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Annals of Bariatric Surgery، جلد ۳، شماره ۲، صفحات ۱۰۰-۱۱۰
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| عنوان فارسی |
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| چکیده فارسی مقاله |
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| کلیدواژه‌های فارسی مقاله |
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| عنوان انگلیسی |
A New Endpoint for Intraoperative PTH Measurement: Normal |
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| چکیده انگلیسی مقاله |
Background We hypothesized that Io-PTH levels would decline to normal or near normal after successful parathyroidectomy. Objectives Evaluate efficacy and predictive factor of parathyroid hormone measurement during parathyroid resection. Materials and Methods Every Io-PTH level from 2001-10 at a single institution was evaluated. Charts were reviewed for preoperative diagnosis, final Io-PTH level, unilateral or bilateral exploration, calcium and parathyroid hormone levels. Results 225 patients underwent 594 Io-PTH measurements. 16 patients were excluded. Final Io-PTH levels were normal (< 65 pg/mL) in 189 patients and elevated in 20 patients. 12 of 20 patients with elevated final Io-PTH levels had > 80% decrease, so that 201 patients had Io-PTH levels that were normal or dropped by > 80%. 8 patients had Io-PTH levels that dropped by < 80%, 4 of whom had < 50% decline. Normal or near-normal Io-PTH level after resection of a parathyroid adenoma allowed unilateral exploration in 146 patients. Persistent elevation of Io-PTH levels led to bilateral exploration in 22 patients. Conclusions Io-PTH levels should become normal or to drop by at least 80% during successful parathyroidectomy. Persistent elevations of Io-PTH after resection of an abnormal gland dictate the need for bilateral exploration. |
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| کلیدواژه‌های انگلیسی مقاله |
Parathyroid Hormone , Parathyroid Neoplasms , Parathyroidectomy , Hypercalcemia |
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| نویسندگان مقاله |
| Masoud Rezvani
Department of Surgery, Abington Memorial Hospital, Pennsylvania, USA
| Ashwin Kurian
Department of Surgery, Abington Memorial Hospital, Pennsylvania, USA
| Roya Azadarmaki
Department of Surgery, Abington Memorial Hospital, Pennsylvania, USA
| Christopher Pezzi
Department of Surgery, Abington Memorial Hospital, Pennsylvania, USA
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| نشانی اینترنتی |
http://annbsurg.iums.ac.ir/browse.php?a_code=A-10-31-134&slc_lang=en&sid=1 |
| فایل مقاله |
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| کد مقاله (doi) |
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| زبان مقاله منتشر شده |
en |
| موضوعات مقاله منتشر شده |
Basic Science |
| نوع مقاله منتشر شده |
Original |
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