Eleftherios Spartalis1,2, Antonia Thanassa2,3, Dimitrios I Athanasiadis4, Dimitrios Schizas2,5, Antonios Athanasiou6, Georgios N Zografos3, Gerasimos Tsourouflis7, Dimitrios Dimitroulis2,7, Nikolaos Nikiteas8,2. 1. Laboratory of Experimental Surgery and Surgical Research N.S. Christeas, National and Kapodistrian University of Athens, Medical School, Athens, Greece eleftherios.spartalis@gmail.com. 2. Hellenic Minimally Invasive and Robotic Surgery (MIRS) Study Group, Athens, Greece. 3. Third Department of Surgery, Athens General Hospital "Georgios Gennimatas", Athens, Greece. 4. Department of Surgery, Indiana University School of Medicine, Indianapolis, IN, U.S.A. 5. 1st Department of Surgery, National and Kapodistrian University of Athens Medical School, Athens, Greece. 6. Department of Upper GI, Bariatric & Minimally invasive Surgery, St. James' University Hospital, Leeds Teaching Hospitals NHS Trust, Leeds, U.K. 7. 2nd Department of Propaedeutic Surgery, National and Kapodistrian University of Athens Medical School, Athens, Greece. 8. Laboratory of Experimental Surgery and Surgical Research N.S. Christeas, National and Kapodistrian University of Athens, Medical School, Athens, Greece.
Abstract
BACKGROUND/AIM: Both bariatric and thyroid surgeries promote calcium and vitamin D deficiency. The correlation, however, of hypocalcemia after thyroidectomy in patients with previous bariatric surgery has been poorly described. This review aimed to investigate the relationship between history of bariatric operations and post-thyroidectomy hypocalcemia, as well as suggested management options. MATERIALS AND METHODS: MEDLINE and Cochrane databases were searched for relevant publications regarding post-thyroidectomy hypocalcemia in patients with previous bariatric surgery. RESULTS: A total of 17 publications reporting on 126 patients met the inclusion criteria. These included 13 publications about Roux-en-Y gastric bypass (RYGB), 2 regarding biliopancreatic diversion (BPD), 1 about sleeve gastrectomy (SG) and 1 compared three bariatric procedures: SG, RYGB, laparoscopic adjustable gastric band (LAGB). Post-thyroidectomy hypocalcemia was found to be more prevalent in patients with previous RYGB and BPD, but not in previous LAGB and SG. CONCLUSION: Patients with previous bariatric surgery are at high risk of post-thyroidectomy hypocalcemia that sometimes leads to higher length of hospital stay and demands more invasive solutions. There is a need, however, for additional studies and further investigation in order to reach more conclusive results. Copyright
BACKGROUND/AIM: Both bariatric and thyroid surgeries promote calcium and vitamin D deficiency. The correlation, however, of hypocalcemia after thyroidectomy in patients with previous bariatric surgery has been poorly described. This review aimed to investigate the relationship between history of bariatric operations and post-thyroidectomy hypocalcemia, as well as suggested management options. MATERIALS AND METHODS: MEDLINE and Cochrane databases were searched for relevant publications regarding post-thyroidectomy hypocalcemia in patients with previous bariatric surgery. RESULTS: A total of 17 publications reporting on 126 patients met the inclusion criteria. These included 13 publications about Roux-en-Y gastric bypass (RYGB), 2 regarding biliopancreatic diversion (BPD), 1 about sleeve gastrectomy (SG) and 1 compared three bariatric procedures: SG, RYGB, laparoscopic adjustable gastric band (LAGB). Post-thyroidectomy hypocalcemia was found to be more prevalent in patients with previous RYGB and BPD, but not in previous LAGB and SG. CONCLUSION:Patients with previous bariatric surgery are at high risk of post-thyroidectomy hypocalcemia that sometimes leads to higher length of hospital stay and demands more invasive solutions. There is a need, however, for additional studies and further investigation in order to reach more conclusive results. Copyright
Authors: Yun-Sung Lim; Yong Jun Choi; Bo Hae Kim; Hee-Bok Kim; Chang Gun Cho; Seok-Won Park; Joo Hyun Park Journal: In Vivo Date: 2020 May-Jun Impact factor: 2.155