keyword
https://read.qxmd.com/read/38654398/low-cost-smart-phone-based-laryngoscopy-for-the-assessment-of-vocal-cords-in-patients-undergoing-thyroid-surgery-a-pilot-study
#1
JOURNAL ARTICLE
Maithily Gautam, Sanjay Kumar Yadav, Pawan Agarwal, Dhananjaya Sharma
Can a smart phone application be reliably used for laryngoscopy? This thesis was tested for peri-operative evaluation of vocal cords in patients undergoing thyroid and parathyroid surgery.
April 23, 2024: Tropical Doctor
https://read.qxmd.com/read/38653710/disparities-in-the-treatment-of-primary-hyperparathyroidism-a-scoping-review-and-conceptual-model
#2
REVIEW
Alexander S Chiu, Markayle Schears, Mary Hitchcock, Rebecca Sippel, Amy Kind
BACKGROUND: Primary hyperparathyroidism is underdiagnosed and surgical treatment is underutilized and inequitably distributed. We present a review of the current literature on disparities in the treatment of hyperparathyroidism, with a focus on gaps in knowledge and paths forward. METHODS: We searched PubMed and Scopus for abstracts related to disparities in hyperparathyroidism. RESULTS: 16 articles (of 1541) met inclusion criteria. The most commonly examined disparity was race...
April 16, 2024: American Journal of Surgery
https://read.qxmd.com/read/38652139/risk-factors-of-transient-and-permanent-hypoparathyroidism-after-thyroidectomy-a-systematic-review-and-meta-analysis
#3
JOURNAL ARTICLE
Kang Ning, Yongchao Yu, Xinyi Zheng, Zhenyu Luo, Zan Jiao, Xinyu Liu, Yiyao Wang, Yarong Liang, Zhuoqi Zhang, Xianglin Ye, Weirui Wu, Jian Bu, Qiaorong Chen, Fuxiang Cheng, Lizhen Liu, Mingjie Jiang, Ankui Yang, Tong Wu, Zhongyuan Yang
BACKGROUND: Postoperative hypoparathyroidism (hypoPT) is a common complication following thyroid surgery. However, current research findings on the risk factors for post-thyroid surgery hypoPT are not entirely consistent, and the same risk factors may have different impacts on transient and permanent hypoPT. Therefore, there is a need for a comprehensive study to summarize and explore the risk factors for both transient and permanent hypoPT after thyroid surgery. MATERIALS AND METHODS: Two databases (PubMed and Embase) were searched from inception to 2024...
April 23, 2024: International Journal of Surgery
https://read.qxmd.com/read/38644730/italian-guidelines-for-the-management-of-sporadic-primary-hyperparathyroidism
#4
Fabio Vescini, Giorgio Borretta, Iacopo Chiodini, Marco Boniardi, Marina Carotti, Elena Castellano, Cristiana Cipriani, Cristina Eller-Vainicher, Sandro Giannini, Maurizio Iacobone, Antonio Stefano Salcuni, Federica Saponaro, Stefano Spiezia, Annibale Versari, Guido Zavatta, Zuzana Mitrova, Rosella Saulle, Simona Vecchi, Debora Antonini, Michele Basile, Alexia Giovanazzi, Agostino Paoletta, Enrico Papini, Agnese Persichetti, Irene Samperi, Alessandro Scoppola, Roberto Novizio, Pietro Giorgio Calò, Filomena Cetani, Luisella Cianferotti, Sabrina Corbetta, Maria Luisa De Rimini, Alberto Falchetti, Giovanni Iannetti, Stefano Laureti, Celestino Pio Lombardi, Bruno Madeo, Claudio Marcocci, Sandro Mazzaferro, Vittorio Miele, Salvatore Minisola, Andrea Palermo, Jessica Pepe, Alfredo Scillitani, Laura Tonzar, Franco Grimaldi, Renato Cozzi, Roberto Attanasio
AIM: This guideline (GL) is aimed at providing a clinical practice reference for the management of sporadic primary hyperparathyroidism (PHPT) in adults. PHPT management in pregnancy was not considered. METHODS: This GL has been developed following the methods described in the Manual of the Italian National Guideline System. For each question, the panel appointed by Associazione Medici Endocrinology (AME) and Società Italiana dell'Osteoporosi, del Metabolismo Minerale e delle Malattie dello Scheletro (SIOMMMS) identified potentially relevant outcomes, which were then rated for their impact on therapeutic choices...
December 23, 2023: Endocrine, Metabolic & Immune Disorders Drug Targets
https://read.qxmd.com/read/38641855/express-relationship-between-gut-microbiome-and-bone-deficits-in-primary-hyperparathyroidism-a-proof-of-concept-pilot-study
#5
JOURNAL ARTICLE
Meric Coskun, Afruz Babayeva, Tugba Barlas, Mehmet Muhittin Yalcin, Mujde Akturk, Fusun Toruner, Mehmet Ayhan Karakoc, Tarkan Karakan, Mehmet Cindoruk, İlhan Yetkin, Alev Altinova
Parathyroid hormone (PTH) interacts with components of the gut microbiota to exert its bone-regulating effects. This study aimed to investigate the gut microbial composition in patients with primary hyperparathyroidism (PHPT). Nine patients with PHPT and nine age-sex and body mass index-matched healthy controls were included. Gut microbial composition was assessed using 16S rRNA gene amplicon sequencing in both groups at baseline and one month after parathyroidectomy in the PHPT group. Data were imported into QIIME-2 and both QIIME-2 and R packages were used for microbiome analysis...
