ea0019p272 | Pituitary | SFEBES2009
Jayasena CN
, Gadhvi KA
, Gohel B
, Martin NM
, Mendoza N
, Meeran K
, Dhillo WS
Background: Secondary adrenal insufficiency is a common complication of transsphenoidal hypophysectomy (TSS) for pituitary adenoma. It is therefore imperative to rapidly and accurately identify patients requiring glucocorticoid replacement, thus minimising risks of adrenal insufficiency or unnecessary glucocorticoid exposure. The gold-standard test of HPA axis reserve, the insulin tolerance test (ITT), cannot be performed safely until after post-operative recovery. Nine am cor...