| Item type |
デフォルトアイテムタイプ_（フル）(1) |
| 公開日 |
2023-03-18 |
| タイトル |
|
|
タイトル |
Surgical Treatment for Renal Hyperparathyroidism : Report of 23 Cases |
|
言語 |
en |
| 作成者 |
Marubayashi, Seiji
Fukuda, Yasuhiko
Watanabe, Hiroshi
Matsusaka, Chiko
Oshiro, Yoshio
Nitta, Kohsaku
Yahata, Hiroshi
Asahara, Toshimasa
Dohi, Kiyohiko
Harada, Satoru
Tatsukawa, Yorimitsu
Kamikawa, Hiroyuki
Ookubo, Takashi
Sasaki, Hiroshi
Yamashita, Tatsuhiro
Yasuda, Katsuki
Nakayama, Hirofumi
Ito, Hisao
|
| アクセス権 |
|
|
アクセス権 |
open access |
|
アクセス権URI |
http://purl.org/coar/access_right/c_abf2 |
| 主題 |
|
|
主題Scheme |
Other |
|
主題 |
Secondary hyperparathyroidism |
| 主題 |
|
|
主題Scheme |
Other |
|
主題 |
Chronic renal failure |
| 主題 |
|
|
主題Scheme |
Other |
|
主題 |
Parathyroidectomy |
| 主題 |
|
|
主題Scheme |
Other |
|
主題 |
Renal osteodystrophy |
| 主題 |
|
|
主題Scheme |
NDC |
|
主題 |
490 |
| 内容記述 |
|
|
内容記述 |
The present study describes surgical resection in 23 patients under maintenance hemodialysis with hyperparathyroidism. Twenty-three patients under maintenance hemodialysis had subtotal parathyroidectomy (s-PTx, n= 12) or parathyroid gland transplantation combined with total parathyroidectomy (Tx, n= 11) performed from January 1979 to January 1991. Their ages ranged from 8 to 63 years. The PTH levels were elevated in all patients preoperatively from 2.5 to 120 times over the upper limit of normal. After s-PTx, PTH levels sharply declined in all but one patient. Clinical symptoms improved in 11 cases with PTH decrease. After Tx, an abrupt decline in PTH was observed after surgery in 10 patients. One patient was reoperated because of persistent hyperparathyroidism. Another patient showed a PTH increase 13 months after surgery. The transplanted parathyroid gland was subtotally resected. Five months after reoperation, the condition recurred and the patient underwent total resection of the transplanted parathyroid gland and its re-autografting into the forearm. In the patients with renal hyperparathyroidism, s-PTx or Tx improved clinical symptoms; this indicates the high reliability of both procedures in treating the disease. A long-term follow-up study must be conducted to check the possible postoperative recurrence of hyperparathyroidism from residual and/ or auto graft parathyroid gland. |
|
言語 |
en |
| 出版者 |
|
|
出版者 |
Hiroshima University Medical Press |
| 言語 |
|
|
言語 |
eng |
| 資源タイプ |
|
|
資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
|
資源タイプ |
departmental bulletin paper |
| 出版タイプ |
|
|
出版タイプ |
VoR |
|
出版タイプResource |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
| 関連情報 |
|
|
|
識別子タイプ |
PMID |
|
|
関連識別子 |
1572807 |
| 収録物識別子 |
|
|
収録物識別子タイプ |
ISSN |
|
収録物識別子 |
0018-2052 |
| 収録物識別子 |
|
|
収録物識別子タイプ |
NCID |
|
収録物識別子 |
AA00664312 |
| 開始ページ |
|
|
開始ページ |
7 |
| 書誌情報 |
Hiroshima Journal of Medical Sciences
Hiroshima Journal of Medical Sciences
巻 41,
号 1,
p. 7-11,
発行日 1992-03
|
| 旧ID |
37935 |
HiroshimaJMedSci_41_7.pdf (699.5 KB)
