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Prevention, Identification and Management of Postoperative Hypoparathyroidism

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초록

The objective of this article is to detail and present our experience on the incidence and management of parathyroid dysfunction after thyroid surgery. Selective evaluation of original articles and reviews that were retrieved by a PubMed search over the years 1990 to 2018, as well as of the recommendations of medical societies including the American, European and Asian Thyroid/Endocrine Associations. The literature presents several contributions, with controversial results. The recommended management for the diagnosis and treatment of parathyroid dysfunction after bilateral thyroid surgery or recurrent surgery consists of an intact parathyroid hormone (iPTH) determination 12–24 hours after surgery and calcium substitution in iPTH <15 pg/mL, no substitution with iPTH ≥15 pg/mL. This procedure is safe for the patient and is accepted by patients and social insurances (for short hospital stay).

Abstract

The objective of this article is to detail and present our experience on the incidence and management of parathyroid dysfunction after thyroid surgery. Selective evaluation of original articles and reviews that were retrieved by a PubMed search over the years 1990 to 2018, as well as of the recommendations of medical societies including the American, European and Asian Thyroid/Endocrine Associations. The literature presents several contributions, with controversial results. The recommended management for the diagnosis and treatment of parathyroid dysfunction after bilateral thyroid surgery or recurrent surgery consists of an intact parathyroid hormone (iPTH) determination 12–24 hours after surgery and calcium substitution in iPTH <15 pg/mL, no substitution with iPTH ≥15 pg/mL. This procedure is safe for the patient and is accepted by patients and social insurances (for short hospital stay).

참고문헌 (31)

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관련 논문AI추천

Prediction of Transient and Permanent Hypoparathyroidism after Total Thyroidectomy Using the Postoperative Serum Parathyroid Hormone Test: When Is the Best Time to Check?김수진, 김현주, 배인의, 유형원, 이규은, 이준협, 이진욱, 채영준, 최준영대한내분비외과학회 · Journal of Endocrine Surgery2017 · 제17권 제3호Percentage Decline of Parathyroid Hormone Level is a Predictor for Post-thyroidectomy Symptomatic Hypocalcemia권형주, 김종규, 문병인, 임우성, 정다미대한내분비외과학회 · Journal of Endocrine Surgery2017 · 제17권 제4호Reliable Early Prediction for Different Types of Post-Thyroidectomy Hypocalcemia김준호, 손영익, 정만기대한이비인후과학회 · Clinical and Experimental Otorhinolaryngology2011 · 제4권 제2호Effectiveness of an i-PTH Measurement in Predicting Post Thyroidectomy Hypocalcemia: Prospective Controlled Study김록범, 김진평, 김호엽, 박정제, 손희영, 우승훈연세대학교의과대학 · Yonsei Medical Journal2013 · 제54권 제3호Postoperative Hypoparathyroidism and the Viability of the Parathyroid Glands During Thyroidectomy태경, 성의석, 송창면, 이창범, 정진혁, 지용배대한이비인후과학회 · Clinical and Experimental Otorhinolaryngology2017 · 제10권 제3호Inadvertent Parathyroidectomy during Thyroid Surgery for Papillary Thyroid Carcinoma and Postoperative Hypocalcemia김재혁, 박준식, 박지영, 손진호, 안동빈대한갑상선학회 · International Journal of Thyroidology2012 · 제5권 제1호

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