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5 patients with nonterminal renal failure who underwent total parathyroidectomy at Sydney Hospital over a 4-year period showed significant postoperative deterioration in renal function. In 4 of these patients, this deterioration occurred at a time when they were receiving supplements of calcium and 1,25-dihydroxyvitamin D3 but when close monitoring failed to show any evidence of hypercalcemia. In 1 patient the deterioration in renal function was clearly associated with hypercalcemia. We suggest that parathyroidectomy in nondialyzed patients be reserved for those with severe symptomatic hyperparathyroidism and that wherever possible the need for large doses of calcium and vitamin D be avoided.
Y L Chan, and
S Posen, and
E Savdie, and
R J Caterson, and
J F Mahony
August 1981,
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Y L Chan, and
S Posen, and
E Savdie, and
R J Caterson, and
J F Mahony
April 1998,
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Y L Chan, and
S Posen, and
E Savdie, and
R J Caterson, and
J F Mahony
March 1990,
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Y L Chan, and
S Posen, and
E Savdie, and
R J Caterson, and
J F Mahony
January 1974,
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Y L Chan, and
S Posen, and
E Savdie, and
R J Caterson, and
J F Mahony
January 1991,
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Y L Chan, and
S Posen, and
E Savdie, and
R J Caterson, and
J F Mahony
November 1988,
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Y L Chan, and
S Posen, and
E Savdie, and
R J Caterson, and
J F Mahony
December 1979,
American journal of surgery,
Y L Chan, and
S Posen, and
E Savdie, and
R J Caterson, and
J F Mahony
December 1994,
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Y L Chan, and
S Posen, and
E Savdie, and
R J Caterson, and
J F Mahony
March 1986,
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Y L Chan, and
S Posen, and
E Savdie, and
R J Caterson, and
J F Mahony
January 1983,
Nephron,
