Post-thyroidectomy hypocalcemia in patients with history of bariatric operations: current evidence and management options

Postgraduate Thesis uoadl:2885707 321 Read counter

Unit:
Κατεύθυνση Ελάχιστα Επεμβατική Χειρουργική, Ρομποτική Χειρουργική και Τηλεχειρουργική
Library of the School of Health Sciences
Deposit date:
2019-11-20
Year:
2019
Author:
Thanasa Antonia-Amalia
Supervisors info:
Δημήτριος Δημητρούλης, Επικ. Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Νικόλαος Νικητέας, Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Γεράσιμος Τσουρούφλης, Λέκτορας, Ιατρική Σχολή, ΕΚΠΑ
Original Title:
Post-thyroidectomy hypocalcemia in patients with history of bariatric operations: current evidence and management options
Languages:
English
Translated title:
Post-thyroidectomy hypocalcemia in patients with history of bariatric operations: current evidence and management options
Summary:
Background/Aim: Both bariatric and thyroid surgeries promote calcium and vitamin D deficiency. The correlation, however, of hypocalcemia after thyroidectomy in patients with previous bariatric surgery has been poorly described. This review aimed to investigate the relationship between history of bariatric operations and post-thyroidectomy hypocalcemia, as well as suggested management options. Materials and Methods: MEDLINE and Cochrane databases were searched for relevant publications regarding post- thyroidectomy hypocalcemia in patients with previous bariatric surgery. Results: A total of 17 publications reporting on 126 patients met the inclusion criteria. These included 13 publications about Roux-en-Y gastric bypass (RYGB), 2 regarding biliopancreatic diversion (BPD), 1 about sleeve gastrectomy (SG) and 1 compared three bariatric procedures: SG, RYGB, laparoscopic adjustable gastric band (LAGB). Post-thyroidectomy hypocalcemia was found to be more prevalent in patients with previous RYGB and BPD, but not in previous LAGB and SG. Conclusion: Patients with previous bariatric surgery are at high risk of post-thyroidectomy hypocalcemia that sometimes leads to higher length of hospital stay and demands more invasive solutions. There is a need, however, for additional studies and further investigation in order to reach more conclusive results.
Main subject category:
Health Sciences
Keywords:
Bariatric surgery, Thyroidectomy, Thyroid surgery, Hypocalcemia, Review
Index:
No
Number of index pages:
0
Contains images:
Yes
Number of references:
45
Number of pages:
23
File:
File access is restricted.

AntoniaThanasaMaster.pdf
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