Myxedema Coma After Esophagectomy
For most patients with esophageal cancer, esophagectomy is an effective therapy. Perioperative management is critical for clinical outcomes after the operation. Great efforts should be made to avoid postoperative complications. We report myxedema coma, an emergency condition caused by severe hypothy...
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| Veröffentlicht in: | The Annals of thoracic surgery 2010-07, Vol.90 (1), p.295-297 |
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| container_title | The Annals of thoracic surgery |
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| creator | Yuan, Yong, MD Hu, Yang, MD Xie, Tianpeng, MD Zhao, Yongfan, MD |
| description | For most patients with esophageal cancer, esophagectomy is an effective therapy. Perioperative management is critical for clinical outcomes after the operation. Great efforts should be made to avoid postoperative complications. We report myxedema coma, an emergency condition caused by severe hypothyroidism, after a patient underwent esophagectomy for esophageal cancer. The patient was successfully treated with intravenous levothyroxine. We strongly recommend that physicians test the thyroid hormone levels in patients with risk factors. If myxedema coma occurs, immediate use of intravenous levothyroxine is effective for this lethal complication. |
| doi_str_mv | 10.1016/j.athoracsur.2010.01.073 |
| format | Article |
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Perioperative management is critical for clinical outcomes after the operation. Great efforts should be made to avoid postoperative complications. We report myxedema coma, an emergency condition caused by severe hypothyroidism, after a patient underwent esophagectomy for esophageal cancer. The patient was successfully treated with intravenous levothyroxine. We strongly recommend that physicians test the thyroid hormone levels in patients with risk factors. If myxedema coma occurs, immediate use of intravenous levothyroxine is effective for this lethal complication.</description><identifier>ISSN: 0003-4975</identifier><identifier>EISSN: 1552-6259</identifier><identifier>DOI: 10.1016/j.athoracsur.2010.01.073</identifier><identifier>PMID: 20609804</identifier><identifier>CODEN: ATHSAK</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Anesthesia. Intensive care medicine. Transfusions. 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Perioperative management is critical for clinical outcomes after the operation. Great efforts should be made to avoid postoperative complications. We report myxedema coma, an emergency condition caused by severe hypothyroidism, after a patient underwent esophagectomy for esophageal cancer. The patient was successfully treated with intravenous levothyroxine. We strongly recommend that physicians test the thyroid hormone levels in patients with risk factors. If myxedema coma occurs, immediate use of intravenous levothyroxine is effective for this lethal complication.</description><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Biological and medical sciences</subject><subject>Carcinoma, Squamous Cell - surgery</subject><subject>Cardiology. Vascular system</subject><subject>Cardiothoracic Surgery</subject><subject>Coma - drug therapy</subject><subject>Coma - etiology</subject><subject>Disorders of higher nervous function. Focal brain diseases. Central vestibular syndrome and deafness. Brain stem syndromes</subject><subject>Esophageal Neoplasms - surgery</subject><subject>Esophagectomy</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Myxedema - drug therapy</subject><subject>Myxedema - etiology</subject><subject>Nervous system (semeiology, syndromes)</subject><subject>Neurology</subject><subject>Pneumology</subject><subject>Postoperative Complications</subject><subject>Surgery</subject><subject>Thyroxine - therapeutic use</subject><issn>0003-4975</issn><issn>1552-6259</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkcFO3DAQQC1UVJZtfwFtD1VPWcax48QXpGUFBYmqB-jZcuwJeJvEi51U3b-vo92CxImL7bHfzFhvCFlQWFKg4nyz1MOTD9rEMSxzSNdAl1CyIzKjRZFnIi_kBzIDAJZxWRYn5DTGTQrz9PyRnOQgQFbAZ-TLj91ftNjpxdqnZdUMGBZX0W-f9COawXe7T-S40W3Ez4d9Tn5dXz2sb7K7n99v16u7zPCiGjJZVKyG2hSW65pzCzW1NS9lybg0UOsGQRgDTCLVoFFWWGNlRUPRUq2FYXPybV93G_zziHFQnYsG21b36MeoSsakAFFViaz2pAk-xoCN2gbX6bBTFNTkR23Uqx81-VFAVfKTUs8OTca6Q_uS-F9IAr4eAB2Nbpuge-PiK8cgl5RPhS73HCYlfxwGFY3D3qB1IXlT1rv3_ObiTRHTut6lvr9xh3Hjx9An5YqqmCtQ99M8p3HS6VAKYP8ArJuc9w</recordid><startdate>20100701</startdate><enddate>20100701</enddate><creator>Yuan, Yong, MD</creator><creator>Hu, Yang, MD</creator><creator>Xie, Tianpeng, MD</creator><creator>Zhao, Yongfan, MD</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20100701</creationdate><title>Myxedema Coma After Esophagectomy</title><author>Yuan, Yong, MD ; Hu, Yang, MD ; Xie, Tianpeng, MD ; Zhao, Yongfan, MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c458t-9583b0bc5d4ab44d0b1db4797349c0bafe06cc039e1a0ae98ebe8d6f1ed1aa6c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Anesthesia. 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Brain stem syndromes</topic><topic>Esophageal Neoplasms - surgery</topic><topic>Esophagectomy</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Myxedema - drug therapy</topic><topic>Myxedema - etiology</topic><topic>Nervous system (semeiology, syndromes)</topic><topic>Neurology</topic><topic>Pneumology</topic><topic>Postoperative Complications</topic><topic>Surgery</topic><topic>Thyroxine - therapeutic use</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yuan, Yong, MD</creatorcontrib><creatorcontrib>Hu, Yang, MD</creatorcontrib><creatorcontrib>Xie, Tianpeng, MD</creatorcontrib><creatorcontrib>Zhao, Yongfan, MD</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Annals of thoracic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yuan, Yong, MD</au><au>Hu, Yang, MD</au><au>Xie, Tianpeng, MD</au><au>Zhao, Yongfan, MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Myxedema Coma After Esophagectomy</atitle><jtitle>The Annals of thoracic surgery</jtitle><addtitle>Ann Thorac Surg</addtitle><date>2010-07-01</date><risdate>2010</risdate><volume>90</volume><issue>1</issue><spage>295</spage><epage>297</epage><pages>295-297</pages><issn>0003-4975</issn><eissn>1552-6259</eissn><coden>ATHSAK</coden><abstract>For most patients with esophageal cancer, esophagectomy is an effective therapy. 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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection |
| subjects | Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Carcinoma, Squamous Cell - surgery Cardiology. Vascular system Cardiothoracic Surgery Coma - drug therapy Coma - etiology Disorders of higher nervous function. Focal brain diseases. Central vestibular syndrome and deafness. Brain stem syndromes Esophageal Neoplasms - surgery Esophagectomy Humans Male Medical sciences Middle Aged Myxedema - drug therapy Myxedema - etiology Nervous system (semeiology, syndromes) Neurology Pneumology Postoperative Complications Surgery Thyroxine - therapeutic use |
| title | Myxedema Coma After Esophagectomy |
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