Thyroid Nodules 101: Alternative Therapy with Ethanol PEI

Dr.Guttler’s comments:

1. PEI for thyroid nodules has been available in the US for many years but is under-utilized as an effective alternative to thyroid surgery
2. Primary care to endocrinologist to surgeon is the triple play at most hospitals.
3. Thyroid surgery is the life blood of small/ medium hospitals.
4. Training in doing PEI is lagging behind as there is fear by endocrinologists about malpractice.
5. Radiologists do not consider PEI alternative in most cases.
6. There are trained PEI experts in the US but the patient must look for them.
7. The PEI outcomes were defined by symptom relief or reduction in nodule volume and safely no major adverse events.
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9. Cystic or solid cystic benign nodules are candidates for ethanol ablation.
10. Percutaneous ethanol injection  PEI is safe and effective alternative to surgical resection for patients with thyroid nodules and compressive symptoms who decline surgery or are not good surgical candidates.
11. Call me for details of my PEI therapy for thyroid nodules at 310-393-8860 or thyroid.manager@protonmail.com.
12. Dr.G.