April 19, 2024: Journal of Investigative Medicine: the Official Publication of the American Federation for Clinical Research
https://read.qxmd.com/read/38638336/cervicomediastinal-hematoma-atypical-presentation-of-a-parathyroid-carcinoma
#6
Martina Cicia, Giampaolo Papi, Alfredo Scillitani, Stefania Corrado, Pietro Locantore, Alfredo Pontecorvi
Parathyroid carcinoma (PC) is a rare endocrine neoplasm that typically presents with osteopenia/osteoporosis, nephrolithiasis, asthenia, and neuropsychiatric symptoms. We describe the case of a 48-year-old woman, presenting with a large painful hematoma in the cervicomediastinal area. The neck ultrasound (US) demonstrated a solid lesion measuring 40 × 80 × 55 mm, markedly hypoechoic, which extended from the right thyroid lobe to the mediastinum. The blood tests showed elevated serum calcium and parathyroid hormone (PTH) concentrations, consistent with hypercalcemic primary hyperparathyroidism...
April 2024: JCEM Case Rep
https://read.qxmd.com/read/38628858/a-case-report-of-mediastinal-parathyroid-carcinoma-in-a-chronic-kidney-disease-patient-addressing-management-conundrum
#7
Chukwunonso Ezeani, Gift Echefu, Ifeoluwa Stowe, Damodar Kumbala, Shatha Murad
Parathyroid carcinoma is a rare malignancy; and it is rarer to find one located in an ectopic location. Ectopic parathyroid glands are a reported cause of failed primary surgery for hyperparathyroidism. We report here a 73-year-old male who previously had parathyroidectomy for primary hyperparathyroidism but then had recurrence of his symptoms with a diagnosis of a mediastinal parathyroid carcinoma on further evaluation. This presentation of complicated mediastinal parathyroid carcinoma posed significant diagnostic and management challenges due to comorbid stage IV chronic kidney disease (CKD)...
2024: SAGE Open Medical Case Reports
https://read.qxmd.com/read/38627802/thoracoscopic-resection-of-paraesophageal-ectopic-mediastinal-parathyroid-adenoma-in-the-superior-posterior-mediastinum-a-case-report
#8
JOURNAL ARTICLE
Kai Fu, Xin-Yu Zhu, Xin-Yu Jia, Kun-Peng Feng, Yuan Cui, Jun Zhao, Chang Li
BACKGROUND: The ectopic superior parathyroid in the tracheoesophageal groove and paraesophageal region is rare. Hyperparathyroidism results when these glands become hyperfunctioning. That may necessitate surgical intervention in the form of parathyroidectomy, which requires a transsternal or transthoracic approach due to a deeply seated mediastinal parathyroid gland. Minimally invasive strategies have emerged recently as an alternative approach with less morbidity. CASE PRESENTATION: We present a case of the paraesophageal ectopic parathyroid gland in the superior posterior mediastinum, which was successfully treated with thoracoscopic resection...
April 16, 2024: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/38622842/comparative-analysis-of-transoral-endoscopic-parathyroidectomy-vestibular-approach-and-focused-open-surgery-for-primary-hyperparathyroidism-treatment-a-single-center-experience
#9
JOURNAL ARTICLE
Mehmet Zafer Sabuncuoglu, Isa Sozen, İsmail Zihni, Girayhan Celik, Nesime Inci Eryılmaz, Fatma Nur Dal, Demet Gunduz, Ozer Makay
BACKGROUND Primary hyperparathyroidism is one of the most common endocrine disorders, for which the definitive treatment is surgical parathyroidectomy. Generally, surgical exploration is performed as open focused neck surgery. The vestibular route is a new approach to minimally invasive endoscopic parathyroidectomy. This retrospective study from a single center in Turkey aimed to compare surgical outcomes from the transoral endoscopic vestibular approach (TOEPVA) vs direct open parathyroidectomy in 57 patients...
April 16, 2024: Medical Science Monitor: International Medical Journal of Experimental and Clinical Research
https://read.qxmd.com/read/38622315/management-of-surgical-diseases-of-primary-hyperparathyroidism-indications-of-the-united-italian-society-of-endocrine-surgery-siuec
#10
JOURNAL ARTICLE
Paolo Del Rio, Marco Boniardi, Loredana De Pasquale, Giovanni Docimo, Maurizio Iacobone, Gabriele Materazzi, Fabio Medas, Michele Minuto, Barbara Mullineris, Andrea Polistena, Marco Raffaelli, Pietro Giorgio Calò
A task force of the United Italian society of Endocrine Surgery (SIUEC) was commissioned to review the position statement on diagnostic, therapeutic and health‑care management protocol in parathyroid surgery published in 2014, at the light of new technologies, recent oncological concepts, and tailored approaches. The objective of this publication was to support surgeons with modern rational protocols of treatment that can be shared by health-care professionals, taking into account important clinical, healthcare and therapeutic aspects, as well as potential sequelae and complications...
