RT Book, Section
A1 Ellison, E. Christopher
A1 Zollinger, Jr., Robert M.
A1 Pawlik, Timothy M.
A1 Vaccaro, Patrick S.
A1 Bitans, Marita
A1 Baker, Anthony S.
SR Print(0)
ID 1187823353
T1 Parathyroidectomy
T2 Zollinger’s Atlas of Surgical Operations, 11e
YR 2022
FD 2022
PB McGraw-Hill Education
PP New York, NY
SN 9781260440850
LK accesssurgery.mhmedical.com/content.aspx?aid=1187823353
RD 2024/04/25
AB Hyperparathyroidism  is  a  common  endocrine  disorder  usually  cured  when  treated  surgically.  Parathyroid  gland  overactivity  documented  by  appropriate  laboratory  studies  may  be  associated  with  general  hyperplasia  of  the  parathyroid  glands  or  with  an  adenoma  involving  one  or  more  parathyroid  glands.  Kidney  stones,  osteopenia/osteoporosis,  gastrinoma,  recurrent  pancreatitis,  and  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  neoplasia  type  I  (MEN  I)  syndrome.  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  parathyroid  autotransplantation  into  the  muscle  in  the  nondominant  forearm  versus  removal  of  three  and  a  half  parathyroid  glands.