1993 and 2013 at 2 large academic medical centers were identified retrospectively from a research patient data registry. The primary end point was postoperative hypoglycemia defined as blood glucose
ISSN:	0039-6060 1532-7361
DOI:	10.1016/j.surg.2014.08.020