{"doi":"10.11638/jssmn.52.3_57","title":"KS-3　Development of Perioperative Glycemic Control Using an Artificial Pancreas and Surgical Diabetes Treatment","abstract":null,"journal":"The Japanese Journal of SURGICAL METABOLISM and NUTRITION","year":2018,"id":680013,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":0,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":null,"is_data_producer":false,"deposit_databanks":null,"is_oa":false,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":null,"fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1776731,"name":"Sunao Uemura","orcid":null,"position":1,"is_corresponding":false},{"id":1776732,"name":"Masaya Munekage","orcid":null,"position":2,"is_corresponding":false},{"id":1776733,"name":"Kazune Fujisawa","orcid":null,"position":3,"is_corresponding":false},{"id":1776734,"name":"Sachi Tsuda","orcid":null,"position":4,"is_corresponding":false},{"id":1776735,"name":"Hiroyuki Kitagawa","orcid":null,"position":5,"is_corresponding":false},{"id":1776736,"name":"Tsutomu Namikawa","orcid":null,"position":6,"is_corresponding":false},{"id":205085,"name":"Kazuhiro Hanazaki","orcid":null,"position":0,"is_corresponding":false}],"reference_count":0,"raw_metadata":{"has_enrichment":true,"resolved":true,"title":"KS-3　Development of Perioperative Glycemic Control Using an Artificial Pancreas and Surgical Diabetes Treatment","abstract":"PURPOSE：Entity of surgical diabetes associated with operation is surgical stress induced hyperglycemia which is trigger of postoperative infection（POI）. This study aimed to evaluate the effects of surgical diabetes treatment using an artificial pancreas（AP）. METHODS：From 2006 to 2018 on April, more than 700 surgical patients underwent perioperative glycemic control using an AP with closed-loop system（Nikkiso, Tokyo）. Among them, almost patients performed tight glycemic control（TGC）including intensive insulin therapy（IIT）targeting blood glucose range of 80-110 mg/dL. RESULTS：All patients undergoing TGC had no hypoglycemia less than 70 mg/dl. Consecutive 305 patients undergoing IIT had not only no hypoglycemia but also high achievement rate of targeting blood glucose range, approximately 90%. Of note, this novel glycemic control revealed more stable continuous blood glucose monitoring with less variability of blood concentrations compared with conventional glycemic control. In addition, we would like to introduce several prospective randomized controlled trials of TGC using an AP leading to better surgical outcomes after major surgery. CONCLUSION：Perioperative TGC using an AP is an effective and a safe surgical diabetes treatment to avoid not only hyperglycemia and hypoglycemia but also variability of blood glucose levels. In particular, this novel glycemic control method is compatible with perioperative nutrition support easily.","is_dataset_classified":null,"base_score":0.0,"endowment":0.0,"datacite_reuse_total":0,"file_count":0,"downloads":0,"views":0,"has_version_chain":false,"is_dataset":false,"is_oa":false,"pmid":"21097893","pmcid":null,"openalex_id":"https://openalex.org/W2890022157","authors":[],"funders":[],"total_grants":0,"fwci":0.0,"citation_percentile":0.14407869,"influential_citations":0,"citation_trend":[],"oa_status":"gold","license":null,"oa_locations":[{"url":"https://www.jstage.jst.go.jp/article/jssmn/52/3/52_57/_pdf","host_type":"journal"},{"url":"https://www.jstage.jst.go.jp/article/jssmn/52/3/52_57/_pdf","host_type":"publisher"},{"url":"https://doi.org/10.11638/jssmn.52.3_57","host_type":"journal"}],"fields_of_study":["Hyperglycemia and glycemic control in critically ill and hospitalized patients","Diet and metabolism studies","Diabetes Management and Research"],"mesh_terms":[],"keywords":["Glycemic","Perioperative","Medicine","Hypoglycemia","Diabetes mellitus","Insulin","Artificial pancreas","Stress hyperglycemia","Surgery","Anesthesia","Internal medicine","Type 1 diabetes","Endocrinology"],"sdg_mappings":[{"sdg_number":0,"sdg_label":"Good health and well-being"}],"linked_datasets":[],"clinical_trials":[],"software_tools":[],"database_accessions":[],"source":"live","citation_network_status":"fetched"},"created_at":"2026-08-17T14:12:05.432027Z","pmid":null,"pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}