Cushing's syndrome might be underappreciated in patients seeking bariatric surgery: a plea for screening

Surgery for Obesity and Related Diseases

Volumn 5, Issue 1, 2009, Pages 116-119

  Fleseriu, Maria ^a,c   Ludlam, William H ^b   Teh, Swee H ^a   Yedinak, Chris G ^c   Deveney, Clifford ^a   Sheppard, Brett C ^a  

^a OREGON HEALTH AND SCIENCE UNIVERSITY   (United States)

^b SWEDISH MEDICAL CENTER   (United States)

^c OREGON HEALTH AND SCIENCE UNIVERSITY   (United States)

Author keywords

ACTH; Adrenocorticotropic hormone; Bariatric surgery; Cushing's syndrome; Dexamethasone suppression test; Hypercortisolism; Midnight salivary test; Urine free cortisol

Indexed keywords

GLUCOCORTICOID; MINERALOCORTICOID;

ABDOMINAL PAIN; ADRENALECTOMY; ADULT; ARTICLE; BARIATRIC SURGERY; CASE REPORT; CLINICAL FEATURE; COMPRESSION FRACTURE; CORTICOTROPIN TEST; CUSHING SYNDROME; DIABETES MELLITUS; FATALITY; FEMALE; GALLSTONE; GASTROPLASTY; HUMAN; HYPERCORTISOLISM; HYPERGLYCEMIA; HYPERLIPIDEMIA; HYPERTENSION; HYPOPHYSIS ADENOMA; HYPOPHYSIS TUMOR; MALE; MALNUTRITION; MORBID OBESITY; MULTIPLE ORGAN FAILURE; MUSCLE WEAKNESS; NAUSEA; NUCLEAR MAGNETIC RESONANCE IMAGING; OBESITY; PANCREATITIS; PRIORITY JOURNAL; REOPERATION; ROUX Y ANASTOMOSIS; SLEEP APNEA SYNDROME; TRANSSPHENOIDAL HYPOPHYSECTOMY;

ADULT; BARIATRIC SURGERY; CUSHING SYNDROME; FATAL OUTCOME; FEMALE; HUMANS; MALE; MIDDLE AGED; OBESITY, MORBID;

EID: 58249084006     PISSN: 15507289     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.soard.2008.09.011     Document Type: Article

References (21)

1. Douketis J.D., Macie C., Thabane L., and Williamson D.F. Systematic review of long-term weight loss studies in obese adults: clinical significance and applicability to clinical practice. Int J Obes (Lond) 29 (2005) 1153-1167
2. Stocker D.J. Management of the bariatric surgery patient. Endocrinol Metab Clin North Am 32 (2003) 437-457
3. Thomspon S.K., Hayman A.V., Ludlam W.H., Deveney C.W., Loriaux L., and Sheppard B.C. Improved quality of life after bilateral laparoscopic adrenalectomy for Cushing's disease: a 10-year experience. Ann Surg 245 (2007) 790-794
4. Leibowitz G., Tsur A., Chayen S.D., et al. Pre-clinical Cushing's syndrome: an unexpected frequent cause of poor glycaemic control in obese diabetic patients. Clin Endocrinol (Oxf) 44 (1996) 717-722
5. Catargi B., Rigalleau V., Poussin A., et al. Occult Cushing's syndrome in type-2 diabetes. J Clin Endocrinol Metab 88 (2003) 5808-5813
6. Boscaro M., Barzon L., Fallo F., and Sonino N. Cushing's syndrome. Lancet 357 (2001) 783-791
7. Velez D.A., Mayberg M.R., and Ludlam W.H. Cyclic Cushing syndrome: definitions and treatment implications. Neurosurg Focus 23 (2007) 1-3
8. Sippel R.S., and Chen H. Subclinical Cushing's syndrome in adrenal incidentalomas. Surg Clin North Am 84 (2004) 875-885
9. Findling J.W., and Raff H. Cushing's syndrome: important issues in diagnosis and management. J Clin Endocrinol Metab 91 (2006) 3746-3753
10. Newell-Price J., Trainer P., Besser M., and Grossman A. The diagnosis and differential diagnosis of Cushing's syndrome and pseudo-Cushing's states. Endocr Rev 19 (1998) 647-672
11. Putignano P., Toja P., Dubini A., et al. Midnight salivary cortisol versus urinary free and midnight serum cortisol as screening tests for Cushing's syndrome. J Clin Endocrinol Metab 88 (2003) 4153-4157
12. Yeneva M., Mosnier-Pudar H., Dugue M.A., et al. Midnight salivary cortisol versus urinary free and midnight serum cortisol as screening tests for Cushing's syndrome. J Clin Endocrinol Metab 88 (2003) 4153-4157
13. Pivonello R., Faggiano A., Lombardi G., and Colao A. The metabolic syndrome and cardiovascular risk in Cushing's syndrome. Endocriol Metab Clin North Am 34 (2005) 327-339
14. Boscaro M., Sonino N., Scarda A., et al. Anticoagulant prophylaxis markedly reduces thromboembolic complications in Cushing's syndrome. J Clin Endocrinol Metab 87 (2002) 3662-3666
15. Dekkers O., Biermasz N., Pereira A., et al. Mortality in patients treated for Cushing's disease is increased compared with patients treated for nonfunctioning pituitary macroadenoma. J Clin Endocrin Metab 92 (2007) 2006-2112
16. Armaldi G., Angeli A., Atkinson A., and Bertagna X. Diagnosis and complications of Cushing's syndrome: a consensus statement. J Clin Endocrinol Metab 88 (2003) 5593-5602
17. Johnson J., Maher J., Samuel I., Heitshusen D., Doherty C., and Downs R. Effects of gastric bypass procedures on bone mineral density, calcium, parathyroid hormone, and vitamin D. J Gastrointest Surg 9 (2005) 1106-1111
18. Sippel R., and Chen H. Subclinical Cushing's syndrome in adrenal incidentalomas. Surg Clin North Am 84 (2004) 875-885
19. Mitchell I., Auchus R., Juneja K., et al. "Subclinical Cushing's syndrome" is non subclinical: improvement after adrenalectomy in 9 patients. Surgery 142 (2007) 900-905
20. Nieman L., Biller B., Findling J., et al. The diagnosis of Cushing's syndrome: an Endocrine Society Clinical Practice Guideline. J Clin Endocrinol Metab 93 (2008) 1526-1540
21. Kidambi S., Raff H., and Findling J. Limitations of nocturnal salivary cortisol and urine free cortisol in the diagnosis of mild Cushing's syndrome. Eur J Endocrinol 157 (2007) 725-731