Outcome of hypocalcaemia after thyroidectomy treated only in symptomatic patients. BJS 2016; 103: 676-683.
Published: 2nd March 2016
Authors: J. Järhult, K. Landerholm
Calcium supplementation has been proposed after bilateral thyroid surgery, either to all patients or to those with biochemical hypocalcaemia. It has also been suggested that supplementation aids parathyroid recovery and prevents permanent hypoparathyroidism. This single‐centre study investigated the feasibility of a restrictive management of post‐thyroidectomy hypocalcaemia.
Serum calcium was checked before surgery, on postoperative day 1 (
Some 640 patients underwent bilateral thyroid surgery without previous or intentional simultaneous parathyroidectomy. A subnormal serum calcium level (below 2·15 mmol/l) was observed in 412 patients (64·4 per cent) on
The proposed restrictive management of postoperative hypocalcaemia after bilateral thyroid surgery avoids unnecessary supplementation for most patients.Full text
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