Searchable abstracts of presentations at key conferences in endocrinology

ea0028mte5 | (1) | SFEBES2012

The surgical approaches to MEN1 - what the endocrinologist needs to know

Harrison Barney

Controversy exists in the surgical treatment of patients with MEN 1 in relation to the timing and extent of interventions. Hyperparathyroidism in MEN 1 is caused by multiglandular disease and associated with high risk of supernumary glands. The findings on preoperative ultrasound and MIBI scans should not deter the surgeon from removing at least 3 parathyroid glands and the cervical thymus (1). Even subtotal parathyroidectomy (3½ glands) is associated with time dependant ...

ea0013s58 | Differentiated thyroid cancer | SFEBES2007

Surgical management of differentiated thyroid cancer (DTC)

Harrison Barney

The aims of effective surgical treatment of DTC are the provision of local control, the prevention of loco-regional relapse and when required the facilitation of adjuvant radioiodine therapy.Best practice involves a requirement to tailor the extent of thyroid and lymph node surgery to the risk of local and systemic relapse and the avoidance of over treatment and morbidity related to the laryngeal nerves and parathyroid glands. A preoperative diagnosis of...

ea0012s31 | Controlling the overactive parathyroid | SFE2006

Advances in the surgical management of hyperparathyroidism

Harrison BJ

The gold standard for the surgical cure of primary hyperparathyroidism (PHPT) for many years was cervical exploration under general anaesthetic, identification of 4 parathyroid glands and removal of enlarged/abnormal glands. Despite cure rates in expert hands of 98% with minimal morbidity the surgical management of PHPT is changing.PHPT in most cases (85%) is caused by single gland disease. The advances in preoperative localisation of abnormal parathyroi...

ea0008s28 | Neuroendocrine Tumours | SFE2004

Surgical Aspects of Medullary Thyroid Cancer Treatment

Harrison B

Adult and paediatric patients with Medullary Thyroid Cancer (MTC) may present in a variety of clinical scenarios. These include patients with a neck mass and 'apparently' sporadic disease or the index case of genetically determined disease (MEN2A/2B or FMTC), individuals from known MTC kindred who may be symptomatic or screen detected (either gene positive with an elevated basal / stimulated calcitonin, or gene positive and normocalcitonaemic) and patients with recurrent disea...

ea0008ds4 | Recent advances in drug delivery and monitoring | SFE2004

Update on Insulin Pump Therapy in the U.K

Harrison MJ

Background: Long-term insulin therapy is associated with considerable side-effects. Tight control of blood glucose is vital to minimise risk of complications and to maintain quality of life. Insulin pump therapy (or continuous subcutaneous insulin infusion-CSII) can improve glycaemic control without consequent increased episodes of hypoglycaemia. It has been available for many years but it has only recently begun to be a treatment of choice for type 1 diabetes in the UK. CSII ...

ea0066p56 | Diabetes 6 | BSPED2019

Assessing the impact of continuous glucose monitoring (CGM) and flash glucose scanning (FGS) on HbA1c levels in paediatric diabetic patients

Harrison Sarah , Burns Mark

Background: Advances in technology have led to new approaches in diabetes management. CGM has been associated with improvements in HbA1c, however, the evidence is limited and there are substantial cost considerations. The main aim of this audit was to assess the impact of CGM and FGS on HbA1c levels.Method: A retrospective analysis of the use of CGM and FGS in paediatric patients under the care of the children’s diabetes team at James Cook Hospital,...

ea0020p563 | Neuroendocrinology, Pituitary and Behaviour | ECE2009

The impact of infertility on the relationship of people with a Pituitary condition

Morris Marianne , Harrison Pascale

Background: Evidence from a Needs Analysis (2006) and Patient Satisfaction Survey (2008) for people with pituitary conditions, suggested infertility was a key yet unexpected problem for the majority of respondents. Being infertile without the co-morbidity of having a pituitary condition confers a huge emotional burden on the couple concerned. The aim of this study was to explore in detail the effects infertility imposed on people with a pituitary condition.<p class="abstex...