%0 Journal Article
%T Glycemic Control after Total Pancreatectomy for Intraductal Papillary Mucinous Neoplasm: An Exploratory Study
%A Laith H. Jamil
%A Ana M. Chindris
%A Kanwar R. S. Gill
%A Daniela Scimeca
%A John A. Stauffer
%A Michael G. Heckman
%A Shon E. Meek
%A Justin H. Nguyen
%A Horacio J. Asbun
%A Massimo Raimondo
%A Timothy A. Woodward
%A Michael B. Wallace
%J HPB Surgery
%D 2012
%I Hindawi Publishing Corporation
%R 10.1155/2012/381328
%X Background. Glycemic control following total pancreatectomy (TP) has been thought to be difficult to manage. Diffuse intraductal papillary mucinous neoplasm (IPMN) is a potentially curable precursor to pancreatic adenocarcinoma, best treated by TP. Objective. Compare glycemic control in patients undergoing TP for IPMN to patients with type 1 diabetes mellitus (DM). Design/Setting. Retrospective cohort. Outcome Measure. Hemoglobin A1C(HbA1C) at 6, 12, 18, and 24 months after TP. In the control group, baseline was defined as 6 months prior to the first HbA1c measure. Results. Mean HgbA1C at each point of interest was similar between TP and type I DM patients (6 months (7.5% versus 7.7%, =0.52), 12 months (7.3% versus 8.0%, =0.081), 18 months (7.7% and 7.6%, =0.64), and at 24 months (7.3% versus 7.8%, =0.10)). Seven TP patients (50%) experienced a hypoglycemic event compared to 65 type 1 DM patients (65%, =0.38). Limitations. Small number of TP patients, retrospective design, lack of long-termfollowup. Conclusion. This suggests that glycemic control following TP for IPMNcan be well managed, similar to type 1 DM patients. Fear of DM following TP for IPMN should not preclude surgery when TP is indicated.
%U http://www.hindawi.com/journals/hpb/2012/381328/