| Surgery for secondary hyperparathyroidism in patients undergoing dialysis. | |
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MedLine Citation:
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PMID: 10828808 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Despite recent advances in the diagnosis and therapy of patients with chronic renal failure and secondary hyperparathyroidism (HPT), 5% of these patients may need parathyroidectomy. The purpose of this article is to present our experience with parathyroid surgery in 30 patients with chronic renal failure at "La Paz" University Hospital, analyzing the clinical and biochemical evolution after surgery as well as the recurrence rate. In the first month after surgery, calcium, parathyroid hormone, phosphorus, and alkaline phosphatase levels, as well as bone pain and pruritus, all decreased significantly. Within the first postoperative year, 24 patients remained asymptomatic, and no recurrent secondary HPT was detected. Within the second year after surgery, 15 patients were asymptomatic, and 3 patients showed a recurrence. According to these results, parathyroidectomy is an appropriate surgical procedure for patients with severe overt secondary HPT. |
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Authors:
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M Garcia-Pallares; R Bernaldez; M C Sanchez; J Gavilán |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery Volume: 122 ISSN: 0194-5998 ISO Abbreviation: Otolaryngol Head Neck Surg Publication Date: 2000 Jun |
Date Detail:
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Created Date: 2000-07-20 Completed Date: 2000-07-20 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 8508176 Medline TA: Otolaryngol Head Neck Surg Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 908-10 Citation Subset: IM |
Affiliation:
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Department of Otorhinolaryngology and Nephrology, "La Paz" University Hospital. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Female Follow-Up Studies Humans Hyperparathyroidism, Secondary / complications, surgery* Kidney Failure, Chronic / complications, therapy* Male Middle Aged Parathyroidectomy Recurrence Renal Dialysis / methods* Retrospective Studies |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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