DR. Guttler’s Comments: 1. A Pioneer in Minimally Invasive Surgery. 2. He is 101 years old and still has passion for his work. Arises early to walk go to the gym then spends 3 days a week at Cedars and the rest of the week he works form...
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Thyroglossal Duct Cyst: Ethanol Ablation Therapy PEI for Adults and Children. The old standard therapy for TGD cyst is surgery. However there may be patients who do not want surgery for the fear of the scar or surgical post op complications. PEI...
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Dr.Guttler’s comments: 1. For symptomatic nonfunctioning Parathyroid Cysts, simple aspiration could be a first line procedure for diagnosis and treatment, while EA can be a subsequent treatment modality for recurrent cases. 2. 20 years...
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1. Thyroid Nodules: Pure cyst or > 50 fluid use ethanol ablation PEI. Solid mixed cyst >50% use Radiofrequency ablation RFA. 2. Solid Thyroid Nodules: Toxic or Autonomous Functioning Nodule with Low TSH and High T4: Treat with RFA instead...
More info Dr.Guttler’s comments: 1. There is a debate on the use of “low dose” ethanol vs standard dosing. 2. Considering the very low complication rate of EA, even when a dose of more than 5 mL is used, the advantage of low-dose EA is...
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Dr.Guttler’s comments: 1. 75 patients with TGD cysts were studies. 2. Follow up in many up to 131 months found 83% success rate with 82% reduction in size. 3. No patients developed malignancy from the ablated TGDCs but one patient (1.5%...
More infoDr.Guttler’s comments The PEI, forgotten first choice treatment for cysts has been around since the 1990s and is still not done in many places even when it is the treatment of choice. This Korean study should wake up the physicians seeing...
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In 2014 there were none of the above learning thyroid RFA. Only Koreans, and Europeans such as Dr.Baek in Korea and Dr.Valcavi in Italy. After traveling to Italy in 2014, I returned to the US and began to work with RFA systems and to teach...
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If there is <10% solid component ethanol ablation is the treatment of choice. 10-50% solid component a combination of PEI and RFA is the preferred therapy. >50% solid thyroid RFA is the preferred therapy. PEI 10% solid nodules 85-95 volume...
More infoDr.Guttler’s comments: QoL was evaluated using a thyroid-specific QoL questionnaire consisting of 11 scales with multiple-choice answers. Nodule characteristics and QoL were evaluated at diagnosis and 1, 6, and 12 months after treatment...
More infoThyroid No Surgery For Thyroid, Parathyroid or Neck Cysts: Radiofrequency RFA and Ethanol PEI are Treatments not Surgery. Yelp for business New review for Guttler Richard B MD 1328 16th St Santa Monica, CA 90404 5/17/2021 I went to Dr. Guttler...
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Boomerang Shaped Neck Cyst: Is it a thyroid cyst? How I treated it with ethanol PEI. Drawing of the boomerang shaped cyst from soft tissue image. 34 Y/O male with choking sensation. Ultrasound and soft tissue images revealed a boomerang shaped...
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