Pitfalls after Total Parathyroidectomy and Parathyroid Autotransplantation in Chronic Renal Failure

1991 ◽  
Vol 11 (3) ◽  
pp. 186-191 ◽  
Author(s):  
Laurence R.I. Baker ◽  
Leander S. Otieno ◽  
Alison L. Brown ◽  
Melvyn J. Carroll ◽  
William R. Cattell ◽  
...  
Keyword(s):  
Renal Failure ◽  
Chronic Renal Failure ◽  
Total Parathyroidectomy ◽  
Parathyroid Autotransplantation

scholarly journals Total parathyroidectomy and parathyroid autotransplantation in patients with chronic renal failure

1983 ◽  
Vol 16 (3) ◽  
pp. 149-155
Author(s):  
Yoshihiro Tominaga ◽  
Hiroshi Takagi ◽  
Kazuharu Uchida ◽  
Nobuo Yamada ◽  
Machio Kawai ◽  
...  
Keyword(s):  
Renal Failure ◽  
Chronic Renal Failure ◽  
Total Parathyroidectomy ◽  
Parathyroid Autotransplantation

Secondary Hyperparathyroidism

2019 ◽  
Author(s):  
Anna C Beck ◽  
Sonia L Sugg
Keyword(s):  
Renal Failure ◽  
Chronic Renal Failure ◽  
Secondary Hyperparathyroidism ◽  
Total Parathyroidectomy ◽  
Indications For Surgery ◽  
Subtotal Parathyroidectomy ◽  
Diagnostic Work ◽  
Work Up ◽  
Hungry Bone ◽  
Diagnostic Work Up

Secondary hyperparathyroidism is defined and its pathophysiology, delineated. Key components of the diagnostic work-up, medical management, and indications for surgery are described. The operative approach and controversy on extent of parathyroidectomy are discussed. This review contains 3 figures, 1 tables, and 24 references.  Key Words: autotransplantation, calciphylaxis, chronic renal failure, cryopreservation, hungry bone syndrome, hypocalcemia, secondary hyperparathyroidism, subtotal parathyroidectomy, total parathyroidectomy

Secondary Hyperparathyroidism

2019 ◽  
Author(s):  
Anna C Beck ◽  
Sonia L Sugg
Keyword(s):  
Renal Failure ◽  
Chronic Renal Failure ◽  
Secondary Hyperparathyroidism ◽  
Total Parathyroidectomy ◽  
Indications For Surgery ◽  
Subtotal Parathyroidectomy ◽  
Diagnostic Work ◽  
Work Up ◽  
Hungry Bone ◽  
Diagnostic Work Up

Secondary hyperparathyroidism is defined and its pathophysiology, delineated. Key components of the diagnostic work-up, medical management, and indications for surgery are described. The operative approach and controversy on extent of parathyroidectomy are discussed. This review contains 3 figures, 1 tables, and 24 references.  Key Words: autotransplantation, calciphylaxis, chronic renal failure, cryopreservation, hungry bone syndrome, hypocalcemia, secondary hyperparathyroidism, subtotal parathyroidectomy, total parathyroidectomy

scholarly journals Hypocalcemia after an acute phosphate load is secondary to reduced calcium efflux from bone: studies in patients with minimal renal function and varying parathyroid activity.

1995 ◽  
Vol 6 (2) ◽  
pp. 273-280
Author(s):  
M Kaye
Keyword(s):  
Renal Failure ◽  
Chronic Renal Failure ◽  
Control Period ◽  
Extracellular Fluid ◽  
Total Parathyroidectomy ◽  
Vitamin D Metabolites ◽  
Total Calcium ◽  
Calcium Efflux ◽  
Labile Pool ◽  
Infusion Period

