Total Parathyroidectomy: A Surgical Management for Uncontrolled Secondary Hyperparathyroidism in a Patient with End Stage Renal Disease

• Main Authors: Jeanne O. Madrid, Celso V. Ureta
• Format: Article
• Language: English
• Published: Philippine Society of Otolaryngology-Head and Neck Surgery, Inc. 2008-06-01
• Series: Philippine Journal of Otolaryngology Head and Neck Surgery
• Subjects: Secondary hyperparathyroidism; parathyroidectomy; autotransplantation; end- stage renal disease; hungry bone syndrome; parathyroid hormone
• Online Access: https://pjohns.pso-hns.org/index.php/pjohns/article/view/767
• ISSN: 1908-4889; 2094-1501

  Objective:  To present the case of an adult patient with end stage renal disease who underwent total parathyroidectomy with autotransplantation for uncontrolled secondary hyperparathyroidism Methods: Design: Case Report Setting: Tertiary Hospital Patient: One Result: Total parathyroidectomy with autotransplantation resulted in decrease in parathyroid hormone from a pre-operative value of 1,347pg/mL (15-65 pg/mL) to 28.05 pg/mL.  Pruritus disappeared two days after the surgery.  Phosphorus and calcium levels were within normal values four days and two months post-operatively, respectively.  Conclusion: Total parathyroidectomy with autotransplantation may be a viable surgical option for controlling secondary hyperparathyroidism associated with end stage renal disease and may play an important role in reducing morbidity and mortality among patients with end-stage renal disease. Keywords: Secondary hyperparathyroidism, parathyroidectomy, autotransplantation, end- stage renal disease, hungry bone syndrome, parathyroid hormone