title: Impressive results of teriparatide treatment of postgastrectomy osteoporosis.
abstract: Patients who have undergone gastrectomy have a higher incidence of osteoporosis. We are presenting a patient with postgastrectomy osteoporosis who had been treated with multiple medications, including bisphosphonates, calcitriol and calcium, but with unsatisfactory results, low quality of life and a high risk of further fractures. However, after a treatment with teriparatide, a recombinant form of endogenous parathyroid hormone, the patient's bone mineral density increased considerably, with a substantial improvement of mobility and general condition. Since there do not seem to be specific any guidelines or recommendations for treating osteoporosis in postgastrectomy patients, our report may be very relevant for clinicians.
authors.affiliation: Internal Medicine Clinic, University Hospital Centre of Osijek, School of Medicine, University J.J. Strossmayer, Osijek, Croatia. tatjana.bacun@os.t-com.hr
authors.forename: Tatjana
authors.initials: T
authors.lastname: Bacun
authors.forename: Aleksandar
authors.initials: A
authors.lastname: Kibel
authors.forename: Roman
authors.initials: R
authors.lastname: Pavić
mesh_terms: D050071:Bone Density Conservation Agents / Q000627:therapeutic use*; D005260:Female; D005743:Gastrectomy / Q000009:adverse effects*; D006801:Humans; D008875:Middle Aged; D010024:Osteoporosis / Q000188:drug therapy* / Q000209:etiology; D013274:Stomach Neoplasms / Q000601:surgery; D019379:Teriparatide / Q000627:therapeutic use*
chemical_list: D050071:Bone Density Conservation Agents; D019379:Teriparatide