Endocrine Surgery Specialist
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Michael Sutker, MD
Bariatric, General & Laparoscopic Surgeon located in Dallas, TX & McKinney, TX
When your glands aren't working as they should, your body can suffer severe effects from having hormone levels that are too high or too low. At his offices in Dallas and McKinney, Texas, Michael Sutker, MD, performs expert endocrine surgery to remove glands like the thyroid and adrenals when they are threatening your health. To benefit from his considerable expertise, call the Michael Sutker, MD, PA, office nearest you today or book an appointment online.
Endocrine Surgery Q&A
What is endocrine surgery?
Endocrine surgery refers to surgical procedures Dr. Sutker performs on your endocrine system, which consists of the glands and organs that produce hormones.
Hormones are vital chemical messengers that regulate essential functions all around your body. Glands that might require endocrine surgery include:
Thyroid gland
The thyroid gland is in your neck. It releases thyroid hormone into your body that helps maintain your metabolism and energy levels.
Parathyroid glands
There are four parathyroid glands behind your thyroid. Parathyroid hormone helps regulate levels of calcium in your body.
Adrenal glands
Your adrenal glands produce sex hormones as well as adrenaline and cortisol.
Why would I need endocrine surgery on my thyroid?
A hyperactive thyroid gland (hyperthyroidism) is one that produces too much of the hormone thyroxine and can cause symptoms like:
- Heart palpitations
- Sweating
- Irritability
- Decreased appetite
- Weight loss
If medications aren't controlling your symptoms adequately, your endocrinologist might refer you to Dr. Sutker for endocrine surgery.
Another possibility is that you might find a cancerous mass by sensing a lump in your neck, or your primary care provider might discover an abnormality called a nodule or goiter. If the nodules are cancerous or a goiter is likely to cause difficulties breathing or swallowing, you need to undergo endocrine surgery.
Removal of the thyroid gland is called a thyroidectomy. Depending on the reason for your endocrine surgery, you might only need a partial thyroidectomy.
What other types of endocrine surgery might I need?
There are two other types of endocrine surgery that Dr. Sutker performs:
Parathyroidectomy
If one or more of your parathyroid glands becomes hyperactive, it can release excessive quantities of parathyroid hormone into your bloodstream. This causes abnormally high calcium levels in your blood that can lead to problems like:
- Low bone mineral density (osteopenia and osteoporosis)
- Bone fractures
- Kidney stones
- Abdominal pain
- Constipation
- Mood changes and depression
If you have hyperactive parathyroid glands (hyperparathyroidism), Dr. Sutker can perform a parathyroidectomy. Your calcium levels then return to normal, and your symptoms resolve.
Adrenalectomy
Adrenalectomy involves removing one or both adrenal glands. Cysts and benign, malignant, and metastatic tumors (those that spread from other organs) on your adrenals glands can all cause an increase or decrease in hormone production that could result in serious health issues.
To find out more about endocrine surgery or schedule a consultation, call the Michael Sutker, MD, PA, office nearest you today or book an appointment online.
Thyroid Surgery
The thyroid gland is located in your neck. It is responsible for releasing a thyroid hormone into your body. This hormone helps maintain your energy levels and metabolism. A hyperactive thyroid gland can cause heart palpitations, sweating, irritability, decreased appetite, and weight loss. If your symptoms are not adequately controlled with medications, your primary care physician or endocrinologist will refer you to a surgeon for removal of your thyroid gland (thyroidectomy).
A patient might find a thyroid mass by sensing a lump or mass in the neck, or the primary physician might discover an abnormality on physical exam called a nodule or goiter. Your surgeon will recommend removal of all or part of your thyroid gland (thyroidectomy) if he suspects the nodules may harbor cancer or if an enlarging goiter is currently or predicted to cause difficulties breathing or swallowing. Some thyroid findings do not require surgery, and your primary care physician can watch and monitor your thyroid.
A patient might find a thyroid mass by sensing a lump or mass in the neck.
Parathyroidectomy
There are four parathyroid glands located behind the thyroid gland in your neck. These glands secrete parathyroid hormone which helps regulate the calcium level in your body. Calcium is an essential mineral that functions to maintain your bone strength, healthy teeth, muscle function, nerve function, normal clotting of the blood, and the regulation of hormones and enzymes. One or more of your parathyroid glands can become hyperactive and release an excess amount of parathyroid hormone into your bloodstream. The resulting abnormally high calcium level in your blood may cause low bone mineral density (called osteopenia or osteoporosis), bone fractures, kidney stones, abdominal pain, constipation, and mood changes such as depression. If you suffer from hyperactive parathyroid glands, known as hyperparathyroidism, your physician will refer you to a surgeon for removal of one or more of your parathyroid glands. After your surgery, your calcium levels will return to normal, and your symptoms will resolve.
Adrenalectomy
This type of surgical procedure involves removing one or both of your adrenal glands in the case of tumor growth. The doctor will advise adrenalectomy when any tumors or cysts grow on the adrenal glands, including benign tumors, malignant tumors, and metastatic tumors that spread from your body’s other organs. Your adrenal glands produce many hormones like sex hormones and cortisol, which are required by the body to perform daily functions. When an adrenal tumor develops on one or both of these glands, it can cause an increase or decrease in hormone production. Because of the serious implications of volatile hormone levels, a doctor must remove these glands.
When Is Surgery Necessary?
If the thyroid contains worrisome characteristics, your physician will recommend removal of the side of the gland with the concern (partial thyroidectomy). During surgery, a pathologist physician will check the removed portion of the thyroid gland for cancer. If the pathologist finds the mass to harbor cancer, your surgeon can remove the entire thyroid gland during that same operation.
If your thyroid nodule proves to contain cancer by needle biopsy before surgery, your surgeon will perform a total thyroidectomy. It may also be necessary to remove some of the lymph nodes in the neck if there is evidence of lymph node involvement or if your tumor is large. Patients sometimes need radioactive iodine treatment following thyroidectomy depending on the size and degree of invasion of cancer.
