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Keywords: transsphenoidal surgery
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Journal Article
Postoperative fluid restriction to prevent delayed hyponatremia after endoscopic transsphenoidal surgery
Doriann Klaassen and others
Neuro-Oncology, noaf069, https://doi.org/10.1093/neuonc/noaf069
Published: 14 March 2025
... is properly cited. Abstract Background Readmission following endoscopic endonasal transsphenoidal surgery (EETS) for pituitary neuroendocrine tumor (PitNET) and other sellar pathology is most commonly due to delayed hyponatremia. Studies suggest postoperative fluid restriction (FR) reduces delayed...
Journal Article
The effect of first intervention on cardiac parameters in patients with acromegaly: a systematic review
Kevin A Huynh and others
European Journal of Endocrinology, Volume 192, Issue 2, February 2025, Pages S1–S14, https://doi.org/10.1093/ejendo/lvaf009
Published: 29 January 2025
... in acromegaly published up to February, 25, 2022 were included in this systematic review. Risk of bias was assessed using a modified Newcastle–Ottawa Scale and Joanna Briggs Institute Critical Appraisal Checklist. Primary treatment modalities included (transsphenoidal) surgery and medical treatment with first...
Journal Article
Response to commentary “Vasopressin deficiency following operated craniopharyngiomas: fear or fatality?”
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Athanasios Fountas and Niki Karavitaki
European Journal of Endocrinology, Volume 191, Issue 5, November 2024, Pages R1–R3, https://doi.org/10.1093/ejendo/lvae137
Published: 18 October 2024
... insipidus after endoscopic transsphenoidal surgery . Pituitary . 2013 ; 16 ( 4 ): 445 – 451 . 10.1007/s11102-012-0453-1 13 Nemergut EC , Zuo Z , Jane JA , Laws ER . Predictors of diabetes insipidus after transsphenoidal surgery: a review of 881 patients . J Neurosurg...
Journal Article
The Changing Treatment Paradigm for Prolactinoma—A Prospective Series of 100 Consecutive Neurosurgical Cases
Victoria R van Trigt and others
The Journal of Clinical Endocrinology & Metabolism, dgae652, https://doi.org/10.1210/clinem/dgae652
Published: 18 September 2024
... of hyperprolactinemia (ie, medication or nonfunctioning adenomas with mild hyperprolactinemia resulting from stalk compression). The need for written informed consent was waived by the Scientific Committee (research protocol W2018.048). Transsphenoidal surgery (TSS) has long been a last-resort treatment for patients...
Journal Article
Precision Medicine in Acromegaly: The Potential of Multimodal Therapy
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Jens Bollerslev and Ansgar Heck
The Journal of Clinical Endocrinology & Metabolism, dgae636, https://doi.org/10.1210/clinem/dgae636
Published: 17 September 2024
... ) growth hormone somatostatin analogues insulin-like growth factor 1 (IGF-1) transsphenoidal surgery Acromegaly is an orphan and debilitating disease calling for specialized management by highly experienced multidisciplinary teams. Surgery is the only curative therapy and is regarded as first-line...
Journal Article
Integrative clinical, hormonal, and molecular data associate with invasiveness in acromegaly: REMAH study
Miguel Sampedro-Nuñez and others
European Journal of Endocrinology, Volume 190, Issue 6, June 2024, Pages 421–433, https://doi.org/10.1093/ejendo/lvae045
Published: 03 May 2024
... insights for risk stratification and personalized management of GHomas. pituitary tumor curation combined molecular and clinical biomarkers transsphenoidal surgery REMAH study Spanish Society of Endocrinology and Nutrition (SEEN) Molecular Registry of Pituitary Adenomas Novartis...
Journal Article
Surgical vs Nonsurgical Management for Pituitary Apoplexy
Julio Abucham
The Journal of Clinical Endocrinology & Metabolism, Volume 109, Issue 6, June 2024, Pages e1454–e1455, https://doi.org/10.1210/clinem/dgad691
Published: 25 November 2023
... management transsphenoidal surgery conservative management Pituitary apoplexy (PA) is a clinical condition caused by bleeding and/or infarction within a pituitary tumor resulting in sudden tumor enlargement. Compression of the pituitary gland and surrounding structures determines variable clinical...
