Related Experiment Videos
Severe hypocalcemia following total thyroidectomy after biliopancreatic diversion
P Martin Rojas-Marcos1, M A Rubio, W I Kreskshi
1Department of Endocrinology and Nutrition, Hospital Clínico Universitario San Carlos, Madrid, Spain. pmartinrojasmarcos@yahoo.com
Abstract:
Patients undergoing malabsoprtive operations for bariatric surgery are prone to disturbances of bone metabolism, but this does not commonly lead to clinical symptoms. We present a morbidly obese patient who had undergone the biliopancreatic diversion of Larrad, and presented clinical symptoms of severe hypocalcemia and tetany after total thyroidectomy. Very high doses of i.v. calcium and calcitriol and 10 days of hospitalization were required to control the symptoms and correct plasma levels. The physiological aspects that contribute to this situation are discussed.
Related Concept Videos
Acute Pancreatitis II: Clinical Manifestations and Management
Skeleton and Calcium Homeostasis
Acute Pancreatitis II: Pathophysiology
Graves Disease II: Pathophysiology
Hormones and Bone Tissue
Hormones That Influence Osteoblasts and/or Maintain the Matrix
Several hormones are necessary for controlling bone growth and maintaining the bone matrix. The pituitary gland secretes growth hormone (GH), which, as its name implies, controls bone growth. This happens in several ways: first, it triggers chondrocyte...
Chronic Pancreatitis II: Pathophysiology