Document Detail


Surgery for secondary hyperparathyroidism in patients undergoing dialysis.
MedLine Citation:
PMID:  10828808     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
M Garcia-Pallares; R Bernaldez; M C Sanchez; J Gavilán
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Publication Detail:
Type:  Journal Article    
Journal Detail:
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:
Created Date:  2000-07-20     Completed Date:  2000-07-20     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8508176     Medline TA:  Otolaryngol Head Neck Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  908-10     Citation Subset:  IM    
Affiliation:
Department of Otorhinolaryngology and Nephrology, "La Paz" University Hospital.
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MeSH Terms
Descriptor/Qualifier:
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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