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Acta Biomedica Scientia

Volume 4, Issue 3, 2017
Mcmed International
Acta Biomedica Scientia
Issn
2348 - 215X (Print), 2348 - 2168 (Online)
Frequency
bi-annual
Email
editorabs@mcmed.us
Journal Home page
http://mcmed.us/journal/abs
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Abstract
Title
HYPOCALCEMIA AND VITAMIN D LEVELS PRE-OPERATIVE AND POST-THYROIDECTOMY
Author
Beri Anjaneyulu1, Pradeep Narayana Sahoo2*, Sanapala Chandra Sekhar
Email
drvrvkk@gmail.com
keyword
Thyroidectomy, Vitamin D levels; Hypocalcemia; Hypoparathyroidism
Abstract
Transient hypocalcemia is a frequent complication after total thyroidectomy. Routine postoperative administration of vitamin D and calcium can reduce the incidence of symptomatic postoperative hypocalcemiaIt has been hypothesized that there is a relationship between underlying vitamin D deficiency and the risk of post-operative hypocalcemia. We performed a cross-sectional review on 50 thyroidectomies from Sree Balaji Medical College & Hospital and Great Easter Medical school and Hospital,. Pre-operative vitamin D levels and post-operative calcium level were obtained. The incidence of hypocalcemic symptoms was studied. Biochemical hypocalcemia was defined as any single post-operative corrected calcium level < 8.0 mg/dl (to convert to millimoles per liter, multiply by 0.25).There was a significant differentiation between mean of vitamin D levels in hypocalcemic group and normocalcemic group. The results of this study indicate that routine pre and post TT calcium and Vitamin D supplementation can significantly reduce post operative hypocalcemia. We, therefore, suggest the same in the prevention of post TT hypocalcemia, which ultimately can also decrease prolonged hospitalization of patients and costs associated with multiple blood sampling. Patient with lower vitamin D levels should benefit from a screening for post-operative hypocalcemia. Pre-operative vitamin D levels appear to have a significant effect on the risk of post-thyroidectomy hypocalcemia
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