Malabsorption of Thyroid Hormone After Small Bowel Resection.

IF 0.6 Q3 MEDICINE, GENERAL & INTERNAL

Journal of Community Hospital Internal Medicine Perspectives Pub Date : 2025-09-12 eCollection Date: 2025-01-01 DOI:10.55729/2000-9666.1530

Nathaniel Lin, Marilyn Temkin, Ella Rosenbloom, Alan Kaell

引用次数: 0

Abstract

Hypothyroid patients on stable long-term oral levothyroxine (T4) dosage are at risk of developing overt hypothyroidism after small bowel (SB) resection. This can happen despite equivalent peri-operative intravenous (IV) supplementation and resumption of preoperative oral T4 dosage when post-operative oral medication is tolerated. This situation is not specifically addressed in any of the major guidelines for T4 oral replacement in this setting and may be underrecognized, leading to diagnostic and management challenges.

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小肠切除术后甲状腺激素吸收不良。

长期口服稳定左甲状腺素（T4）剂量的甲状腺功能减退患者在小肠切除术后有发生明显甲状腺功能减退的风险。尽管术后口服药物耐受，围手术期静脉（IV）补充和术前恢复口服T4剂量仍可能发生这种情况。在这种情况下，任何T4口服替代的主要指南都没有特别提到这种情况，并且可能未得到充分认识，从而导致诊断和管理方面的挑战。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Community Hospital Internal Medicine Perspectives MEDICINE, GENERAL & INTERNAL-

自引率

0.00%

发文量

106

审稿时长

17 weeks

期刊介绍： JCHIMP provides: up-to-date information in the field of Internal Medicine to community hospital medical professionals a platform for clinical faculty, residents, and medical students to publish research relevant to community hospital programs. Manuscripts that explore aspects of medicine at community hospitals welcome, including but not limited to: the best practices of community academic programs community hospital-based research opinion and insight from community hospital leadership and faculty the scholarly work of residents and medical students affiliated with community hospitals.