BIOMAT Database Logo BIOMAT Database Logo

Total parathyroidectomy with forearm autograft for secondary hyperparathyroidism in chronic renal failure. 1988

H Takagi, and Y Tominaga, and Y Tanaka, and K Uchida, and A Orihara, and N Yamada, and M Kawai, and S Hayashi, and N Taira, and T Kano
Department of Surgery II, Nagoya University School of Medicine, Japan.

One hundred twenty-eight patients with chronic renal failure and secondary hyperparathyroidism underwent total parathyroidectomy with forearm autograft. Postoperative clinical improvement was remarkable. In all cases, the grafted tissue functioned well, and reimplantation of the cryopreserved parathyroid tissues was unnecessary. Intact 1-84 parathyroid hormone was more sensitive than C-terminal parathyroid hormone in parathyroid hormone level (PTH) gradient assays of grafted and nongrafted forearm. The study of hypocalcemia was also helpful in obtaining more distinct PTH gradients. Five of 119 patients had supernumerary parathyroid glands (4.2%), which preoperative noninvasive image diagnosis of parathyroid glands was helpful in detecting.

UI MeSH Term Description Entries
D006962 Hyperparathyroidism, Secondary Abnormally elevated PARATHYROID HORMONE secretion as a response to HYPOCALCEMIA. It is caused by chronic KIDNEY FAILURE or other abnormalities in the controls of bone and mineral metabolism, leading to various BONE DISEASES, such as RENAL OSTEODYSTROPHY. Secondary Hyperparathyroidism,Hyperparathyroidisms, Secondary,Secondary Hyperparathyroidisms
D006996 Hypocalcemia Reduction of the blood calcium below normal. Manifestations include hyperactive deep tendon reflexes, Chvostek's sign, muscle and abdominal cramps, and carpopedal spasm. (Dorland, 27th ed) Hypocalcemias
D007676 Kidney Failure, Chronic The end-stage of CHRONIC RENAL INSUFFICIENCY. It is characterized by the severe irreversible kidney damage (as measured by the level of PROTEINURIA) and the reduction in GLOMERULAR FILTRATION RATE to less than 15 ml per min (Kidney Foundation: Kidney Disease Outcome Quality Initiative, 2002). These patients generally require HEMODIALYSIS or KIDNEY TRANSPLANTATION. ESRD,End-Stage Renal Disease,Renal Disease, End-Stage,Renal Failure, Chronic,Renal Failure, End-Stage,Chronic Kidney Failure,End-Stage Kidney Disease,Chronic Renal Failure,Disease, End-Stage Kidney,Disease, End-Stage Renal,End Stage Kidney Disease,End Stage Renal Disease,End-Stage Renal Failure,Kidney Disease, End-Stage,Renal Disease, End Stage,Renal Failure, End Stage
D008297 Male Males
D008722 Methods A series of steps taken in order to conduct research. Techniques,Methodological Studies,Methodological Study,Procedures,Studies, Methodological,Study, Methodological,Method,Procedure,Technique
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D010280 Parathyroid Glands Two pairs of small oval-shaped glands located in the front and the base of the NECK and adjacent to the two lobes of THYROID GLAND. They secrete PARATHYROID HORMONE that regulates the balance of CALCIUM; PHOSPHORUS; and MAGNESIUM in the body. Gland, Parathyroid,Glands, Parathyroid,Parathyroid Gland
D010281 Parathyroid Hormone A polypeptide hormone (84 amino acid residues) secreted by the PARATHYROID GLANDS which performs the essential role of maintaining intracellular CALCIUM levels in the body. Parathyroid hormone increases intracellular calcium by promoting the release of CALCIUM from BONE, increases the intestinal absorption of calcium, increases the renal tubular reabsorption of calcium, and increases the renal excretion of phosphates. Natpara,PTH (1-84),PTH(1-34),Parathormone,Parathyrin,Parathyroid Hormone (1-34),Parathyroid Hormone (1-84),Parathyroid Hormone Peptide (1-34),Hormone, Parathyroid
D011183 Postoperative Complications Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery. Complication, Postoperative,Complications, Postoperative,Postoperative Complication
D012008 Recurrence The return of a sign, symptom, or disease after a remission. Recrudescence,Relapse,Recrudescences,Recurrences,Relapses

