Reinterventions for hyperparathyroidism in multiple endocrine adenopathy
Röher, H.D.; Goretzki, P.E.; Dotzenrath, C.
Wiener Klinische Wochenschrift 100(11): 364-366
1988
ISSN/ISBN: 0043-5325 PMID: 2900582 Document Number: 307755
Six out of a series of 10 patients with hyperparathyroidism associated with an MEA type I syndrome were treated by subtotal parathyroidectomy with resulting normocalcaemia over a follow-up time of one to 7 years. Three patients with repeated previously unsuccessful operations underwent total parathyroidectomy with simultaneous autotransplantation. The first type of operation remains our first choice, while the radical approach with forearm transplantation is reserved only for recurrent surgery for various reasons.