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Suggest The Prognosis And Future Complications After Parathyroidectomy Surgery

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Posted on Tue, 19 Apr 2022
Question: 59 year old female operated for parathyroidectomy-2016.Please suggest the prognosis and future complications is any.
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Answered by Dr. Minal Mohit (7 hours later)
Brief Answer:
Hypocalcemia, tetany.

Detailed Answer:

Hi,

A patient operated for parathyroidectomy, in 2016 , and discussing the complications now, is a bit out of box. This itself shows that either all 4 glands were not removed or some forearm transplant of parathyroid tissue was done.

Still if you want to discuss a case of total parathyroidectomy, then immediately post up patient would land with hypocalcemia, hyper-phisphatemia, and tetany. To maintain serum calcium in normal range , patient would require elemental calcium 1 gm per day in 4 to 6 divided doses. also vitamin D in active calcitriol form would be required 0.25mcg to 1mcg.

Regards
Above answer was peer-reviewed by : Dr. Prasad
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Answered by
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Dr. Minal Mohit

Endocrinologist

Practicing since :1998

Answered : 836 Questions

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Suggest The Prognosis And Future Complications After Parathyroidectomy Surgery

Brief Answer: Hypocalcemia, tetany. Detailed Answer: Hi, A patient operated for parathyroidectomy, in 2016 , and discussing the complications now, is a bit out of box. This itself shows that either all 4 glands were not removed or some forearm transplant of parathyroid tissue was done. Still if you want to discuss a case of total parathyroidectomy, then immediately post up patient would land with hypocalcemia, hyper-phisphatemia, and tetany. To maintain serum calcium in normal range , patient would require elemental calcium 1 gm per day in 4 to 6 divided doses. also vitamin D in active calcitriol form would be required 0.25mcg to 1mcg. Regards