title: Clinical guidelines for management of diabetes insipidus and syndrome of inappropriate antidiuretic hormone secretion after pituitary surgery.
abstract: Changes in water metabolism and regulation of vasopressin (AVP) or antidiuretic hormone (ADH) are common complications of pituitary surgery. The scarcity of studies comparing different treatment and monitoring strategies for these disorders and the lack of prior clinical guidelines makes it difficult to provide recommendations following a methodology based on grades of evidence. This study reviews the pathophysiology of diabetes insipidus and inappropriate ADH secretion after pituitary surgery, and is intended to serve as a guide for their diagnosis, differential diagnosis, treatment, and monitoring.
authors.affiliation: Servicio de Endocrinología, Complejo Hospitalario Universitario de Albacete, Albacete, España. Electronic address: clamaso@sescam.jccm.es.
authors.forename: Cristina
authors.initials: C
authors.lastname: Lamas
authors.affiliation: Servicio de Endocrinología y Nutrición, Hospital Universitari Mútua de Terrassa, Terrassa, Barcelona, España.
authors.forename: Carlos
authors.initials: C
authors.lastname: del Pozo
authors.affiliation: Servicio de Endocrinología, Hospital Universitari de Bellvitge, L' Hospitalet de Llobregat, Barcelona, España.
authors.forename: Carles
authors.initials: C
authors.lastname: Villabona
mesh_terms: D003919:Diabetes Insipidus / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D003937:Diagnosis, Differential; D006801:Humans; D007177:Inappropriate ADH Syndrome / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D010900:Pituitary Diseases / Q000601:surgery; D011183:Postoperative Complications / Q000209:etiology / Q000628:therapy*
keywords: Cirugía transesfenoidal; Diabetes insipidus; Diabetes insípida; Inappropriate antidiuretic hormone secretion; Secreción inadecuada de hormona antidiurética; Transsphenoidal surgery