Journal Article
A Prospective, Multicenter, Observational Study of Surgical vs Nonsurgical Management for Pituitary Apoplexy
Adam N Mamelak and others
The Journal of Clinical Endocrinology & Metabolism, Volume 109, Issue 2, February 2024, Pages e711–e725, https://doi.org/10.1210/clinem/dgad541
Published: 12 September 2023
... transsphenoidal surgery treatment outcomes Pituitary apoplexy (PA) is a relatively rare but well-recognized syndrome caused by rapid hemorrhage and/or infarction of a tumor in the pituitary fossa ( 1 ). PA presents with a constellation of symptoms including headache, nausea, vomiting, visual changes, oculomotor...
Journal Article
Pituitary function before and after surgery for nonfunctioning pituitary adenomas—data from the Swedish Pituitary Register
Nasrin Al-Shamkhi and others
European Journal of Endocrinology, Volume 189, Issue 2, August 2023, Pages 217–224, https://doi.org/10.1093/ejendo/lvad104
Published: 08 August 2023
... , 8 At diagnosis, 60%-85% of patients with macroadenoma have at least 1 pituitary hormone deficiency. 9 If there are indications for treatment, such as visual disturbances, the first-line treatment is transsphenoidal surgery. 10 Visual impairments frequently improve...
Journal Article
Cortisol and ACTH Measurements at Extubation From Pituitary Surgery Predicts Hypothalamic-Pituitary-Adrenal Axis Function
David T Asuzu and others
Journal of the Endocrine Society, Volume 7, Issue 4, April 2023, bvad025, https://doi.org/10.1210/jendso/bvad025
Published: 06 February 2023
...David T Asuzu; Shyama Bhatt; Diana Nwokoye; Christina Hayes; Michaela Cortes; Raven McGlotten; Meg Keil; Christina Tatsi; Lynnette Nieman; Prashant Chittiboina The requirement for glucocorticoid replacement therapy after transsphenoidal surgery (TSS) depends on the preoperative diagnosis, intra...
Journal Article
Fluid Restriction Reduces Delayed Hyponatremia and Hospital Readmissions After Transsphenoidal Surgery
Odelia Cooper and others
The Journal of Clinical Endocrinology & Metabolism, Volume 108, Issue 8, August 2023, Pages e623–e633, https://doi.org/10.1210/clinem/dgad066
Published: 01 February 2023
... ( 23–28 ). One study demonstrated that the implementation of 1 L/day fluid restriction between POD 4 and POD 8 was successful in decreasing the risk of delayed hyponatremia after transsphenoidal surgery from 12.3% to 0% ( 25 ). A second study showed that patients on fluid restriction to 1 L/day for 7...
Journal Article
Racial Disparities in Acromegaly and Cushing’s Disease: A Referral Center Study in 241 Patients
Adriana G Ioachimescu and others
Journal of the Endocrine Society, Volume 6, Issue 1, January 2022, bvab176, https://doi.org/10.1210/jendso/bvab176
Published: 24 November 2021
... studies are necessary to confirm our findings. acromegaly Cushing’s disease race racial differences transsphenoidal surgery remission Growth hormone (GH) and adrenocorticotropin (ACTH)-secreting pituitary adenomas represent 10% to 20% of all pituitary adenomas [ 1-5 ]. Hormone hypersecretion leads...
Journal Article
Hybrid Robotics for Endoscopic Transnasal Skull Base Surgery: Single-Centre Case Series
Francesca Zappa and others
Operative Neurosurgery, Volume 21, Issue 6, December 2021, Pages 426–435, https://doi.org/10.1093/ons/opab327
Published: 08 October 2021
... of a novel robotic endoscope holder, developed for transsphenoidal surgery. METHODS Patients were prospectively enrolled for 3 mo at the Neurosurgery Unit of Brescia. Endoscope Robot® was used to assist during the sphenoidal phase of the approach, tumor removal, and skull base reconstruction...
