Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
8933137 | British Journal of Anaesthesia | 2014 | 9 Pages |
Abstract
All published reports were identified through comprehensive searches using PubMed, BioMedLib, and the Japan Medical s Society with the following terms and keywords: 'anorexia nervosa', 'eating disorder', 'hypoglycaemia', 'leucocytopaenia', 'gelatinous bone marrow', 'surgery', and 'operation'. In cases of AN with a BMI under 13 kg mâ2, marked hypoglycaemia, leucocytopaenia <3.0Ã109 litreâ1, or both, potentially fatal complications frequently occur. Accordingly, patients need strict nutritional support to avoid re-feeding syndrome until surgery. During the course of anaesthesia, careless loading of glucose or catecholamine may lead to disturbance of electrolytes or fatal arrhythmia. Intensive care and early feeding as soon as possible after surgery are important to prevent surgical site infection. Although not many perioperative cases of AN have been reported, clinicians must be aware of the danger and the causes of mortality in critical cases. Thus, the decision to undertake surgery must be taken carefully and close perioperative coordination among physicians, surgeons, psychiatrists, anaesthesiologists, and intensivists is essential.
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Authors
K. Hirose, M. Hirose, K. Tanaka, S. Kawahito, T. Tamaki, S. Oshita,