Question: I am scheduled to have a bilateral adrenalectomy and have been warned that sometimes there is adrenal tissue in the body other than just in the adrenal glands. Is this true? Answer: This is called adrenal rest cells. They are located sometimes in the liver, sometimes in the testes or ovaries. In rare circumstances… Continue Reading
Author Archives: kkc
Bilateral Adrenalectomy Surgical Procedures
Question: Are the different surgical procedures for bilateral adrenalectomies equivalent and is it known immediately after surgery if any tissue capable of making cortisol is left? Answer: If a patient has to undergo removal of both adrenal glands (bilateral adrenalectomy) to remove the source of excessive cortisol production, the surgery can be performed in 3… Continue Reading
Atrophied Adrenal Gland
Question: Is it possible for an atrophied adrenal gland not to recover following removal of an adrenal tumor? Answer: If the adrenal tumor is making Cortisol and suppressing the pituitary adrenal axis and the contralateral adrenal is quite atrophied, the time needed to recover the hypothalamic pituitary adrenal axis may be quite prolonged. If the… Continue Reading
Adrenalin and Other Adrenal Hormones After Bilateral Adrenalectomy
Question: How can a person survive without the adrenalin from the adrenal gland and what other critical hormones are made by the adrenal? Answer: There are plenty of other sources of adrenalin besides the adrenal glands. Patients can live quite well without their adrenal glands from the adrenalin standpoint. Other autonomic nervous system ganglia will… Continue Reading
Cushing’s Syndrome and Bariatric Surgery
Most patients with Cushing’s syndrome not only experience weight gain but also develop health complications, such as diabetes mellitus and hypertension. These complications overlap with those seen in patients who seek surgery for weight loss (bariatric surgery). Expert recommendations from many medical societies, including the American Association of Clinical Endocrinologists, Obesity Society, American Society for… Continue Reading
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