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Titolo:
Medical and surgical aspects of parathyroidectomy
Autore:
Fukagawa, M; Tominaga, Y; Kitaoka, M; Kakuta, T; Kurokawa, K;
Indirizzi:
Tokyo Teishin Hosp, Div Nephrol, Chiyoda Ku, Tokyo 1028798, Japan Tokyo Teishin Hosp Tokyo Japan 1028798 Chiyoda Ku, Tokyo 1028798, Japan Tokyo Teishin Hosp, Clin Res Ctr, Tokyo 1028798, Japan Tokyo Teishin HospTokyo Japan 1028798 lin Res Ctr, Tokyo 1028798, Japan Nagoya Second Red Cross Hosp, Div Transplantat Surg, Nagoya, Aichi, Japan Nagoya Second Red Cross Hosp Nagoya Aichi Japan rg, Nagoya, Aichi, Japan Showa Gen Hosp, Div Endocrinol & Metab, Kodaira, Tokyo, Japan Showa Gen Hosp Kodaira Tokyo Japan crinol & Metab, Kodaira, Tokyo, Japan Tokai Univ, Sch Med, Div Nephrol, Isehara, Kanagawa, Japan Tokai Univ Isehara Kanagawa Japan Div Nephrol, Isehara, Kanagawa, Japan
Titolo Testata:
KIDNEY INTERNATIONAL
, volume: 56, anno: 1999, supplemento:, 73
pagine: S65 - S69
SICI:
0085-2538(199912)56:<S65:MASAOP>2.0.ZU;2-Q
Fonte:
ISI
Lingua:
ENG
Soggetto:
CHRONIC DIALYSIS PATIENTS; RENAL HYPERPARATHYROIDISM; HYPERPLASIA; RECEPTOR; TISSUE; DENSITY;
Keywords:
chronic dialysis; parathyroid hyperplasia; parathyroid hormone; percutaneous ethanol injection therapy;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
18
Recensione:
Indirizzi per estratti:
Indirizzo: Fukagawa, M Tokyo Teishin Hosp, Div Nephrol, Chiyoda Ku, 2-14-23 Fujimi, Tokyo 1028798, Japan Tokyo Teishin Hosp 2-14-23 Fujimi Tokyo Japan 1028798 , Japan
Citazione:
M. Fukagawa et al., "Medical and surgical aspects of parathyroidectomy", KIDNEY INT, 56, 1999, pp. S65-S69

Abstract

A more logical approach to the management of the chronic dialysis patient with parathyroid hyperplasia has become possible thanks to recent progress in cellular and molecular analysis of surgically removed parathyroid glandsand accumulation of clinical experience. When one or more parathyroid glands progress to the stage of nodular hyperplasia, it is usually difficult tocontrol PTH secretion even by calcitriol pulse therapy. For such patients,we have developed two new therapeutic approaches, i.e., selective percutaneous ethanol injection therapy (PEIT) and direct calcitriol injection therapy, in combination with medical therapy. For optimal selection of therapeutic modalities it is indispensable to evaluate the degree and stage of parathyroid hyperplasia. For successful management, prevention of nodular hyperplasia is the most important strategy.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 07/04/20 alle ore 22:50:22