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World Journal of Surgery
Published in: World Journal of Surgery 8/2008

01-08-2008

Surgical Treatment of Tertiary Hyperparathyroidism: The Choice of Procedure Matters!

Authors: Fabio Montenegro, Gustavo Ferreira, Luiz Ianhez

Published in: World Journal of Surgery | Issue 8/2008

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Excerpt

In their recent study, Schlosser et al. [1] discussed the effect of parathyroidectomy (PTX) on kidney graft function in patients with tertiary hyperparathyroidism (tHPT). They observed a permanent decrease in glomerular filtration rate (GFR) in some patients, more relevant in those with more extensive parathyroid resection and more elevated preoperative levels of creatinine. They stated that subtotal PTX is the procedure of choice and that the risk of PTX must be weighed against the benefit of normalizing serum calcium by surgery. We think that both statements should be analyzed with caution. …
Literature
1.
Schlosser K, Endres N, Celik I et al. (2007) Surgical treatment of tertiary hyperparathyroidism: the choice of procedure matters!. World J Surg 31(10):1947-1953PubMedCrossRef
2.
Schwarz A, Rustien G, Merkel S et al. (2007) Decreased renal transplant function after parathyroidectomy. Nephrol Dial Transplant 22:584–591PubMedCrossRef
3.
Montenegro FLM, Ferreira GF, Lourenço DM Jr et al. (2007) Transitory decrease of renal function after parathyroidectomy: a clinical observation indicating the renal hemodynamic effect of parathyroid hormone?. Rev Bras Cir Cabeça e Pescoço 36(4):196–201
4.
Schlüter H, Quante C, Buchholz B et al. (1992) A vasopressor factor partially purified from human parathyroid glands. Biochem Biophys Res Commun 188(1):323–329PubMedCrossRef
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Zaladek-Gil F, Nascimento Gomes G, Cavanal MF et al. (1999) Influence of parathyroidectomy and calcium on rat renal function. Nephron 83(1):59–65PubMedCrossRef
6.
Edvall CA (1958) Renal function in hyperparathyroidism: a clinical study of 30 cases with special reference to selective renal clearance and renal vein catheterization. Acta Chir Scand Suppl 114(Suppl 229):1–56PubMed
Metadata
Title
Surgical Treatment of Tertiary Hyperparathyroidism: The Choice of Procedure Matters!
Authors
Fabio Montenegro
Gustavo Ferreira
Luiz Ianhez
Publication date
01-08-2008
Publisher
Springer-Verlag
Published in
World Journal of Surgery / Issue 8/2008
Print ISSN: 0364-2313
Electronic ISSN: 1432-2323
DOI
https://doi.org/10.1007/s00268-007-9413-8

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