Hungry bone syndrome following thyroid surgery

Author:

De Armas-Conde María1ORCID,Camarasa-Pérez Ángel1,García-Martínez Rubén1,Hueso-Mor Alejandro1,Caballero-Rodríguez Eugenia1,Jordán-Balanzá Julio César1

Affiliation:

1. General and Digestive Surgery Department, Hospital Universitario Nuestra Señora de la Candelaria , 38010 Santa Cruz de Tenerife, Canary Islands , Spain

Abstract

Abstract The diagnosis of hypocalcemia-induced tetany following a total thyroidectomy is not common. However, there is a higher risk in patients with a history of gastric bypass surgery due to their malabsorption condition. This case describes postoperative hungry bone syndrome resulting from chronic malabsorption in a patient with a history of bariatric surgery. It is important to consider alternative treatment options if the initial management proves ineffective. Typically, this is a temporary condition, but it’s crucial to prioritize prevention in high-risk patients by providing perioperative calcium and vitamin D supplementation.

Publisher

Oxford University Press (OUP)

Reference14 articles.

1. Hypocalcemia following total and subtotal thyroidectomy and associated factors;Azadbakht;Ann Med Surg (Lond),2021

2. Risk factors for hypocalcemia after total thyroidectomy;Shuchleib-Cung;Cir Cir,2022

3. Hungry bone syndrome after thyroidectomy for thyroid storm.;Kusuki;BMJ Case Rep,2019

4. Post-thyroidectomy hypocalcemia in patients with history of bariatric operations: current evidence and management options;Spartalis;In Vivo,2019

5. Is there a relationship between different types of prior bariatric surgery and post-thyroidectomy hypocalcemia?;Cali;Gland Surg,2021

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