Guideline From the Brazilian Society of Surgical Oncology and Brazilian College of Surgeons in Preventing and Managing Acute Hypoparathyroidism After Thyroid Surgery.

IF 2 3区 医学 Q3 ONCOLOGY Journal of Surgical Oncology Pub Date : 2024-09-24 DOI:10.1002/jso.27910
Carlos Eduardo Santa Ritta Barreira, Luiz Paulo Kowalski, Fernando Luiz Dias, Terence Pires D E Farias, Izabella Costa Santos, José Guilherme Vartanian, André Maurício Ferrari Beltrão, Heládio Feitosa, Ruy Gomes Neto, Alexandre Ferreira Oliveira, Reitan Ribeiro, Felipe Augusto Brasileiro Vanderlei, Felipe Henning Gaia Duarte, Pedro Eder Portari Filho, Rodrigo Nascimento Pinheiro
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Abstract

The risk of hypoparathyroidism and hypocalcemia is a critical concern in thyroid surgery. Preserving parathyroid gland vascularization during surgery is essential for effective prevention. Preoperative and postoperative management, including calcium and Vitamin D supplementation, is paramount. Measurement of parathyroid hormone levels after surgery is the best predictor of hypoparathyroidism. This guideline offers recommendations for the prevention, diagnosis, and treatment of acute hypoparathyroidism and hypocalcemia after thyroid surgery.

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巴西肿瘤外科学会和巴西外科医生学会关于预防和治疗甲状腺手术后急性甲状旁腺功能减退症的指南。
甲状旁腺功能减退症和低钙血症的风险是甲状腺手术的关键问题。在手术过程中保护甲状旁腺血管是有效预防的关键。包括补充钙和维生素D在内的术前和术后管理至关重要。术后测量甲状旁腺激素水平是预测甲状旁腺功能减退症的最佳方法。本指南为甲状腺手术后急性甲状旁腺功能减退症和低钙血症的预防、诊断和治疗提供了建议。
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来源期刊
CiteScore
4.70
自引率
4.00%
发文量
367
审稿时长
2 months
期刊介绍: The Journal of Surgical Oncology offers peer-reviewed, original papers in the field of surgical oncology and broadly related surgical sciences, including reports on experimental and laboratory studies. As an international journal, the editors encourage participation from leading surgeons around the world. The JSO is the representative journal for the World Federation of Surgical Oncology Societies. Publishing 16 issues in 2 volumes each year, the journal accepts Research Articles, in-depth Reviews of timely interest, Letters to the Editor, and invited Editorials. Guest Editors from the JSO Editorial Board oversee multiple special Seminars issues each year. These Seminars include multifaceted Reviews on a particular topic or current issue in surgical oncology, which are invited from experts in the field.
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