Saudi Surgical Journal

ORIGINAL ARTICLE
Year
: 2020  |  Volume : 8  |  Issue : 4  |  Page : 192--198

Parathyroidectomy in dialysis patients with secondary hyperparathyroidism, laboratory and clinical assessment


Mohamad Sadek Farahat, Nasser Mohamad Zaghloul, Hossam Eldin Shemi, Hosam M Hamza 
 Department of General Surgery, Faculty of Medicine, Minia University, Minya, Egypt

Correspondence Address:
Hosam M Hamza
Department of General Surgery, Faculty of Medicine, Minia University, Minya
Egypt

Purpose: Patients on dialysis are at high risk for developing secondary hyperparathyroidism. This study explores the effect of parathyroidectomy (PTx) in dialysis patients having secondary hyperparathyroidism with the assessment of the clinical and laboratory outcome. Patients and Methods: A combined retrospective and prospective study of twenty patients with chronic kidney disease (CKD) and secondary hyperparathyroidism who underwent total PTx and autotransplantation in the period from January 2017 to January 2019 after approval from the institutional board of ethics. Results: Of the twenty patients, 17 patients (85%) were symptomatic preoperatively. The most common presentation was generalized bone pain (35%). An early postoperative decrease in the mean serum levels of parathyroid hormone (PTH) and calcium (Ca) level – within 12 h after surgery – was observed. By comparison of the pre- and post-operative laboratory investigations, we found a statistically significant decrease in the value of serum PTH, but there was no statistically significant difference in serum Ca level. Conclusion: Most of our patients improved clinically post-PTx. We recommend PTx for CKD patients with secondary hyperparathyroidism suffering from bone pain, generalized weakness, pathological fractures, and psychological disturbance.


How to cite this article:
Farahat MS, Zaghloul NM, Shemi HE, Hamza HM. Parathyroidectomy in dialysis patients with secondary hyperparathyroidism, laboratory and clinical assessment.Saudi Surg J 2020;8:192-198


How to cite this URL:
Farahat MS, Zaghloul NM, Shemi HE, Hamza HM. Parathyroidectomy in dialysis patients with secondary hyperparathyroidism, laboratory and clinical assessment. Saudi Surg J [serial online] 2020 [cited 2022 May 27 ];8:192-198
Available from: https://www.saudisurgj.org/article.asp?issn=2320-3846;year=2020;volume=8;issue=4;spage=192;epage=198;aulast=Farahat;type=0