An Evaluation of the Metabolic Profile in Total Thyroidectomy

Aim: To investigate the relationship between metabolic parameters and thyroid hormone changes which occur in patients treated with thyroid replacement therapy following total thyroidectomy. Material and Method: The study comprised 30 patients who underwent total thyroidectomy. Evaluations were made...

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Những tác giả chính: Zihni, Ismail (Tác giả), Zihni, Burcu (Tác giả), Karakose, Oktay (Tác giả), Pülat, Huseyin (Tác giả), Ozcelik, Kazım (Tác giả), Eken, Huseyin (Tác giả), Duran, Ali (Tác giả), Uslu, Adem (Tác giả)
Định dạng: EJournal Article
Được phát hành: Ivano-Frankivsk National Medical University, 2017-03-20.
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042 |a dc 
100 1 0 |a Zihni, Ismail  |e author 
700 1 0 |a Zihni, Burcu  |e author 
700 1 0 |a Karakose, Oktay  |e author 
700 1 0 |a Pülat, Huseyin  |e author 
700 1 0 |a Ozcelik, Kazım  |e author 
700 1 0 |a Eken, Huseyin  |e author 
700 1 0 |a Duran, Ali  |e author 
700 1 0 |a Uslu, Adem  |e author 
245 0 0 |a An Evaluation of the Metabolic Profile in Total Thyroidectomy 
260 |b Ivano-Frankivsk National Medical University,   |c 2017-03-20. 
500 |a https://ifnmujournal.com/gmj/article/view/E201717 
520 |a Aim: To investigate the relationship between metabolic parameters and thyroid hormone changes which occur in patients treated with thyroid replacement therapy following total thyroidectomy. Material and Method: The study comprised 30 patients who underwent total thyroidectomy. Evaluations were made preoperatively and after 6 and 12 months postoperatively. Body mass index was calculated by recording height and weight of all patients, waist size was measured, arterial blood pressure was measured with a sphyngomanometer on the right arm after 10 mins of rest. Peripheral blood samples were taken after 12-hour fasting for the evaluation of low density lipoprotein, high density lipoprotein, total cholesterol, triglyceride, fasting glucose, fasting insulin, thyroid stimulating hormone, free T3, free T4, C-reactive protein, and haemoglobin A1c values.Results: In the postoperative 1-year follow-up, a significant increase was determined in total cholesterol, low-density protein and triglyceride levels, which are related to cardiovascular risk, but no significant change was determined in high density protein levels. In addition, a significant increase was determined in the postoperative trend of both systolic and diastolic arterial blood pressures compared to the preoperative values.Conclusion: Although euthyroid was achieved with follow-up of thyroid functions in the patients who underwent bilateral total thyroidectomy, it was found that there could be changes in metabolic parameters. Therefore, with close monitoring of the metabolic profile of these patients, it can be recommended that lifestyle changes are made when medical intervention is insufficient. 
540 |a Copyright (c) 2017 Ismail Zihni, Burcu Zihni, Oktay Karakose, Huseyin Pülat, Kazım Ozcelik, Huseyin Eken, Ali Duran, Adem Uslu 
540 |a https://creativecommons.org/licenses/by-nc/4.0 
546 |a eng 
690 |a total thyroidectomy 
690 |a multinodular goitre 
690 |a metabolic syndrome 
655 7 |a info:eu-repo/semantics/article  |2 local 
655 7 |a info:eu-repo/semantics/publishedVersion  |2 local 
786 0 |n Galician Medical Journal; Vol. 24 No. 1 (2017); E201717 
786 0 |n Galician Medical Journal; Том 24 № 1 (2017); E201717 
786 0 |n 2414-1518 
787 0 |n https://ifnmujournal.com/gmj/article/view/E201717/E201717PDF 
787 0 |n https://ifnmujournal.com/gmj/article/view/E201717/682 
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856 4 1 |u https://ifnmujournal.com/gmj/article/view/E201717/682  |z Get Fulltext