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PubMedDate not supplied

Efficacy of parathyroid gland autotransplantation in maintaining serum calcium concentrations after bilateral thyroparathyroidectomy in cats.

Bilateral thyroidectomy is a commonly indicated treatment for feline hyperthyroidism. The most common postoperative complication is hypocalcemia due to disruption of the parathyroid glands. When parathyroid gland disruption is obvious, many authors suggest autotransplantation (AT) of the glands. This technique never has been supported by a scientific study which monitored postoperative calcium or parathyroid hormone (PTH) concentrations. Cats in this study each underwent bilateral thyroidectomy and parathyroid AT to mimic a clinical situation. Serum calcium concentrations normalized much quicker than concentrations in previously reported cats undergoing bilateral thyroidectomy and parathyroidectomy. Parathyroid AT greatly reduces morbidity in the parathyroidectomized cat.

Animals↗
PubMed1975

Effect of thyroparathyroidectomy and of a low calcium diet on the cardiomyopathy of the Syrian hamster.

Experimental Ca deficiency in the cardiomyopathic Syrian hamster was found to be effective in reducing the incidence and the severity of the heart lesions that develop at 30 days of age. The skeletal muscle changes that develop at a much earlier period were influenced in their course but not in their frequency. It was further observed that 20-day-old animals benefit better from a low Ca intake at a time when the degenerative changes do not prevail in the myocardium. Removal of the parathyroids in normally fed myopathic hamsters had no effect on the serum calcium and phosphate levels or on the course of the disease. The serum creatine phosphokinase was found to be higher in Ca-deficient myopathic hamsters. The possible role of calcium concerning the maintenance of the integrity of the muscle cells is discussed.

Animals↗
PubMed1975

Effect of triiodothyronine treatment, thyroparathyroidectomy and mercaptoiminazole treatment on enchondral bone growth. Changes in the histological structure of the growth organ.

Histological changes caused by triiodothyronine (T3) and mercaptoiminazole treatment as well as by thyroidectomy have been studied in the proximal growth organ of the tibia of growing rats. On triiodothyronine treatment morphometric examinations revealed an increased proliferation and resorption of cartilage associated with a transitory acceleration of linear bone growth. Administration of mercaptoiminazole and thyroidectomy inhibited cartilage proliferation and resorption resulting in a slowing down of bone growth.

Animals↗
PubMed1975

Effect of triiodothyronine (T3) thyroparathyroidectomy and mercaptoimidazole treatment on enchondral bone growth. II. Growth dynamics in the proximal growth organ of the tibia in young rats.

The 24 hour growth rate of the tibial proximal growth organ was investigated in triiodothyronine or mercaptoimidazole-treated, and in thyroidectomized male rats. Longitudinal growth of the tibia of the same period was also studied. After one week treatment, the 24 hour rate of growth in the triiodothyronine-treated rats was retarded as compared with the controls, whereas at the end of the 3rd and 5th weeks the growth rate of the treated animals exceeded that of the controls. The tibia was somewhat longer in the treated rats than in the untreated controls, though the difference was not significant. The growth rate in the growth organ of mercaptoimidazole-treated and thyroidectomized animals was generally higher than that measured in the controls. The length of the tibia was less than in the controls, but the difference was not significant. The phenomenon is attributed to the altered hormonal conditions.

Animals↗
PubMed2005

Thyroparathyroidectomy procedures and thyroxine levels in the chinchilla.

Thyroid and embedded parathyroid glands were surgically removed (thyroparathyroidectomized) from adult chinchillas (Chinchilla laniger) to create an animal model of hypothyroidism. Thyroxine (T4) levels were measured at the time of surgery and one or two times after surgery from 10 thyroparathyroidectomized chinchillas and five sham controls to establish baseline serum T4 levels and to assess the degree and duration of hypothyroidism in this animal model. Baseline T4 levels ranged from 3.4 to 6.4 microg/dl (mean +/- 1 standard deviation, 5.25 +/- 0.84 microg/dl), with no differences between male and female chinchillas (5.4 +/- 0.6 microg/dl versus 5.2 +/- 1.0 microg/dl, respectively). T4 levels were significantly reduced in 80% of thyroparathyroidectomized chinchillas when measured 6 to 14 days after surgery, but reductions were variable, ranging from 9 to 89% in individual animals. There was rapid regrowth of thyroid tissue and a return of T4 levels to the baseline range in five of the seven animals followed for 1 to 2 months after surgery. T4 levels increased significantly in the sham-operated chinchillas, indicating a nonspecific effect of surgery. The results establish surgical procedures for creating a model of variable, transient hypothyroidism in the chinchilla. We also summarize published basal T4 values for various laboratory animals, to provide a convenient reference.

Analysis of Variance↗
PubMed1990

Maintenance of serum calcium after total thyroparathyroidectomy.

We have studied calcium regulation in 11 consecutive patients undergoing radical surgery for upper aerodigestive tract malignancy. Eight patients received postoperative parenteral nutrition including calcium (19 mmol/day) and tri-iodothyronine (30 micrograms/day) supplementation. Three patients received enteral nutrition with calcium (70 mmol/day), 1.25 dihydroxycholecalciferol (1 microgram) and thyroxine (150 micrograms/day) via a nasogastric tube. Mean (SEM) corrected calcium fell from 2.42 (0.013) to 2.03 (0.036) mmol/l after 24 h (P less than 0.01). Replacement therapy generally maintained the serum calcium above 2.0 mmol/l. However, values were associated with only one episode of tetany. Phosphate increased from 1.10 (0.05) to 1.79 (0.11) mmol/l, 7-9 days postoperatively (P less than 0.001). Tubular calcium reabsorption fell and urinary calcium excretion rose, consistent with loss of parathyroid hormone (PTH) action on the distal nephron. However, the renal leak of calcium can be considerably reduced by concomitant salt depletion. This enhances proximal tubular sodium and calcium reabsorption thereby limiting calcium delivery to the distal nephron. This offsets the consequences of the loss of PTH which normally regulates distal calcium reabsorption.

Absorption↗
PubMed1979

Effect of maternal thyroparathyroidectomy before gestation on fetal development in rats.

Female rats were thyroparathyroidectomized (TPTX) at 24 (immature), 40 (pubertal) and 75 (matured) days of age, at least 21 days before mating. Thyroxine (2.5 microgram/kg) or parathyroid hormone (150 USP units/kg x 2) was replaced in two TPTX groups. Thyroxine deficient groups of all ages had reduced body weight, litter size and serum thyroxine and calcium level. Fetal weights at 20 days of gestation in all thyroxine deficient groups were significantly reduced but placental weight was generally increased. Maternal serum thyroxine and fetal weight was positively related when all groups were taken together, but maternal serum calcium and fetal weight was not related. There were no significant differences in gross, visceral or skeletal anomalies in the fetuses in any group.

Animals↗