Role of parathyroid intervention in the management of secondary hyperparathyroidism.
Measurement of the size of the parathyroid glands is mandatory for the selection of the optimal therapy for secondary hyperparathyroidism. Surgical parathyroidectomy or parathyroid intervention is indicated for patients with nodular hyperplasia as this form is seldom responsive to medical therapy. Selection of the intervention should be determined by the number, size and location of the parathyroid glands with nodular hyperplasia, including ectopic glands.
Fukagawa
Masafumi
M
Division of Nephrology and Dialysis Center, Kobe University School of Medicine, Kobe, Japan. fukagawa@med.kobe-u.ac.jp
Nakanishi
Shohei
S
D002117:Calcitriol / Q000627:therapeutic use; D002120:Calcium Channel Agonists / Q000627:therapeutic use; D004032:Diet; D000431:Ethanol / Q000627:therapeutic use; D006801:Humans; D006962:Hyperparathyroidism, Secondary / Q000000981:diagnostic imaging / Q000178:diet therapy / Q000628:therapy*; D006965:Hyperplasia; D010280:Parathyroid Glands / Q000000981:diagnostic imaging; D016105:Parathyroidectomy; D010710:Phosphates / Q000008:administration & dosage; D014463:Ultrasonography; D014807:Vitamin D / Q000627:therapeutic use
D002120:Calcium Channel Agonists; D010710:Phosphates; D014807:Vitamin D; D000431:Ethanol; D002117:Calcitriol