World Journal of Endocrine Surgery

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VOLUME 3 , ISSUE 2 ( May-August, 2011 ) > List of Articles

CASE REPORT

Symptomatic Hypocalcemia due to Sodium Phosphate for Bowel Preparation following Minimally Invasive Parathyroidectomy

Turkay Kirdak, Nusret Korun

Citation Information : Kirdak T, Korun N. Symptomatic Hypocalcemia due to Sodium Phosphate for Bowel Preparation following Minimally Invasive Parathyroidectomy. World J Endoc Surg 2011; 3 (2):91-92.

DOI: 10.5005/jp-journals-10002-1065

Published Online: 01-08-2011

Copyright Statement:  Copyright © 2011; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

This paper presents a case on symptomatic hypocalcemia due to sodium phosphate use for bowel preparation following parathyroidectomy. Serum calcium and parathyroid hormone were in normal levels postoperatively. Two months following the operation, phosphosoda was administered for bowel preparation. Following bowel preparation severe carpopedal spasm developed. It can be speculated that sodium phosphate administration for bowel preparation may precipitate hypocalcemic tetany in the patients undergoing parathyroidectomy for primary hyperparathyroidism.


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  1. Measurement of serum electrolytes and phosphate after sodium phosphate colonoscopy bowel preparation: An evaluation. Dig Dis Sci 2005;50: 1319-23.
  2. Effect of oral sodium phosphate colon preparation on serum electrolytes in patients with normal serum creatinine. Gastrointest Endosc 1996;43: 467-69.
  3. Fatal poisoning from sodium phosphate enema: Case report and experimental study. JAMA 1987;257:2190-92.
  4. Biochemical effects of oral sodium phosphate. Dig Dis Sci 1996;41:749-53.
  5. Postoperative hypocalcemic tetany caused by Fleet®Phospho-soda® preparation in a patient taking alendronate sodium: Report of a case. Dis Colon Rectum 1999;42:1499-1501.
  6. Symptomatic hypocalcemia from oral sodium phosphate: A report of two cases. Am J Gastroenterol 1998;93:2577-79.
  7. Oral Fleet® Phospho-soda®: Doses and interval between them. Dis Colon Rectum 1997;40:1396-97.
  8. Patients on bisphosphonates should not be at increased risk for hypocalcemic-induced tetany when given Fleet® Phospho-soda®. Dis Colon Rectum 2003;46:1717-18.
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