Radioguided Parathyroidectomy for Recurrent Hyperparathyroidism: an effective multi-institutional approach at the University of Messina Hospital
Secondary hyperparathyroidism (SHPT) is a common complication of chronic kidney disease (CKD). The progressive decline in renal function, in fact, leads to the alteration of the metabolism of calcium (Ca), phosphorus (P) and vitamin D. Difference of other forms of hyperparathyroidism, renal SHPT has...
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Accademia Peloritana dei Pericolanti
2021-06-01
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doaj-8f3acca713534d8cae36de87b54802ba2021-06-16T15:06:38ZengAccademia Peloritana dei PericolantiAtti della Accademia Peloritana dei Pericolanti - Classe di Scienze Medico-Biologiche1828-65502021-06-0110911610.6092/1828-6550/APMB.109.1.2021.CCS32436Radioguided Parathyroidectomy for Recurrent Hyperparathyroidism: an effective multi-institutional approach at the University of Messina HospitalAntonella Pino0Massimiliano Siracusa1Rosaria Maddalena Ruggeri2Gianlorenzo Dionigi3Sergio Baldari4Alfredo Campennì5Division of Endocrine and Minimally Invasive Surgery, Department of Human Pathology in Adulthood and Childhood ''G. Barresi'', University Hospital G. Martino, University of MessinaUnit of Nuclear Medicine, Department of Biomedical and Dental Sciences and Morphofunctional Imaging, University Hospital G. Martino, University of MessinaUnit of Endocrinology, Department of Clinical and Experimental Medicine, University of MessinaDivision of Endocrine and Minimally Invasive Surgery, Department of Human Pathology in Adulthood and Childhood ''G. Barresi'', University Hospital G. Martino, University of MessinaUnit of Nuclear Medicine, Department of Biomedical and Dental Sciences and Morphofunctional Imaging, University Hospital G. Martino, University of MessinaUnit of Nuclear Medicine, Department of Biomedical and Dental Sciences and Morphofunctional Imaging, University Hospital G. Martino, University of MessinaSecondary hyperparathyroidism (SHPT) is a common complication of chronic kidney disease (CKD). The progressive decline in renal function, in fact, leads to the alteration of the metabolism of calcium (Ca), phosphorus (P) and vitamin D. Difference of other forms of hyperparathyroidism, renal SHPT has many pathogenetic peculiarities, which have been only in part clarified. Furthermore, in the long course of CKD, SHPT sometimes transforms into a hypercalcemic condition resembling the autonomous form of hyperparathyroidism (tertiary hyperparathyroidism; THP). The clinical consequences of SHPT in CKD patients are manifold, encompassing not only bone and mineral disorders, but also other metabolic and organic changes which frequently burden these patients. Although the medical therapeutic tools have substantially increased in number and improved in their efficacy in recent decades, we have as yet no demonstration of a clear benefit regarding the major clinical outcomes. Furthermore, some of these patients still require a surgical approach. Herein we discussed the clinical management and surgical treatment for a case of a recurrent secondary hyperparathyroidism.https://cab.unime.it/journals/index.php/APMB/article/view/3102endocrine surgeryparathyroid diseasehyperparathyroidismckd |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Antonella Pino Massimiliano Siracusa Rosaria Maddalena Ruggeri Gianlorenzo Dionigi Sergio Baldari Alfredo Campennì |
spellingShingle |
Antonella Pino Massimiliano Siracusa Rosaria Maddalena Ruggeri Gianlorenzo Dionigi Sergio Baldari Alfredo Campennì Radioguided Parathyroidectomy for Recurrent Hyperparathyroidism: an effective multi-institutional approach at the University of Messina Hospital Atti della Accademia Peloritana dei Pericolanti - Classe di Scienze Medico-Biologiche endocrine surgery parathyroid disease hyperparathyroidism ckd |
author_facet |
Antonella Pino Massimiliano Siracusa Rosaria Maddalena Ruggeri Gianlorenzo Dionigi Sergio Baldari Alfredo Campennì |
author_sort |
Antonella Pino |
title |
Radioguided Parathyroidectomy for Recurrent Hyperparathyroidism: an effective multi-institutional approach at the University of Messina Hospital |
title_short |
Radioguided Parathyroidectomy for Recurrent Hyperparathyroidism: an effective multi-institutional approach at the University of Messina Hospital |
title_full |
Radioguided Parathyroidectomy for Recurrent Hyperparathyroidism: an effective multi-institutional approach at the University of Messina Hospital |
title_fullStr |
Radioguided Parathyroidectomy for Recurrent Hyperparathyroidism: an effective multi-institutional approach at the University of Messina Hospital |
title_full_unstemmed |
Radioguided Parathyroidectomy for Recurrent Hyperparathyroidism: an effective multi-institutional approach at the University of Messina Hospital |
title_sort |
radioguided parathyroidectomy for recurrent hyperparathyroidism: an effective multi-institutional approach at the university of messina hospital |
publisher |
Accademia Peloritana dei Pericolanti |
series |
Atti della Accademia Peloritana dei Pericolanti - Classe di Scienze Medico-Biologiche |
issn |
1828-6550 |
publishDate |
2021-06-01 |
description |
Secondary hyperparathyroidism (SHPT) is a common complication of chronic kidney disease (CKD). The progressive decline in renal function, in fact, leads to the alteration of the metabolism of calcium (Ca), phosphorus (P) and vitamin D. Difference of other forms of hyperparathyroidism, renal SHPT has many pathogenetic peculiarities, which have been only in part clarified. Furthermore, in the long course of CKD, SHPT sometimes transforms into a hypercalcemic condition resembling the autonomous form of hyperparathyroidism (tertiary hyperparathyroidism; THP). The clinical consequences of SHPT in CKD patients are manifold, encompassing not only bone and mineral disorders, but also other metabolic and organic changes which frequently burden these patients. Although the medical therapeutic tools have substantially increased in number and improved in their efficacy in recent decades, we have as yet no demonstration of a clear benefit regarding the major clinical outcomes. Furthermore, some of these patients still require a surgical approach. Herein we discussed the clinical management and surgical treatment for a case of a recurrent secondary hyperparathyroidism. |
topic |
endocrine surgery parathyroid disease hyperparathyroidism ckd |
url |
https://cab.unime.it/journals/index.php/APMB/article/view/3102 |
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