Diabetes Insipidus after Endoscopic Endonasal Pituitary Macroadenoma Resection: Correlation of Patient and Surgery-Related Risk Factors
This article aims to identify patient- and surgery-related factors that could predict the development of postoperative central diabetes insipidus (DI). This is a retrospective case-control study conducted at a single-institution tertiary referral center. Patients undergoing endoscopic endonasal sku...
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| Veröffentlicht in: | Journal of neurological surgery reports 2024-04, Vol.85 (2), p.e83-e87 |
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| creator | Hosri, Jad Abi Zeid Daou, Christophe Darwish, Hussein Korban, Zeina |
| description | This article aims to identify patient- and surgery-related factors that could predict the development of postoperative central diabetes insipidus (DI).
This is a retrospective case-control study conducted at a single-institution tertiary referral center. Patients undergoing endoscopic endonasal skull base surgery for pituitary adenoma between November 2018 and April 2023 were recruited. The main outcome measures collected include age, gender, comorbidities, tumor type, postoperative DI, intraoperative and postoperative cerebrospinal fluid (CSF) leak, flow of CSF leak, number of layers required for repair, the use of nasal packing, and hospital length of stay.
A total of 20 patients developed DI postoperatively. Patients' demographic and comorbidity profile did not correlate with DI development. The encounter of an intraoperative CSF leak was correlated with postop DI (chi-square (1) = 18.35,
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| doi_str_mv | 10.1055/a-2324-1303 |
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| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_11150054</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3064923693</sourcerecordid><originalsourceid>FETCH-LOGICAL-c305t-980137e8c73c78ff16499ae564558e20ff67a943bf253974bfd1b4af57b0f6203</originalsourceid><addsrcrecordid>eNpVUcFu1TAQtBCIVqUn7shHJBSw49hxuCD0aKFSEdUDztbGWRdDnv1qO0j9An4bh5Yn2MuOtaPZWQ8hTzl7yZmUr6BpRds1XDDxgBy3fBCNEko9PGCpj8hpzt9ZLS25Vt1jciS0FlIM6pj8eudhxIKZXoTs935aMgVXMNGzMMVs497bPzBAhple-bL4AumWfgSbIkwY4g7oFjPa4mN4TTcxJZxhfdDo6FVFGAqFMNHPS7rGdNts1zlOdOvzD3oOtsSUn5BHDuaMp_f9hHw9P_uy-dBcfnp_sXl72VjBZGkGzbjoUdte2F47x1U3DIBSdVJqbJlzqoehE6Nr6319N7qJjx042Y_MqZaJE_LmTne_jDucbPWWYDb75Hf1KhPBm_8nwX8z1_Gn4ZxLxmRXFZ7fK6R4s2AuZuezxXmGgHHJRrDqqRVqEJX64o5avyrnhO6whzOzxmfArPGZNb7KfvavtQP3b1jiNwjyl88</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3064923693</pqid></control><display><type>article</type><title>Diabetes Insipidus after Endoscopic Endonasal Pituitary Macroadenoma Resection: Correlation of Patient and Surgery-Related Risk Factors</title><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>PubMed Central Open Access</source><source>Thieme Connect Journals Open Access</source><source>PubMed Central</source><creator>Hosri, Jad ; Abi Zeid Daou, Christophe ; Darwish, Hussein ; Korban, Zeina</creator><creatorcontrib>Hosri, Jad ; Abi Zeid Daou, Christophe ; Darwish, Hussein ; Korban, Zeina</creatorcontrib><description>This article aims to identify patient- and surgery-related factors that could predict the development of postoperative central diabetes insipidus (DI).
This is a retrospective case-control study conducted at a single-institution tertiary referral center. Patients undergoing endoscopic endonasal skull base surgery for pituitary adenoma between November 2018 and April 2023 were recruited. The main outcome measures collected include age, gender, comorbidities, tumor type, postoperative DI, intraoperative and postoperative cerebrospinal fluid (CSF) leak, flow of CSF leak, number of layers required for repair, the use of nasal packing, and hospital length of stay.
