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- W2000202002 abstract "Patients who undergo malabsorptive bariatric surgery have a high incidence of mild hypocalcemia and seem to be at increased risk for developing severe symptomatic hypocalcemia after thyroid surgery. We describe 2 patients who underwent prior Roux-en-Y gastric bypass procedures who later had thyroid surgery that was complicated by severe hypocalcemia in the postoperative period. We also emphasize the importance of screening patients for thyroid disease and of completing any necessary thyroid procedures before bariatric surgery to avoid this serious complication. The prevalence of obesity (body mass index calculated as weight in kilograms divided by height in meters squared [BMI], 30) in the United States has increased drastically during the last several decades. Thirty-two percent of adults were considered obese in 2004 compared with 15% in 1980. 1 Therefore, record numbers of patients with morbid obesity are undergoing bariatric surgery. 2 Roux-en-Y gastric bypass surgery and biliopancreatic diversion are 2 common and effective malabsorptive bariatric operations that bypass a portion of the small intestine and stomach. Both have been shown to result in sustained weightloss,withadecreaseincomorbidities. 3-5 During these procedures, the preferential sites for calcium absorption, the duodenumandtheproximaljejunum,are bypassed, placing the patients at increased risk for hypocalcemia. 5" @default.
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- W2000202002 date "2009-05-18" @default.
- W2000202002 modified "2023-09-26" @default.
- W2000202002 title "Severe Hypocalcemia Complicating Thyroid Surgery After Roux-en-Y Gastric Bypass Procedure" @default.
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- W2000202002 doi "https://doi.org/10.1001/archoto.2009.20" @default.
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