Journal Article
Diagnostic Pitfalls in Cushing Disease: Surgical Remission Rates, Test Thresholds, and Lessons Learned in 105 Patients
Regin Jay Mallari and others
The Journal of Clinical Endocrinology & Metabolism, Volume 107, Issue 1, January 2022, Pages 205–218, https://doi.org/10.1210/clinem/dgab659
Published: 03 September 2021
...Regin Jay Mallari; Jai Deep Thakur; Garni Barkhoudarian; Amy Eisenberg; Amanda Rodriguez; Sarah Rettinger; Pejman Cohan; Lynnette Nieman; Daniel F Kelly Cushing’s disease pituitary adenoma transsphenoidal surgery ACTH salivary cortisol 24-hour urinary free cortisol National Institutes...
Journal Article
Revisiting the Role of Insulin-like Growth Factor-1 Measurement After Surgical Treatment of Acromegaly
In-Ho Jung and others
The Journal of Clinical Endocrinology & Metabolism, Volume 106, Issue 7, July 2021, Pages e2589–e2599, https://doi.org/10.1210/clinem/dgab186
Published: 19 March 2021
... was performed to confirm the presence of GH-secreting pituitary adenoma cells. All patients underwent transsphenoidal surgery (TSS) of their tumors, which was performed by 3 experienced surgeons. Pituitary adenomas were classified based on preoperative MRI and intraoperative findings, according to modified...
Journal Article
Letter: COVID Conundrum: Postoperative COVID-19 Infections Following Endonasal Transsphenoidal Pituitary Surgery
Jacob S Young and others
in
Neurosurgery
Neurosurgery, Volume 88, Issue 6, June 2021, Pages E571–E572, https://doi.org/10.1093/neuros/nyab054
Published: 08 March 2021
... Model ( https://dbpia.nl.go.kr/journals/pages/open_access/funder_policies/chorus/standard_publication_model ) Transsphenoidal surgery COVID-19 Postoperative infections Personal protective equipment (PPE) To the Editor: Early in the COVID-19 global pandemic, the neurosurgical and otolaryngology...
Journal Article
Outcome Squares Integrating Efficacy and Safety, as Applied to Functioning Pituitary Adenoma Surgery
Friso de Vries and others
The Journal of Clinical Endocrinology & Metabolism, Volume 106, Issue 9, September 2021, Pages e3300–e3311, https://doi.org/10.1210/clinem/dgab138
Published: 06 March 2021
... preoperatively to 6 months postoperatively. Pituitary adenoma transsphenoidal surgery outcomes patient counselling Outcomes of surgical procedures are often reported in literature in a clinician-centered fashion. Classic surgical outcome papers primarily report on measures of efficacy, like remission rates...
Journal Article
Predictors for Remission after Transsphenoidal Surgery in Acromegaly: A Dutch Multicenter Study
Eva C Coopmans and others
The Journal of Clinical Endocrinology & Metabolism, Volume 106, Issue 6, June 2021, Pages 1783–1792, https://doi.org/10.1210/clinem/dgab069
Published: 05 February 2021
...; SSA-1, first-generation somatostatin analog (octreotide or lanreotide); SSA-2, second-generation somatostatin analog (pasireotide); TSS, transsphenoidal surgery; ULN, upper limit of normal;. Table 2. Univariate analysis for selection of predictors of early biochemical remission, long-term remission...
Journal Article
Surgical and Pharmacological Outcomes in Acromegaly: Real-Life Data From the Mexican Acromegaly Registry
Moisés Mercado and others
The Journal of Clinical Endocrinology & Metabolism, Volume 105, Issue 12, December 2020, Pages e4567–e4576, https://doi.org/10.1210/clinem/dgaa664
Published: 18 September 2020
... transsphenoidal surgery lanreotide octreotide cabergoline Novartis Oncology Ipsen Pharmaceuticals Acromegaly is a chronic and systemic disease caused in the vast majority of cases by a growth hormone (GH)-secreting pituitary adenoma ( 1 ). Although currently the long-term outlook for patients suffering...
Journal Article
Diabetes Insipidus After Endoscopic Transsphenoidal Surgery
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William T Burke and others
in
Neurosurgery
Neurosurgery, Volume 87, Issue 5, November 2020, Pages 949–955, https://doi.org/10.1093/neuros/nyaa148
Published: 05 June 2020
... ) Abstract BACKGROUND Diabetes insipidus (DI) is a recognized transient or permanent complication following transsphenoidal surgery (TSS) for pituitary tumors. OBJECTIVE To describe significant experience with the incidence of DI after TSS, identifying predictive characteristics and describing our...
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