KMID : 1104520220220010018
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Journal of Endocrine Surgery 2022 Volume.22 No. 1 p.18 ~ p.23
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The Incidence of Serum Calcium Elevation due to Adrenal Insufficiency After Unilateral Adrenalectomy
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Kim Woo-Chul
Choi Jee-Hye Lee Ja-Kyung Ahn Chang-Ho Yu Hyeong-Won Choi June-Young
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Abstract
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Purpose: To investigate the incidence of elevated serum calcium levels after unilateral adrenalectomy.
Methods: A total of 239 patients who underwent unilateral adrenalectomy from March 2013 to April 2021 at Seoul National University Bundang Hospital were analyzed retrospectively for this study. The patients¡¯ medical records were reviewed to identify changes in serum calcium levels. Calcium levels were corrected for analysis.
Results: Of 239 patients, 7.5% showed significant increases in the corrected serum calcium levels. In those patients, the glomerular filtration rate and serum albumin levels were decreased postoperatively. A single patient showed life-threatening hypercalcemia requiring re-admission.
Conclusion: Unilateral adrenalectomy may result in elevated serum calcium levels. These elevations might be partly due to adrenal insufficiency. A preoperative evaluation may be needed to prevent hypercalcemic events.
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KEYWORD
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Adrenalectomy, Hypercalcemia, Adrenal insufficiency, Adrenal glands
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