ID 110320
Title Transcription
ステロイド チョウキ トウヨ カンジャ ニオケル シュウジュツキ ステロイド カバー
Title Alternative
Perioperative corticosteroid supplementation of patients treated long-term with steroid
Author
Asanoma, Michihito Department of Digestive and Pediatric Surgery
Kurita, Nobuhiro Department of Community Medicine, Tokushima University Hospital KAKEN Search Researchers
Utunomiya, Toru Cancer Clinical Cooperation Center, Tokushima University Hospital KAKEN Search Researchers
Keywords
corticosteroid supplementation
adrenal insufficiency
perioperative
surgery
HPA axis
Content Type
Journal Article
Description
In patients receiving chronic corticosteroid therapy, the adrenocortical function has decreased because of suppression of the hypothalamic-pituitary-adrenal axis. Under such a condition, it is easy to fall into a serious acute adrenocortical insufficiency during surgical stress. Corticosteroid supplementation is done as prevention of adrenocortical insufficiency. It is changing from corticosteroid supplementation of high dose into that of low dose that based on extrapolation from what constitutes a normal cortisol response to stress in recent years. On the other hand, some authors reported that patients receiving therapeutic doses of corticosteroids who undergo a surgical procedure do not routinely require corticosteroid supplementation so long as they continue to receive their usual daily dose of corticosteroid. Therefore, furthermore investigation should be necessary.
Journal Title
四国医学雑誌
ISSN
00373699
NCID
AN00102041
Publisher
徳島医学会
Volume
66
Issue
3-4
Start Page
85
End Page
90
Sort Key
85
Published Date
2010-08-25
EDB ID
FullText File
language
jpn
TextVersion
Publisher
departments
University Hospital
Medical Sciences