Journal of Japanese Society for Dialysis Therapy
Online ISSN : 1884-6203
Print ISSN : 0288-7045
ISSN-L : 0288-7045
The indications and post operative clinical course of subtotal parathyroidectomy for renal osteodystrophy
Makoto DoiToshiaki HirabayashiRyoichi YorifujiTakashi MiyamotoOhshi InagakiHidetaro MoriRinpei ShimomuraSeishi InoueYoshikazu FujitaSooshu ShinYasufumi ArimotoHaruki OhueRumi SakaiMasato NishiokaKeitaro Komaba
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1982 Volume 15 Issue 1 Pages 39-44

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Abstract
Subtotal parathyroidectomy (PTX) was performed to seven patients with uncontrollable renal osteodytrophy. We decided the indications of PTX as follows,
(1) Severe bone resorption in radiographic findings,
(2) Persistent high A/-P,
(3) High C-PTH level,
(4) Non effectiveness to the treatment of active Vitamine D.
Preoperative clinical symptoms such as bone and joint pain were observed in all the patients, general itching in 4 patients and muscle weakness in 3 patients, but peptic ulcer and psychic disturbance in no patients. These subjective symptoms showed remarkable remission after the surgery.
The rentogenological changes improved in 5 patients and serum Alkaline-phoshatase normalized in 4 patients 8 months after PTX. No patients showed elevation of serum C-PTH even almost one year after operation.
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© The Japanese Society for Dialysis Therapy
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