Recommended management of thyroid disorders

Weetman, Anthony P.

doi:10.1002/psb.1522

Cited by 3 publications

(1 citation statement)

References 13 publications

(14 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Hyperthyroidism is usually caused by Graves' disease (GD) and toxic multinodular goiter (TMNG), and occasionally caused by thyroiditis [2,3]. The accurate diagnosis of GD from thyroiditis is crucial to avoid prescribing antithyroid medications to thyroiditis patients, which could lead to hypothyroidism or other side-effects [4]. Furthermore, treatment of TMNG with antithyroid medications is discouraged; rather, radioiodine or surgery is the intervention of choice.…”

Section: Introductionmentioning

confidence: 99%

Scintigraphy evaluation of hyperthyroidism and its correlation with clinical and biochemical profiles

et al. 2020

View full text Add to dashboard Cite

Objective Hyperthyroidism is the excessive synthesis of thyroid hormones. Thyroid uptake scans and ultrasonography provide an accurate diagnosis of hyperthyroidism, especially when thyroid receptor antibody (TRAb) measurement is not readily available. This study explored the prevalence of various hyperthyroidism causes using retrospective scintigraphy results and evaluated their relationship with clinical, biochemical, and sonographic imaging parameters from patients who underwent 99mTc-pertechnetate thyroid scans between 2016 and 2019 in Taif, Saudi Arabia, where literature is insufficient. Furthermore, the inappropriate use of thyroid scanning in different thyroid diseases was evaluated. Results The study enrolled 207 patients (mean age: 42.5 ± 14.7 years). The mean free T4, T3, antithyroid peroxidase antibody, antithyroglobulin antibody, C-reactive protein, and erythrocyte sedimentation rate levels were high. Graves’ disease was the most common diagnosis. Compared to toxic solitary/multinodular goiter, patients with Graves’ disease were usually younger, used carbimazole during both the uptake and the scan, had an enlarged thyroid gland, and had higher FT4 and FT3 levels. Inappropriate thyroid uptake and scan use was reported in approximately 10% of patients, and 25% of the patients used carbimazole during the uptake and scan. Thus, better patient education is needed to avoid misinterpreting the scan results.

show abstract

Section: Introductionmentioning

confidence: 99%

Scintigraphy evaluation of hyperthyroidism and its correlation with clinical and biochemical profiles

et al. 2020

View full text Add to dashboard Cite

show abstract

An overview of the contribution of acupuncture to thyroid disorders

Cheng¹

2018

Journal of Integrative Medicine

View full text Add to dashboard Cite

The effect of early oral feeding after subtotal esophagectomy with immediate esophageal reconstruction on patients’ nutritional status: randomized single-center study

Kovalerova¹

2021

Clinical nutrition and metabolism

View full text Add to dashboard Cite

Background: The efficiency of early oral feeding (EOF) in the postoperative period is well known. Though in the esophagus surgery doctors still prefer another types of nutritional support after esophagectomy (EE) with immediate gastric tube reconstruction. Aims: to improve the results of patients treatment after EE with gastric tube reconstruction by choosing the method of nutritional support and to evaluate nutritional status of the patients with EOF. Materials and methods: weve conducted prospective single-center randomized study. Subtotal esophagectomy with immediate gastric tube reconstruction was performed to 60 patients. In the postoperative period we evaluated the results of treatment, the frequency and severity of complications, as well as anthropometric and laboratory indicators of the nutritional status before the operation, on 1, 3 and 6 postoperative day (POD). Results: Patients without high risk of malnutrition were randomly divided in 2 groups: main group (n=30) starting EOF on the 1 POD and control group (n=30) that remained nil by mouth and got parenteral feeding within 4 POD. The patients of EOF group had statistically significant earlier gas discharge (2[2;3] POD vs 4[3;6] POD, р = 0,000042) and stool appearance (3[2;4] POD vs 5[4;7] POD, р = 0,000004). There is a tendency of reduction of the duration of postoperative hospitalization in EOF group (8[7;9] POD vs 9[8;9] POD, р=0,13). EOF does not affect on frequency (46,6% vs 53,3%, р=0,66) and character of postoperative complications. After evaluation of the parameters of nutritional status we found statistically significant decrease of prealbumin level on 3 POD in EOF group (0,17 [0,13;0,21] vs 0,2 [0,16;0,34], р=0,03) of due to inability to compensate daily calorie needs in the first days after the operation. At 6 POD prealbumin became the same in both groups. There were no other significant differences between the groups. Conclusions: EOF after EE with immediate gastric tube reconstruction is safe and effective. EOF doesnt increase the frequency of anastomotic insufficiency and other complications.

show abstract

Recommended management of thyroid disorders

Cited by 3 publications

References 13 publications

Scintigraphy evaluation of hyperthyroidism and its correlation with clinical and biochemical profiles

Scintigraphy evaluation of hyperthyroidism and its correlation with clinical and biochemical profiles

An overview of the contribution of acupuncture to thyroid disorders

The effect of early oral feeding after subtotal esophagectomy with immediate esophageal reconstruction on patients’ nutritional status: randomized single-center study

Contact Info

Product

Resources

About