Post-thyroidectomy Hypocalcemia and Pre-operative Vitamin D Levels
محل انتشار: مجله علمی جراحی، دوره: 3، شماره: 4
سال انتشار: 1395
نوع سند: مقاله ژورنالی
زبان: انگلیسی
مشاهده: 327
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شناسه ملی سند علمی:
JR_AJS-3-4_006
تاریخ نمایه سازی: 17 مرداد 1396
چکیده مقاله:
Background: Post-operative transient hypocalcemia is a common event after total thyroidectomy. It may reveal permanent hypoparathyroidism following total or subtotal thyroidectomy. It has been hypothesized that there is a relationship between underlying vitamin D deficiency and the risk of post-operative hypocalcemia.Methods: We performed a cross-sectional review on 100 thyroidectomies from 2016 at an academic teaching hospital. Pre-operative vitamin D levels and post-operative calcium level were obtained. The incidence of hypocalcemic symptoms was studied. Biochemical hypocalcemia was defined as any single post-operative corrected calcium level < 8.0 mg/dl (to convert to millimoles per liter, multiply by 0.25).Results: Post-operative calcemia < 8.0 mg/dl was observed in 19 patients (19%). We found that the patients carried a high risk for post-operative transient biochemical hypocalcemia if the pre-operative serum vitamin D levels ˂ 35 nmol/l. There was a significant differentiation between mean of vitamin D levels in hypocalcemic group and normocalcemic group.Conclusions: Pre-operative vitamin D levels appear to have a significant effect on the risk of post-thyroidectomy hypocalcemia.© 2014 Tehran University of Medical Sciences. All rights reserved.Citation: Khazaii A, Ramazani M. Post-thyroidectomy Hypocalcemia and Pre-operative Vitamin D Levels. Acad J Surg, 2016; 3(3-4): 54-7.
کلیدواژه ها:
نویسندگان
Alireza Khazaii
Department of Surgery, School of Medicine AND Imam Ali Hospital, Zahedan University of Medical Sciences, Zahedan, Iran
Mahddieh Ramazani
Department of Surgery, School of Medicine AND Imam Ali Hospital, Zahedan University of Medical Sciences, Zahedan, Iran