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The outcome of cervical exploration for asymptomatic and symptomatic patients with primary hyperparathyroidism

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dc.contributor.author Abbas J.S.
dc.contributor.author Hashem S.I.
dc.contributor.author Faraj W.G.
dc.contributor.author Khalifeh M.J.
dc.contributor.author Horani M.H.
dc.contributor.author Salti I.S.
dc.contributor.editor
dc.date Jan-2006
dc.date.accessioned 2017-10-05T16:08:02Z
dc.date.available 2017-10-05T16:08:02Z
dc.date.issued 2006
dc.identifier 10.1007/s00268-005-0040-y
dc.identifier.isbn
dc.identifier.issn 03642313
dc.identifier.uri http://hdl.handle.net/10938/20154
dc.description.abstract This study examined the success and safety of cervical exploration in patients with primary hyperparathyroidism (HPT). The presentation, pathologic findings, and outcome of patients with asymptomatic primary HPT were compared with those with symptomatic disease. Records of patients undergoing cervical exploration for primary HPT from January 1993 until December 31, 2003, were reviewed. Information collected consisted of preoperative symptoms, calcium and parathormone (PTH) levels, imaging studies, operative findings, pathology, and outcome of the patients. The groups with asymptomatic and symptomatic primary HPT were compared. In all, 139 patients were studied; 31 (22.3percent) were asymptomatic (group I), and 108 (77.7percent) had symptoms (group II). The two groups were also comparable regarding mean age, sex, and the yield of the imaging studies. The mean preoperative serum calcium level was comparable in the two groups (11.1 mg-dl versus 11.3 mg-dl). However, PTH levels were significantly lower in group I than in group II (142 pg-dl versus 283 pg-dl, P = 0.01). The weight of the adenoma was also significantly less in group I than in group II (1082 mg versus 1679 mg P = 0.079). The outcome of the surgical exploration was comparable in the two groups with an immediate success rate close to 98percent and a long-term success rate of 95.4percent. Cervical exploration and parathyroidectomy in patients with primary HPT is a safe procedure with a high success rate and favorable outcome. © 2005 by the Société Internationale de Chirurgie.
dc.format.extent
dc.format.extent Pages: (69-75)
dc.language English
dc.publisher NEW YORK
dc.relation.ispartof Publication Name: World Journal of Surgery; Publication Year: 2006; Volume: 30; no. 1; Pages: (69-75);
dc.relation.ispartofseries
dc.relation.uri
dc.source Scopus
dc.subject.other
dc.title The outcome of cervical exploration for asymptomatic and symptomatic patients with primary hyperparathyroidism
dc.type Review
dc.contributor.affiliation Abbas, J.S., Division of General Surgery, Department of Surgery, American University of Beirut Medical Center, Hamra Street, Beirut 110 32090, Lebanon
dc.contributor.affiliation Hashem, S.I., Division of Endocrinology, Department of Medicine, American University of Beirut Medical Center, Hamra Street, Beirut 110 32090, Lebanon
dc.contributor.affiliation Faraj, W.G., Division of General Surgery, Department of Surgery, American University of Beirut Medical Center, Hamra Street, Beirut 110 32090, Lebanon
dc.contributor.affiliation Khalifeh, M.J., Division of General Surgery, Department of Surgery, American University of Beirut Medical Center, Hamra Street, Beirut 110 32090, Lebanon
dc.contributor.affiliation Horani, M.H., Department of Radiology, American University of Beirut Medical Center, Hamra Street, Beirut 110 32090, Lebanon
dc.contributor.affiliation Salti, I.S., Division of Endocrinology, Department of Medicine, American University of Beirut Medical Center, Hamra Street, Beirut 110 32090, Lebanon
dc.contributor.authorAddress Abbas, J.S.; Division of General Surgery, Department of Surgery, American University of Beirut Medical Center, Hamra Street, Beirut 110 32090, Lebanon; email: jabbas48@yahoo.com
dc.contributor.authorCorporate University: American University of Beirut Medical Center; Faculty: Faculty of Medicine; Department: Surgery; Division: General Surgery;
dc.contributor.authorDepartment Surgery
dc.contributor.authorDivision General Surgery
dc.contributor.authorEmail jabbas48@yahoo.com
dc.contributor.authorFaculty Faculty of Medicine
dc.contributor.authorInitials Abbas, JS
dc.contributor.authorInitials Hashem, SI
dc.contributor.authorInitials Faraj, WG
dc.contributor.authorInitials Khalifeh, MJ
dc.contributor.authorInitials Horani, MH
dc.contributor.authorInitials Salti, IS
dc.contributor.authorOrcidID
dc.contributor.authorReprintAddress Abbas, JS (reprint author), Amer Univ Beirut, Med Ctr, Dept Surg, Div Gen Surg, POB 1136044 Hamra St, Beirut 32090, Lebanon.