Related Publications

H Takagi, and Y Tominaga, and Y Tanaka, and K Uchida, and A Orihara, and N Yamada, and M Kawai, and S Hayashi, and N Taira, and T Kano
[Total parathyroidectomy with forearm autograft for secondary hyperparathyroidism due to chronic kidney disease].
March 2009, Nihon Geka Gakkai zasshi,
H Takagi, and Y Tominaga, and Y Tanaka, and K Uchida, and A Orihara, and N Yamada, and M Kawai, and S Hayashi, and N Taira, and T Kano
Treatment of secondary hyperparathyroidism in patients with chronic renal failure by total parathyroidectomy and parathyroid autograft.
June 1981, Annals of surgery,
H Takagi, and Y Tominaga, and Y Tanaka, and K Uchida, and A Orihara, and N Yamada, and M Kawai, and S Hayashi, and N Taira, and T Kano
Total parathyroidectomy alone or with autograft for renal hyperparathyroidism?
April 1991, The Quarterly journal of medicine,
H Takagi, and Y Tominaga, and Y Tanaka, and K Uchida, and A Orihara, and N Yamada, and M Kawai, and S Hayashi, and N Taira, and T Kano
Subtotal parathyroidectomy for secondary hyperparathyroidism in chronic renal failure.
July 1991, The Journal of laryngology and otology,
H Takagi, and Y Tominaga, and Y Tanaka, and K Uchida, and A Orihara, and N Yamada, and M Kawai, and S Hayashi, and N Taira, and T Kano
Outcomes of Total Parathyroidectomy with Autotransplantation versus Subtotal Parathyroidectomy Techniques for Secondary Hyperparathyroidism in Chronic Renal Failure.
January 2020, Journal of the College of Physicians and Surgeons--Pakistan : JCPSP,
H Takagi, and Y Tominaga, and Y Tanaka, and K Uchida, and A Orihara, and N Yamada, and M Kawai, and S Hayashi, and N Taira, and T Kano
Secondary hyperparathyroidism and parathyroidectomy in terminal chronic renal failure.
January 1977, Scandinavian journal of urology and nephrology. Supplementum,
H Takagi, and Y Tominaga, and Y Tanaka, and K Uchida, and A Orihara, and N Yamada, and M Kawai, and S Hayashi, and N Taira, and T Kano
Surgical treatment of secondary hyperparathyroidism in patients with chronic renal failure by sub-total parathyroidectomy.
August 1994, The American surgeon,
H Takagi, and Y Tominaga, and Y Tanaka, and K Uchida, and A Orihara, and N Yamada, and M Kawai, and S Hayashi, and N Taira, and T Kano
Comparison Between Subtotal Parathyroidectomy and Total Parathyroidectomy with Autotransplantation for Secondary Hyperparathyroidism in Patients with Chronic Renal Failure: A Meta-Analysis.
August 2015, Hormone and metabolic research = Hormon- und Stoffwechselforschung = Hormones et metabolisme,
H Takagi, and Y Tominaga, and Y Tanaka, and K Uchida, and A Orihara, and N Yamada, and M Kawai, and S Hayashi, and N Taira, and T Kano
[Secondary hyperparathyroidism in chronic renal failure. Role of subtotal parathyroidectomy].
May 1991, Minerva chirurgica,
H Takagi, and Y Tominaga, and Y Tanaka, and K Uchida, and A Orihara, and N Yamada, and M Kawai, and S Hayashi, and N Taira, and T Kano
Total parathyroidectomy and autotransplantation for tertiary hyperparathyroidism in children with chronic renal failure.
August 1984, Journal of pediatric surgery,
Copied contents to your clipboard!