A total of 20 patients developed DI postoperatively. Patients' demographic and comorbidity profile did not correlate with DI development. The encounter of an intraoperative CSF leak was correlated with postop DI (chi-square (1) = 18.35,
< 0.001) with a relative risk (RR) of 2.7 (confidence interval [CI] = 1.37-5.28). The use of nasal packs was also correlated with postop DI (chi-square (1) = 10.17,
= 0.001) with a RR of 1.8 (CI = 1.15-2.87). Defects requiring a two or more layers for reconstruction also correlated with postop DI compared to single layer repairs (chi-square (1) = 12.15,
< 0.001) irrelevant of the materials used. Development of DI postop correlated with an increased hospital length of stay (
(64) = -3.35,
= 0.001).
The physician should be careful when evaluating patients with pituitary adenomas in the postoperative period, particularly those with intraoperative CSF leak, nasal packing, and those who underwent multilayer reconstruction of the surgical defect.</description><identifier>ISSN: 2193-6358</identifier><identifier>EISSN: 2193-6366</identifier><identifier>DOI: 10.1055/a-2324-1303</identifier><identifier>PMID: 38835396</identifier><language>eng</language><publisher>Germany: Georg Thieme Verlag KG</publisher><subject>Original Report</subject><ispartof>Journal of neurological surgery reports, 2024-04, Vol.85 (2), p.e83-e87</ispartof><rights>The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. ( https://creativecommons.org/licenses/by-nc-nd/4.0/ ).</rights><rights>The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. ( ) 2024 The Author(s).</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c305t-980137e8c73c78ff16499ae564558e20ff67a943bf253974bfd1b4af57b0f6203</cites><orcidid>0000-0002-7781-3486</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11150054/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11150054/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38835396$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hosri, Jad</creatorcontrib><creatorcontrib>Abi Zeid Daou, Christophe</creatorcontrib><creatorcontrib>Darwish, Hussein</creatorcontrib><creatorcontrib>Korban, Zeina</creatorcontrib><title>Diabetes Insipidus after Endoscopic Endonasal Pituitary Macroadenoma Resection: Correlation of Patient and Surgery-Related Risk Factors</title><title>Journal of neurological surgery reports</title><addtitle>J Neurol Surg Rep</addtitle><description>This article aims to identify patient- and surgery-related factors that could predict the development of postoperative central diabetes insipidus (DI).
This is a retrospective case-control study conducted at a single-institution tertiary referral center. Patients undergoing endoscopic endonasal skull base surgery for pituitary adenoma between November 2018 and April 2023 were recruited. The main outcome measures collected include age, gender, comorbidities, tumor type, postoperative DI, intraoperative and postoperative cerebrospinal fluid (CSF) leak, flow of CSF leak, number of layers required for repair, the use of nasal packing, and hospital length of stay.
A total of 20 patients developed DI postoperatively. Patients' demographic and comorbidity profile did not correlate with DI development. The encounter of an intraoperative CSF leak was correlated with postop DI (chi-square (1) = 18.35,
< 0.001) with a relative risk (RR) of 2.7 (confidence interval [CI] = 1.37-5.28). The use of nasal packs was also correlated with postop DI (chi-square (1) = 10.17,
= 0.001) with a RR of 1.8 (CI = 1.15-2.87). Defects requiring a two or more layers for reconstruction also correlated with postop DI compared to single layer repairs (chi-square (1) = 12.15,
< 0.001) irrelevant of the materials used. Development of DI postop correlated with an increased hospital length of stay (
(64) = -3.35,
= 0.001).