dc.contributor.authorResearcherID
dc.contributor.authorUniversity American University of Beirut Medical Center
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dc.description.citedCount 8
dc.description.citedTotWOSCount 7
dc.description.citedWOSCount 7
dc.format.extentCount 7
dc.identifier.articleNo
dc.identifier.coden WJSUD
dc.identifier.pubmedID 16369712
dc.identifier.scopusID 30544436519
dc.identifier.url
dc.publisher.address 233 SPRING STREET, NEW YORK, NY 10013 USA
dc.relation.ispartofConference
dc.relation.ispartofConferenceCode
dc.relation.ispartofConferenceDate
dc.relation.ispartofConferenceHosting
dc.relation.ispartofConferenceLoc
dc.relation.ispartofConferenceSponsor
dc.relation.ispartofConferenceTitle
dc.relation.ispartofFundingAgency
dc.relation.ispartOfISOAbbr World J.Surg.
dc.relation.ispartOfIssue 1
dc.relation.ispartOfPart
dc.relation.ispartofPubTitle World Journal of Surgery
dc.relation.ispartofPubTitleAbbr World J. Surg.
dc.relation.ispartOfSpecialIssue
dc.relation.ispartOfSuppl
dc.relation.ispartOfVolume 30
dc.source.ID WOS:000234407900011
dc.type.publication Journal
dc.subject.otherAuthKeyword
dc.subject.otherChemCAS calcium, 7440-70-2
dc.subject.otherChemCAS parathyroid hormone, 12584-96-2, 68893-82-3, 9002-64-6
dc.subject.otherChemCAS Parathyroid Hormone
dc.subject.otherIndex calcium
dc.subject.otherIndex parathyroid hormone
dc.subject.otherIndex adult
dc.subject.otherIndex age distribution
dc.subject.otherIndex aged
dc.subject.otherIndex calcium blood level
dc.subject.otherIndex controlled study
dc.subject.otherIndex female
dc.subject.otherIndex human
dc.subject.otherIndex imaging
dc.subject.otherIndex major clinical study
dc.subject.otherIndex male
dc.subject.otherIndex medical record review
dc.subject.otherIndex neck
dc.subject.otherIndex outcome assessment
dc.subject.otherIndex parathyroid adenoma
dc.subject.otherIndex parathyroid hormone blood level
dc.subject.otherIndex parathyroidectomy
dc.subject.otherIndex patient information
dc.subject.otherIndex patient safety
dc.subject.otherIndex preoperative evaluation
dc.subject.otherIndex preoperative period
dc.subject.otherIndex primary hyperparathyroidism
dc.subject.otherIndex review
dc.subject.otherIndex sex difference
dc.subject.otherIndex surgical patient
dc.subject.otherIndex surgical technique
dc.subject.otherIndex symptom
dc.subject.otherIndex treatment outcome
dc.subject.otherIndex Adenoma
dc.subject.otherIndex Adolescent
dc.subject.otherIndex Adult
dc.subject.otherIndex Bone Diseases
dc.subject.otherIndex Colic
dc.subject.otherIndex Female
dc.subject.otherIndex Humans
dc.subject.otherIndex Hyperparathyroidism
dc.subject.otherIndex Kidney Diseases
dc.subject.otherIndex Male
dc.subject.otherIndex Middle Aged
dc.subject.otherIndex Parathyroid Hormone
dc.subject.otherIndex Parathyroid Neoplasms
dc.subject.otherIndex Parathyroidectomy
dc.subject.otherIndex Retrospective Studies
dc.subject.otherKeywordPlus PARATHYROIDECTOMY
dc.subject.otherKeywordPlus SURGERY
dc.subject.otherKeywordPlus SPECT
dc.subject.otherWOS Surgery


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