Determinants of postoperative hypocalcemia in vitamin D-deficient Graves' patients after total thyroidectomy

Erbil Y., Ozbey N. C., Sari S., Unalp H. R., Agcaoglu O., Ersoz F., ...More

AMERICAN JOURNAL OF SURGERY, vol.201, no.5, pp.678-684, 2011 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 201 Issue: 5
  • Publication Date: 2011
  • Doi Number: 10.1016/j.amjsurg.2010.04.030
  • Journal Name: AMERICAN JOURNAL OF SURGERY
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.678-684
  • Keywords: Graves disease, Hypothyroidism, Hungry bone syndrome, Vitamin D, FEMALE-PATIENTS, DISEASE, BONE, HYPERTHYROIDISM, CALCIUM, TETANY, METABOLISM, WOMEN
  • Istanbul University Affiliated: Yes

Abstract

BACKGROUND: The etiology of postoperative hypocalcemia after total thyroidectomy appears to be multifactorial, that is, postoperative transient hypoparathyroidism, low 25-hydroxy vitamin D (25-OHD) concentrations, aging, and hyperthyroidism with increased bone turnover. Our aim was to evaluate the factors responsible for postoperative hypocalcemia in euthyroid vitamin D-deficient/insufficient Graves patients who underwent total thyroidectomy at our institution.