Erschienen in:
01.08.2008
Surgical Treatment of Tertiary Hyperparathyroidism: The Choice of Procedure Matters!
verfasst von:
Fabio Montenegro, Gustavo Ferreira, Luiz Ianhez
Erschienen in:
World Journal of Surgery
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Ausgabe 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. …