The physician should be careful when evaluating patients with pituitary adenomas in the postoperative period, particularly those with intraoperative CSF leak, nasal packing, and those who underwent multilayer reconstruction of the surgical defect.</description><subject>Original Report</subject><issn>2193-6358</issn><issn>2193-6366</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><recordid>eNpVUcFu1TAQtBCIVqUn7shHJBSw49hxuCD0aKFSEdUDztbGWRdDnv1qO0j9An4bh5Yn2MuOtaPZWQ8hTzl7yZmUr6BpRds1XDDxgBy3fBCNEko9PGCpj8hpzt9ZLS25Vt1jciS0FlIM6pj8eudhxIKZXoTs935aMgVXMNGzMMVs497bPzBAhple-bL4AumWfgSbIkwY4g7oFjPa4mN4TTcxJZxhfdDo6FVFGAqFMNHPS7rGdNts1zlOdOvzD3oOtsSUn5BHDuaMp_f9hHw9P_uy-dBcfnp_sXl72VjBZGkGzbjoUdte2F47x1U3DIBSdVJqbJlzqoehE6Nr6319N7qJjx042Y_MqZaJE_LmTne_jDucbPWWYDb75Hf1KhPBm_8nwX8z1_Gn4ZxLxmRXFZ7fK6R4s2AuZuezxXmGgHHJRrDqqRVqEJX64o5avyrnhO6whzOzxmfArPGZNb7KfvavtQP3b1jiNwjyl88</recordid><startdate>20240401</startdate><enddate>20240401</enddate><creator>Hosri, Jad</creator><creator>Abi Zeid Daou, Christophe</creator><creator>Darwish, Hussein</creator><creator>Korban, Zeina</creator><general>Georg Thieme Verlag KG</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-7781-3486</orcidid></search><sort><creationdate>20240401</creationdate><title>Diabetes Insipidus after Endoscopic Endonasal Pituitary Macroadenoma Resection: Correlation of Patient and Surgery-Related Risk Factors</title><author>Hosri, Jad ; Abi Zeid Daou, Christophe ; Darwish, Hussein ; Korban, Zeina</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c305t-980137e8c73c78ff16499ae564558e20ff67a943bf253974bfd1b4af57b0f6203</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Original Report</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hosri, Jad</creatorcontrib><creatorcontrib>Abi Zeid Daou, Christophe</creatorcontrib><creatorcontrib>Darwish, Hussein</creatorcontrib><creatorcontrib>Korban, Zeina</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of neurological surgery reports</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hosri, Jad</au><au>Abi Zeid Daou, Christophe</au><au>Darwish, Hussein</au><au>Korban, Zeina</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Diabetes Insipidus after Endoscopic Endonasal Pituitary Macroadenoma Resection: Correlation of Patient and Surgery-Related Risk Factors</atitle><jtitle>Journal of neurological surgery reports</jtitle><addtitle>J Neurol Surg Rep</addtitle><date>2024-04-01</date><risdate>2024</risdate><volume>85</volume><issue>2</issue><spage>e83</spage><epage>e87</epage><pages>e83-e87</pages><issn>2193-6358</issn><eissn>2193-6366</eissn><abstract>This article aims to identify patient- and surgery-related factors that could predict the development of postoperative central diabetes insipidus (DI).
This is a retrospective case-control study conducted at a single-institution tertiary referral center. Patients undergoing endoscopic endonasal skull base surgery for pituitary adenoma between November 2018 and April 2023 were recruited. The main outcome measures collected include age, gender, comorbidities, tumor type, postoperative DI, intraoperative and postoperative cerebrospinal fluid (CSF) leak, flow of CSF leak, number of layers required for repair, the use of nasal packing, and hospital length of stay.
A total of 20 patients developed DI postoperatively. Patients' demographic and comorbidity profile did not correlate with DI development. The encounter of an intraoperative CSF leak was correlated with postop DI (chi-square (1) = 18.35,
< 0.001) with a relative risk (RR) of 2.7 (confidence interval [CI] = 1.37-5.28). The use of nasal packs was also correlated with postop DI (chi-square (1) = 10.17,
= 0.001) with a RR of 1.8 (CI = 1.15-2.87). Defects requiring a two or more layers for reconstruction also correlated with postop DI compared to single layer repairs (chi-square (1) = 12.15,
< 0.001) irrelevant of the materials used. Development of DI postop correlated with an increased hospital length of stay (
(64) = -3.35,
= 0.001).
The physician should be careful when evaluating patients with pituitary adenomas in the postoperative period, particularly those with intraoperative CSF leak, nasal packing, and those who underwent multilayer reconstruction of the surgical defect.</abstract><cop>Germany</cop><pub>Georg Thieme Verlag KG</pub><pmid>38835396</pmid><doi>10.1055/a-2324-1303</doi><orcidid>https://orcid.org/0000-0002-7781-3486</orcidid><oa>free_for_read</oa></addata></record> |
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| source | Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central Open Access; Thieme Connect Journals Open Access; PubMed Central |
| subjects | Original Report |
| title | Diabetes Insipidus after Endoscopic Endonasal Pituitary Macroadenoma Resection: Correlation of Patient and Surgery-Related Risk Factors |
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