Incidence of and risk factors for post-parathyroidectomy hungry bone syndrome in patients with secondary hyperparathyroidism

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Incidence of and risk factors for hungry bone syndrome in 84 patients with secondary hyperparathyroidism

INTRODUCTION Secondary hyperparathyroidism develops in nearly all patients with end-stage renal disease. Parathyroidectomy is often performed when medical therapy fails. The most common postoperative complication, hungry bone syndrome (HBS), requires early recognition and treatment. MATERIALS AND METHODS A total of 84 patients who underwent parathyroidectomy because of secondary hyperparathyr...

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Risk factors and clinical course of hungry bone syndrome after total parathyroidectomy in dialysis patients with secondary hyperparathyroidism

BACKGROUND Hungry bone syndrome (HBS) is an important postoperative complication after parathyroidectomy for severe secondary hyperparathyroidism (SHPT). There is, however, little data in the literature on its detailed clinical course, and the associated risk factors remain controversial. METHODS We did a single-center retrospective study on 62 consecutive dialysis patients who underwent tota...

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[Indications of parathyroidectomy for bone disease associated with secondary hyperparathyroidism].

BACKGROUND The indications and suitable operative time of parathyroidectomy for secondary hyperparathyroidism were discussed. METHODS From October 1978 to September 1994 parathyroidectomy was performed for 71 patients who had bone and/or joint pain due to secondary hyperparathyroidism. There were 37 men and 34 women (mean age 48.4 years). The duration of dialysis treatment before parathyroide...

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[A clinical study of the changes of bone lesions after parathyroidectomy in patients with secondary hyperparathyroidism].

We evaluated the changes of the bone lesions and their relative bone findings before and after parathyroidectomy in 23 patients with secondary hyperparathyroidism. Before the operation, all patients had bone and/or joint pain. In radiographic findings, subperiosteal bone resorption of the hand and a salt and pepper coloration of the skull were observed in all patients. Rugger jersey spine and t...

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Parathyroidectomy reduces intradialytic hypotension in hemodialysis patients with secondary hyperparathyroidism.

BACKGROUND Secondary hyperparathyroidism is associated with vascular calcification and arterial stiffness in patients with end-stage renal disease. The aim of this study was to analyze the frequency of intradialytic hypotension (IDH) and cardiovascular function before and after parathyroidectomy (PTX) in maintenance hemodialysis patients. METHODS We compared predialytic and intradialytic bloo...

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ژورنال

عنوان ژورنال: Renal Failure

سال: 2020

ISSN: 0886-022X,1525-6049

DOI: 10.1080/0886022x.2020.1841655