Operative therapie des sekundaren hyperparathyreoidismus nach nierentransplantation

✍ Scribed by C. Dotzenrath; P. E. Goretzki; H. D. Röher

• Publisher: Springer
• Year: 1993
• Tongue: English
• Weight: 575 KB
• Volume: 378
• Category: Article
• ISSN: 1435-2451
• DOI: 10.1007/bf00202121

✦ Synopsis

Between April 1986 and January 1992, a total of 22 patients with chronic renal failure were operated on for secondary hyperparathyroidism after kidney transplantation, and 21 of these patients were normocalcemic postoperatively. In 1 patient three reductions of autotransplantated parathyroid tissue were performed and this patient was still hypercalcemic postoperatively, with a serum calcium of 2.65 retool/1. The renal function was not impaired by parathyroidectomy. In 9 of the 22 patients subtotal parathyroidectomy was indicated within 4 months after renal transplantation because of serum calcium levels over 3.0 retool/1 or severe clinical symptoms. Subtotal parathyroidectomy is indicated in patients with secondary hyperparathyroidism after renal transplantation with a serum calcium over 3.0 mmol/1 and severe clinical symptoms and also in patients with slightly elevated serum calcium levels after an observation period of up to 12 months.