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Abstract
Patients with endocrinopathies frequently present to the operating room. Although
many of these disorders are managed on a chronic basis, patients may have acute changes
in the perioperative period that, if left unrecognized, can have a negative effect
on perioperative morbidity and mortality. It is imperative that anesthesiologists
understand the implications of the surgical stress response on hormonal flux. This
article focuses on the 4 most commonly encountered endocrinopathies: diabetes mellitus,
hyperthyroidism, hypothyroidism, and adrenal insufficiency. Specific challenges pertaining
to patients with pheochromocytoma are also discussed.