Endemik guatr olgularına eşlik eden paratiroid bez hastalıkları

As additional parathyroidectomy during thyroid surgery does not increase the rate of complications, we recommend BNE, and resection of the abnormal parathyroid glands, as detected by the surgeon, in patients with endemic goiter.

📌 3 Key Takeaways

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Objective & Hypothesis:The aim of this study was to assess the association between parathyroid, and endemic goiter diseases.

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Key Findings & Data:We prospectively evaluated 75 patients scheduled for surgery for endemic goiter.

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Conclusion & Impact:As additional parathyroidectomy during thyroid surgery does not increase the rate of complications, we recommend BNE, and resection of the abnormal parathyroid glands, as detected by the surgeon, in patients with endemic goiter.

🔬Design:Research Article

📍Scope:Comprehensive Sample

⚙️Variables:Domain Parameters

Abstract

The aim of this study was to assess the association between parathyroid, and endemic goiter diseases. We prospectively evaluated 75 patients scheduled for surgery for endemic goiter. In 25 (33.3%) patients, according to preoperative elevated serum parathyroid hormone, serum calcium, 24-hour total urine calcium levels, we performed bilateral neck exploration (BNE). A total of 14 patients (18.6%) with enlarged parathyroid glands, parathyroidectomy was performed. There were adenoma in 9 cases (12%), normal in 4 cases (5.3%), and hyperplastic lesion in 1 patient (1.3%). Because of high prevalence i.e. approximately 13.3%, parathyroid glands should be examined during thyroidectomy in the patients who are scheduled for thyroid surgery. As additional parathyroidectomy during thyroid surgery does not increase the rate of complications, we recommend BNE, and resection of the abnormal parathyroid glands, as detected by the surgeon, in patients with endemic goiter.

Özet

Bu çalışmanın amacı endemik guatr ile paratiroid bez hastalıkları arasındaki ilişkiyi araştırmaktır. Bu nedenle endemik guatr tanısı nedeniyle ameliyat planlanan 75 hasta ileri dönük araştırıldı.Tüm hastaların 25'inde (%33.3) ameliyat öncesi ölçülen serum kalsiyum, paratiroid hormon ve 24 saatlik idrar kalsiyum düzeylerinde yükseklik saptanması nedeniyle iki taraflı boyun araştırılması yapıldı. Paratiroid bez araştırması yapılan ve paratiroid bezinde büyüme saptanan 14 hastaya (%18.6) paratiroidektomi uygulandı. Bu hastaları 9'unda (%12) adenom, 4'ünde (%5.3) normal paratiroid ve 1 hastada (%1.3) hiperplazi tespit edildi. Endemik guatr hastalarında paratiroid bez hastalıklarına daha sık rastlanmaktadır(%13.3). Bu nedenle tiroid cerrahisi sırasında paratiroid bezler kontrol edilmelidir. Tiroidektomi sırasında yapılacak ek işlem cerrahi komplikasyonları arttırmamaktadır. Bu nedenle cerrahi tedavi uygulanan endemik guatr olgularında paratiroid bezlerinin araştırılması ve bu sırada görülen normal yapısında olmayan paratiroid bezlerinin çıkarılmasını önermekteyiz.

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Cite This Article

MORAY, G., YILDIRIM, S., NURSAL, T. Z., EZER, A., ÇOLAKOĞLU, T., ÇALIŞKAN, K. (2022). Endemik guatr olgularına eşlik eden paratiroid bez hastalıkları. Endokrinolojide Diyalog Dergisi, Cilt: 6 - Sayı: 4, 208–211. https://ajindex.com/articles/500824

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