Efecto de la deficiencia de vitamina D sobre la hipocalcemia tras tiroidectomía total por bocio benigno

Díez, Mercedes Díaz de Cerio; Vera, Cristina; Ratia, T; Diego, Lucía; Mendoza, Fernando; Guillamot, Paloma; Román, Rosario San; Mugüerza, José M.; Rodríguez, Á. Jiménez; Medina, Carlos; Gómez, Beatriz; Granell, Javier

doi:10.1016/j.ciresp.2012.09.006

Cirugía Española

2013

DOI: 10.1016/j.ciresp.2012.09.006

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Efecto de la deficiencia de vitamina D sobre la hipocalcemia tras tiroidectomía total por bocio benigno

Mercedes Díaz de Cerio Díez

Cristina Vera

T Ratia

et al.

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Cited by 12 publications

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“…27,28 Patients with prolonged vitamin D deficiency present reduced intestinal absorption of calcium and phosphorus. 29…”

mentioning

confidence: 99%

Preoperative vitamin D deficiency is a risk factor for postoperative hypocalcemia in patients undergoing total thyroidectomy: retrospective cohort study

et al. 2019

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INTRODUCTION Techniques for thyroidectomy have evolved remarkably over the past 150 years. This is currently considered to be a very safe operation with favorable results when performed by experienced surgeons. 1 Hypocalcemia as a result of hypoparathyroidism is the most common postoperative complication of thyroidectomy. Hypoparathyroidism is considered to be transient if recovery occurs within days, weeks or a few months; or permanent when calcium levels do not return to normal within six months after surgery. 2,3 Transient hypoparathyroidism is seen in 0.3 to 49% of the patients undergoing thyroidectomy, whereas permanent hypoparathyroidism is less likely and has been reported in up to 13% of the cases. 4-8 The established risk factors for hypoparathyroidism after total thyroidectomy are advanced age, female sex, size of the thyroid gland, substernal goiter, Graves' disease, surgical technique (de-vascularization, excision or other inadvertent damage of the parathyroid glands), central compartment dissection, reoperation, less experienced surgeon and low 25-hydroxyvitamin D serum levels in the preoperative period. 9-18 Most thyroid surgeons provide calcium supplementation based on postoperative calcium, parathyroid hormone (PTH) serum levels, or presence of symptoms, whereas others routinely prescribe calcium and vitamin D supplementation after thyroidectomy to prevent hypocalcemia symptoms. 12,13,19 In a randomized study involving 143 patients undergoing total thyroidectomy, it

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“…27,28 Patients with prolonged vitamin D deficiency present reduced intestinal absorption of calcium and phosphorus. 29…”

mentioning

confidence: 99%

Preoperative vitamin D deficiency is a risk factor for postoperative hypocalcemia in patients undergoing total thyroidectomy: retrospective cohort study

et al. 2019

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Study of Effectiveness of Serum Phosphate as a Predictor of Temporary Hypocalcaemia Following Total Thyroidectomy

Sreekanth¹

2020

Indian J Surg

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Perioperative indicators of hypocalcemia in total thyroidectomy: the role of vitamin D and parathyroid hormone

Salinger¹,

Moore²

2013

The American Journal of Surgery

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Efecto de la deficiencia de vitamina D sobre la hipocalcemia tras tiroidectomía total por bocio benigno

Cited by 12 publications

References 25 publications

Preoperative vitamin D deficiency is a risk factor for postoperative hypocalcemia in patients undergoing total thyroidectomy: retrospective cohort study

Preoperative vitamin D deficiency is a risk factor for postoperative hypocalcemia in patients undergoing total thyroidectomy: retrospective cohort study

Study of Effectiveness of Serum Phosphate as a Predictor of Temporary Hypocalcaemia Following Total Thyroidectomy

Perioperative indicators of hypocalcemia in total thyroidectomy: the role of vitamin D and parathyroid hormone

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