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Inicio Cirugía Española Función paratiroidea en el autotrasplante paratiroideo subcutáneo preesternal ...
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Vol. 76. Núm. 1.
Páginas 29-34 (julio 2004)
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Vol. 76. Núm. 1.
Páginas 29-34 (julio 2004)
Acceso a texto completo
Función paratiroidea en el autotrasplante paratiroideo subcutáneo preesternal en el hiperparatiroidismo secundario
Parathyroid function in presternal subcutaneous parathyroid autotransplantation in secondary hyperparathyroidism
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4965
Miguel Echeniquea,1
Autor para correspondencia
gepecelm@sc.ehu.es

Correspondencia: Miguel Echenique Elizondo. Departamento de Cirugía. Universidad del País Vasco. Unidad Docente de Medicina de San Sebastián. Paseo Dr. Beguiristain, 105. 20014 San Sebastián. España.
, José Antonio Amondarainb, Fernando Vidaurc
a Departamento de Cirugía. Universidad del País Vasco. San Sebastián. Guipúzcoa
b Departamento de Cirugía. Hospital Donostia. San Sebastián. Guipúzcoa
c Servicio de Nefrología. Hospital Donostia. San Sebastián. Guipúzcoa. España
Este artículo ha recibido
Información del artículo
Resumen
Introducción

Se ha estudiado la función del tejido paratiroideo trasplantado subcutáneamente.

Pacientes y método

Se ha estudiado a 13 pacientes sobre una población en diálisis total de 187 (6,95%) pacientes. Se realizó paratiroidectomía total y autotrasplante subcutáneo preesternal.

Resultados

Descendió el valor de hormona paratiroidea a las 24 h en todos los casos. Se observan concentraciones valorables de hormona paratiroidea a partir de la quinta semana postransplante en todos los casos.

Conclusiones

El trasplante paratiroideo subcutáneo preesternal es una alternativa válida y funcional en el tratamiento del hiperparatiroidismo secundario.

Palabras clave:
Hiperparatiroidismo secundario
Paratiroides
Trasplante
Introduction

To study the function of subcutaneously transplanted parathyroid tissue.

Patients and method

Of 187 patients undergoing hemodialysis, 13 patients (6.95%) were studied. Total parathyroidectomy with presternal subcutaneous autotransplantation was performed.

Results

In all patients, PTH levels at 24 hours were decreased. From the fifth week after transplantation PTH levels were clearly detectable in all patients.

Conclusions

Presternal subcutaneous parathyroid transplantation is a valid and functional alternative in the treatment of secondary hyperparathyroidism.

Key words:
Secondary hyperparathyroidism
Parathyroid
Transplantation
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Copyright © 2004. Asociación Española de Cirujanos
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