Seven patients with severe hyperparathyroidism secondary to chronic renal failure, six patients with hypoparathyroidism after remote total parathyroidectomy also with chronic renal failure, and a miscellaneous group of three patients, some of whom were in the previous two groups, were studied on 24 occasions over a 6-h period. Each test consisted of a 2-h control period followed by a 4-h phosphate (Pi) infusion period. Radioactive calcium, 45Ca, had been administered the evening before. Samples were taken every 15 min throughout the 6-h study. In all tests, ionized and total calcium fell as Pi rose. Intact parathyroid hormone levels (PTH) rose, except in the hypoparathyroid patients, in whom there was no change. The decline in 45Ca activity was not affected by the Pi infusion, the fall being -0.131 +/- 0.057 cpm/min during the control period and -0.124 +/- 0.043 during the Pi infusion. There were no changes in pH, bicarbonate, electrolytes, or vitamin D metabolites during the procedure. The mean overall fall in total calcium was -0.118 mmol/mmol rise in Pi. For ionized calcium, it was -0.067 mmol/mmol Pi or 56.8% of the total calcium. This ratio was unchanged throughout the test period. With a steady flux of calcium from extracellular fluid (ECF) to bone as measured by 45Ca, the fall in ECF calcium has to be due to a decreased flux from bone to ECF. This could be produced by the reduced dissolution of a labile pool of a calcium salt such as brushite, CaHPO4.

Total parathyroidectomy in patients with chronic renal failure

2000 ◽  
Vol 87 (9) ◽  
pp. 1271-1271
Author(s):  
R. N. Saunders ◽  
R. Karoo ◽  
H. Y. Tiong ◽  
G. J. Murphy ◽  
M. Metcalfe ◽  
...  
Keyword(s):  
Renal Failure ◽  
Chronic Renal Failure ◽  
Total Parathyroidectomy

Total Parathyroidectomy and Forearm Autotransplantation for Chronic Renal Failure

1986 ◽  
Vol 79 (7) ◽  
pp. 844-846 ◽  
Author(s):  
KENNETH S. WHITE ◽  
CHARLES A. WILKINSON ◽  
WILLIAM P. NIXON ◽  
R. DURWOOD ALMKUIST
Keyword(s):  
Renal Failure ◽  
Chronic Renal Failure ◽  
Total Parathyroidectomy

Recurrent Hyperparathyroidism in a Patient with Chronic Renal Failure after Total Parathyroidectomy and Autotransplantation

Swiss Surgery ◽  
2000 ◽  
Vol 6 (4) ◽  
pp. 179-181
Author(s):  
Güller ◽  
Schönholzer ◽  
Martinoli
Keyword(s):  
Renal Failure ◽  
Chronic Renal Failure ◽  
Total Parathyroidectomy ◽  
Welcher Sich ◽  
Recurrent Hyperparathyroidism

Wir beschreiben den Fall eines 57-jährigen Patienten, welcher sich auf Grund eines sekundären Hyperparathyreoidismus bei chronischer Niereninsuffizienz einer totalen Parathyreoidektomie mit Autotransplantation in den M. brachioradialis unterziehen musste (Operationstechnik nach Wells). Nach drei Jahren trat ein vom Autotransplantat ausgehendes Rezidiv des sekundären Hyperparathyreoidismus auf, sodass die autotransplantierte Nebenschilddrüse exzidiert werden musste. Anhand dieses Beispiels gehen wir auf die Problematik der Operationstechnik nach Wells ein. Diverse alternative Operationstechniken werden diskutiert.

scholarly journals Treatment of Secondary Hyperparathyroidism in Patients with Chronic Renal Failure by Total Parathyroidectomy and Parathyroid Autograft

1981 ◽  
Vol 193 (6) ◽  
pp. 777-793 ◽  
Author(s):  
ARNOLD G. DIETHELM ◽  
PATRICIA L ADAMS ◽  
TARIQ M. MURAD ◽  
WILLIAM W. DANIEL ◽  
JOHN D. WHELCHEL ◽  
...  
Keyword(s):  
Renal Failure ◽  
Chronic Renal Failure ◽  
Secondary Hyperparathyroidism ◽  
Total Parathyroidectomy
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