Parathyroid surgery in renal failure patients.

Peter Angelos, Vidas Dumasius

Journal: Otolaryngologic clinics of North America 2010;43(2):433-40, x-xi

PMID: 20510725

Full Text on Elsevier Science View on PubMed

Abstract

The treatment of hyperparathyroidism secondary to renal failure is a complex clinical dilemma. No simple optimal approach to patient selection and stratification for surgical intervention is available at this time. The goals of this publication are to review the pathophysiology of parathyroid gland function in patients with impaired renal function, make recommendations for how to proceed with a parathyroidectomy in these patients, and to provide some guidelines for preoperative and postoperative management.

Address: University of Chicago Medical Center, Chicago, IL 60637, USA.

DOI: 10.1016/j.otc.2010.01.010

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MeSH Terms: Calcium, Humans, Hyperparathyroidism, Secondary, Kidney Failure, Chronic, Parathyroid Glands, Parathyroid Hormone, Parathyroidectomy, Postoperative Care, Preoperative Care, Renal Dialysis, Thymectomy