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- W1979099421 abstract "Dar a conocer nuestra experiencia en la cirugía del denominado hiperparatiroidismo refractario (secundario y terciario sin respuesta al tratamiento con calcitriol). Estudio retrospectivo con revisión de 41 pacientes (35 con hiperparatiroidismos secundarios y 6 terciarios) remitidos por nefrología para valoración quirúrgica de su enfermedad ante la mala respuesta al tratamiento médico. En 18 de los 41 casos se utilizó la determinación de paratirina rápida o turbo intraoperatoria, con descenso superior al 60 % en todos los pacientes. En el grupo en que se empleó paratirina normal registramos 2 hiperparatiroidismos secundarios en los que la citada hormona no descendió significativamente y los síntomas persistieron, uno de los cuales fue reintervenido con éxito. La paratiroidectomía subtotal o total con autotrasplante es el tratamiento de elección en el hiperparatiroidismo refractario, con buenos resultados en la mayoría de las series consultadas. To share our experience in the surgery of so-called refractory hyperparathyroidism (secondary and tertiary without response to therapy with calcitriol). Retrospective study based on 41 patients–5 with secondary and 6 with tertiary hyperparathyroidism–referred by nephrology for surgical evaluation of their illness because of poor response to the medical treatment given. In 18 of the 41 cases we used the fast or turbo intraoperative PTH with reduction of more than 60 % in all patients. In the group in whom normal PTH was performed,we registered 2 secondary hyperparathyroidisms with no significant decrease and persistence of symptoms. One of them was reoperated successfully. Subtotal or total parathyroidectomy with reimplant represents the treatment of choice in refractory hyperparathyroidism with good results in most of the series reviewed." @default.
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- W1979099421 date "2007-02-01" @default.
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- W1979099421 title "Tratamiento quirúrgico del hiperparatiroidismo refractario y utilidad de la paratirina intraoperatoria" @default.
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- W1979099421 doi "https://doi.org/10.1016/s0001-6519(07)74876-8" @default.
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