RT Book, Section
A1 Ellison, E. Christopher
A1 Zollinger, Robert M.
SR Print(0)
ID 1127274394
T1 PARATHYROIDECTOMY
T2 Zollinger's Atlas of Surgical Operations, 10e
YR 2016
FD 2016
PB McGraw-Hill Education
PP New York, NY
SN 978-0-07-179755-9
LK accesssurgery.mhmedical.com/content.aspx?aid=1127274394
RD 2024/09/10
AB Hyperparathyroidism  is  a  common  endocrine  disorder  usually  cured  by  subtotal  parathyroidectomy.  Parathyroid  overactivity  documented  by  appropriate  laboratory  studies  may  be  associated  with  general  hyperplasia  of  the  parathyroid  glands  or  with  an  adenoma  involving  one  of  the  four  or  more  parathyroid  glands.  Kidney  stones,  gastrinoma,  recurrent  pancreatitis,  or  other  conditions  are  some  of  the  clinical  disorders  that  imply  a  disorder  of  the  parathyroid  glands.  Hypercalcemia  is  discovered  as  a  result  of  more  frequent  calcium  determinations  performed  as  part  of  a  general  screening  survey.  Hyperparathyroidism  is  associated  with  gastrinoma  in  approximately  one-third  of  patients  with  the  familial  multiple  endocrine  syndrome  I  (MEN  I).  A  mitogenic  cause  for  the  relatively  high  incidence  of  recurrent  hyperparathyroidism  in  the  familial  MEN  I  syndrome  suggests  the  need  for  a  radical  approach,  which  may  consist  of  total  parathyroidectomy  with  autotransplantation  of  parathyroid  slices  into  the  muscle  in  the  nondominant  forearm  or  removal  of  3½  parathyroid  glands.