title: [Surgical treatment of secondary hyperparathyroidism (The first experience in Klaipeda region)].
abstract: The aim of the study was to analyze criteria for selection of patients for parathyroidectomy, results of surgery and the need for such surgeries in patients undergoing dialysis in Klaipeda region.
  
  
  RESULTS
  201 chronic patients were hemodialyzed in Klaipeda region in January 2005. 4 of them underwent parathyroidectomy. Before surgery parathyroid hormone of all patients was greater than 1000 pg/ml; during sonoscopy enlarged parathyroid glands were identified; increased levels of alkaline phosphatase and bone lesions, hyperphosphatemia hardly corrected with drugs were detected; one patient had tissue calcification. After surgery clinical state of all the patients improved noticeably and amounts of parathyroid hormone, calcium and phosphorus in blood decreased. No postoperative complications were observed. After review of medical records of 201 chronic patients undergoing hemodialysis, it was discovered that 9.4 % of patients had secondary hyperparathyroidism resistant to treatment.
  
  
  CONCLUSIONS
  The first parathyroidectomies in Klaipeda region were successful; previous disorders of metabolism of calcium, parathyroid hormone and phosphorus were corrected. On average 9.4% of patients on hemodialysis in Klaipeda region were recommended to undergo parathyroidectomy.
authors.affiliation: Seamen's Hospital of Klaipeda, Liepojos 45, 92329 Klaipeda, Lithuania. kasiliauskas@takas.lt
authors.forename: Almina
authors.initials: A
authors.lastname: Kasiliauskiene
authors.forename: Janina
authors.initials: J
authors.lastname: Priluckiene
authors.forename: Algis
authors.initials: A
authors.lastname: Slepavicius
mesh_terms: D000328:Adult; D000368:Aged; D002118:Calcium / Q000097:blood; D005260:Female; D006801:Humans; D006962:Hyperparathyroidism, Secondary / Q000097:blood / Q000209:etiology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D010281:Parathyroid Hormone / Q000097:blood; D016105:Parathyroidectomy; D018579:Patient Selection; D010758:Phosphorus / Q000097:blood; D006435:Renal Dialysis / Q000009:adverse effects; D013997:Time Factors; D016896:Treatment Outcome
chemical_list: D010281:Parathyroid Hormone; D010758:Phosphorus; D002118:Calcium