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The Medical Journal of Cairo University
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Volume Volume 89 (2021)
Issue March
Volume Volume 88 (2020)
Volume Volume 87 (2019)
Volume Volume 86 (2018)
AMR M.M. ELHEFNY, M.D., H., HOSSAM S. ABDELRAHEEM ALI, M.D., A., ANTER, M.Sc., E. (2021). Early Prediction of Post Total Thyroidectomy Hypocalcaemia:Prospective Study. The Medical Journal of Cairo University, 89(March), 145-154. doi: 10.21608/mjcu.2021.153781
HASSAN S.S. TANTAWY, M.D.; AMR M.M. ELHEFNY, M.D.; AHMED Y. A. ELRIFAI, M.D.; HOSSAM S. ABDELRAHEEM ALI, M.D.; EMAD G. ANTER, M.Sc.. "Early Prediction of Post Total Thyroidectomy Hypocalcaemia:Prospective Study". The Medical Journal of Cairo University, 89, March, 2021, 145-154. doi: 10.21608/mjcu.2021.153781
AMR M.M. ELHEFNY, M.D., H., HOSSAM S. ABDELRAHEEM ALI, M.D., A., ANTER, M.Sc., E. (2021). 'Early Prediction of Post Total Thyroidectomy Hypocalcaemia:Prospective Study', The Medical Journal of Cairo University, 89(March), pp. 145-154. doi: 10.21608/mjcu.2021.153781
AMR M.M. ELHEFNY, M.D., H., HOSSAM S. ABDELRAHEEM ALI, M.D., A., ANTER, M.Sc., E. Early Prediction of Post Total Thyroidectomy Hypocalcaemia:Prospective Study. The Medical Journal of Cairo University, 2021; 89(March): 145-154. doi: 10.21608/mjcu.2021.153781

Early Prediction of Post Total Thyroidectomy Hypocalcaemia:Prospective Study

Article 18, Volume 89, March, March 2021, Page 145-154  XML PDF (551.32 K)
DOI: 10.21608/mjcu.2021.153781
Authors
HASSAN S.S. TANTAWY, M.D.; AMR M.M. ELHEFNY, M.D.; AHMED Y. A. ELRIFAI, M.D.; HOSSAM S. ABDELRAHEEM ALI, M.D.; EMAD G. ANTER, M.Sc.
The Departments of General & Upper GIT Surgery* and Endocrine Surgery**, Faculty of Medicine, Ain Shams University
Abstract
AbstractBackground: Post-operative hypocalcemia is the common-est complication after thyroidectomy. Post-operative hypoc-alcemia is a major morbidity in patients that undergonethyroidectomy.Aim of Study: We aimed in this study to study patientswith increased risk to develop post thyroidectomy hypocal-caemia and to study early prediction, diagnosis and treatment.Patients and Methods: Type of study was prospectivestudy, study setting was conducted in Ain Shams UniversityHospitals and Kafr El-Sheikh General Hospital, study periodwas 18 month from January 2019 to June 2020. Obtainingapproval from The Institutional Research Board and writteninformed consents from the participants.Results: Most of the current study participants werefemales (78%) with mean age of (41.1±12.11) years. Twentypercent of patients had DM (20%), (14%) were hypertensive, (8%) had IHD and (10%) had other medical condition. Swellingwas the most common clinical presentation (80%). Muti-nodular goiter was the most common US finding (76%),followed be solitary solid mass (20%) and L. Ns enlargement (10%) among our study patients. Follicular lesion was themost common FNA finding (60%), followed by colloid goiter (20%) and Hashimoto's thyroiditis (8%) among our studypatients. Average Ca before was 9mg/dL, and declined to be 8.4mg/dL 24h post-operative and 8.5mg/dL 48h post-operativewith statistically significant differences (p < 0.001). Hypocal-cemia was founded in 10 (20%) of our patients after totalthyroidectomy it was manifested in 6 (12%) patients andasymptomatic in 4 (8%) patients.Conclusion: Serum calcium concentrations have been thebasis of identification of post-operative hypocalcemia howeverthis has been replaced by PTH levels being more sensitiveand specific to the early prediction of transient as well aspermanent hypocalcemia.
Keywords
Early prediction; Post total thyroidectomyhypocalcaemia
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