Prevention, Identification and Management of Postoperative Hypoparathyroidism

• 발행기관: 대한내분비외과학회
• 저자명: Salvatore Lazzara Alberto Barbera Guido Nicola Zanghì Francesco Freni Grazia Pagano Andrea Cogliandolo Ozer Makay Gianlorenzo Dionigi
• 간행물 정보: 『The Koreran journal of Endocrine Surgery』18권2호, 121~131쪽, 전체 11쪽
• 주제분류: 의약학 > 일반외과학
• 파일형태: PDF
• 발행일자: 2018.05.30

영문 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).

키워드

Thyroid gland Thyroid disease Parathyroid glands Parathyroid hormone