Prevention of hypocalcemia and hypoparathyroidism after total thyroidectomy. Recommendations of the Francophone Association of Endocrine Surgery (AFCE) with the French Society of Endocrinology (SFE) and the French Society of Nuclear Medicine (SFMN)

Copyright © 2023. Published by Elsevier Masson SAS..

Postoperative hypoparathyroidism, resulting from removal and/or devascularization of one or more parathyroid glands, is a feared complication of total thyroidectomy. Two forms, which are distinguished by their frequency, their time to onset and their duration as well as by their presentation, must be individualized: early postoperative hypocalcemia, often secondary to early hypoparathyroidism is a frequent and often transient situation occurring within the first days after surgery; permanent hypoparathyroidism, which is rarer, manifests when parathyroid function remains impaired for more than six months after surgery. Because of their severity, these conditions must be known and ideally prevented during total thyroidectomy. The objective of this article is to provide surgeons with practical recommendations for the prevention, diagnosis, and treatment of hypoparathyroidism after total thyroidectomy. These recommendations, which are the fruit of a medico-surgical consensus, were developed by the Francophone Association of Endocrine Surgery (AFCE), the French Society of Endocrinology (SFE) and the French Society of Nuclear Medicine and Molecular Imaging. (SFMN). The content, grade and level of evidence for each recommendation was decided after consultation within a panel of experts, based on an analysis of recent literature.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:160

Enthalten in:

Journal of visceral surgery - 160(2023), 3S vom: 19. Juni, Seite S95-S109

Sprache:

Englisch

Beteiligte Personen:

Frey, Samuel [VerfasserIn]
Van Den Heede, Klaas [VerfasserIn]
Triponez, Frédéric [VerfasserIn]
Bizard, Jean-Pierre [VerfasserIn]
Godiris-Petit, Gaëlle [VerfasserIn]
Pattou, François [VerfasserIn]

Links:

Volltext

Themen:

Hypocalcemia
Hypoparathyroidism
Journal Article
Review
Thyroidectomy

Anmerkungen:

Date Completed 12.06.2023

Date Revised 16.11.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.jviscsurg.2023.05.004

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM357139356