Can the use of intraoperative intact parathyroid hormone monitoring be abandoned in patients with hyperparathyroidism?
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d e f i n e d a d e c r e a s e d i P T H l e v e l a s a n i P T H l e v e l m e a s u r e d 1 0 m i n u t e s a f t e r r e s e c t i o n t h a t w a s l e s s t h a n 5 0 % o f t h e p r e o p e r a t i v e l e v e l . R E S U LT S : T h e i P T H l e v e l s o f 5 5 p a t i e n t s w i t h c o n c o r d a n t l e s i o n s d e c r e a s e d t o w i t h i n t h e n o r m a l r a n g e m o r e t h a n 6 0 m i n u t e s a f t e r s u r g e r y. T h r e e o f f i v e p a t i e n t s w i t h d i s c o r d a n t
منابع مشابه
Can the use of intraoperative intact parathyroid hormone monitoring be abandoned in patients with hyperparathyroidism?
BACKGROUND Ultrasound (US) and technetium-99m sestamibi scintigraphy (MIBI) are used to determine the localization of abnormal glands in cases of primary hyperparathyroidism (PHPT). Intraoperative intact parathyroid hormone (iPTH) monitoring is a reliable examination used to cure PHPT. The aim was to assess the necessity of intraoperative iPTH monitoring. METHODS Sixty patients were examined ...
متن کاملNovel parathyroid hormone (1-84) assay as basis for parathyroid hormone monitoring in renal hyperparathyroidism.
HYPOTHESIS Cross-reactivity of parathyroid hormone (PTH) fragments with immunometric "intact" PTH assays limited the use of intraoperative PTH monitoring in renal hyperparathyroidism. A new assay generation measuring whole PTH (1-84) should be able to predict complete or incomplete resection of hyperfunctioning parathyroid tissue. DESIGN Consecutive series for evaluation of intraoperative PTH...
متن کاملCan the use of intraoperative intact parathyroid hormone monitoring be abandoned in patients with hyperparathyroidism?
Right © 2013 Elsevier Inc. All rights reserved.; NOTICE: this is the author’s version of a work that was accepted for publication in The American Journal of Surgery. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work si...
متن کاملIntensification of Anemia by Secondary Hyperparathyroidism in Hemodialysis Patients
The excessive amounts of parathyroid hormone in secondary hyperparathyroidism (SHPTH) is suggested to interfere with normal erythropoiesis. In SHPTH, during chronic renal failure, due to the impairment of erythropoietin synthesis, this effect is more pronounced. In the present study the role of secondary hyperparathyroidism in the severity of anemia was evaluated in hemodialysis patients (n=3...
متن کاملFeasibility of portable gamma camera imaging in intraoperative radioguided parathyroid adenoma identification
Novel surgical applications include radioguided procedures in parathyroidectomy operations. In order to investigate the feasibility of usage of the portable gamma camera in parathyroidectomy operations; intraoperative radioguided parathyroidectomy operation was performed in three hyperparathyroidism patients with inconclusive preoperative parathyroid scintigraphy results. Intraoperative portabl...
متن کاملValidation study of intraoperative fine-needle aspiration of parathyroid tissue with measurement of parathyroid hormone levels using the rapid intraoperative assay.
BACKGROUND Surgical treatment of hyperparathyroidism relies on the ability to accurately identify parathyroid tissue. The use of intraoperative fine-needle aspiration (FNA) with measurement of intact parathyroid hormone level (iPTH-FNA) has been suggested as a useful adjunct and is evaluated in this pilot study. METHODS An institutional review board-approved retrospective review was performed...
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