April 15, 2024: Updates in Surgery
https://read.qxmd.com/read/38617065/tertiary-hyperparathyroidism-masking-an-atypical-parathyroid-tumor
#11
Styliani Laskou, Ismini Kountouri, Eleni Paschou, Christos Topalidis, Paraskevi Axi, Georgios Petrakis, Christoforos Kosmidis, Konstantinos Sapalidis
Atypical parathyroid tumors represent a group of parathyroid neoplasms of uncertain malignant potential. In view of preoperative diagnostic difficulties, suspicious features for malignancy may guide the surgeon to perform a radical surgical approach.
April 2024: Clinical Case Reports
https://read.qxmd.com/read/38608096/parathyroid-fine-needle-aspiration-with-pth-washout-can-it-lead-to-parathyroid-cell-seeding-in-primary-hyperparathyroidism
#12
JOURNAL ARTICLE
Hakan Balbaloglu, Oguzhan Deniz, R Yigit Ozaydin, Ilhan Tasdoven, Guldeniz Karadeniz Cakmak
Although parathyroid fine-needle aspiration (P-FNA) with parathyroid hormone (PTH) washout is effective in detecting preoperative parathyroid lesions, it also presents risks such as fibrosis, hematoma, and, in rare cases, tumor seeding. This study aimed to investigate whether P-FNA with PTH washout leads to the seeding of parathyroid cells along the path of the needle. A retrospective analysis was conducted on patients undergoing minimally invasive parathyroidectomy guided by preoperative PTH washout. Permanent pathology reports, imaging data, and postoperative serum parathyroid hormone and calcium levels were assessed to determine the effectiveness and safety of the procedure...
April 12, 2024: Medicine (Baltimore)
https://read.qxmd.com/read/38591824/analysis-of-neutrophil-to-lymphocyte-and-platelet-to-lymphocyte-ratios-as-inflammatory-biomarkers-in-chronic-kidney-disease-impact-of-parathyroidectomy
#13
JOURNAL ARTICLE
Andre Kakinoki Teng, Eduardo Jorge Duque, Shirley Ferraz Crispilho, Wagner Domingues, Vanda Jorgetti, Luciene M Dos Reis, Rosilene M Elias, Rosa Maria Affonso Moysés
INTRODUCTION: Secondary hyperparathyroidism (SHPT) is one of the causes for inflammation in CKD. We assessed the impact of parathyroidectomy (PTX) on neutrophil-to-lymphocyte (N/L) and platelet-to-lymphocyte (P/L) ratios in SHPT patients. METHODS: A total of 118 patients [hemodialysis (HD, n = 81), and transplant recipients (TX, n = 37)] undergoing PTX between 2015 and 2021 were analyzed. RESULTS: There was a significant reduction in calcium and PTH levels in both groups, in addition to an increase in vitamin D...
2024: Jornal Brasileiro de Nefrologia: ʹorgão Oficial de Sociedades Brasileira e Latino-Americana de Nefrologia
https://read.qxmd.com/read/38588450/home-versus-in-centre-haemodialysis-for-people-with-kidney-failure
#14
REVIEW
Melissa S Cheetham, Isabelle Ethier, Rathika Krishnasamy, Yeoungjee Cho, Suetonia C Palmer, David W Johnson, Jonathan C Craig, Paul Stroumza, Luc Frantzen, Jorgen Hegbrant, Giovanni Fm Strippoli
BACKGROUND: Home haemodialysis (HHD) may be associated with important clinical, social or economic benefits. However, few randomised controlled trials (RCTs) have evaluated HHD versus in-centre HD (ICHD). The relative benefits and harms of these two HD modalities are uncertain. This is an update of a review first published in 2014. This update includes non-randomised studies of interventions (NRSIs). OBJECTIVES: To evaluate the benefits and harms of HHD versus ICHD in adults with kidney failure...
April 8, 2024: Cochrane Database of Systematic Reviews
https://read.qxmd.com/read/38586714/utility-of-intraoperative-intrinsic-near-infrared-imaging-for-primary-hyperparathyroidism-in-multiple-endocrine-neoplasia-type-1
#15
Taisei Yasuda, Kiyomi Kuba, Eijiro Yoneyama, Masami Osaki
Multiple endocrine neoplasia type 1 (MEN1) is an autosomal dominant disorder caused by mutations in the tumor suppressor gene MEN1  and is characterized by parathyroid, pancreatic islet, and anterior pituitary tumors. Primary hyperparathyroidism is the most characteristic finding in MEN1, and intraoperative identification and accurate removal of the diseased parathyroid glands are vital since incomplete excision results in recurrence. This case report describes a 59-year-old woman who had pancreatic islet cell tumors and pituitary tumors and underwent selective transsphenoidal adenomectomy...
March 2024: Curēus
https://read.qxmd.com/read/38586553/outcomes-of-bilateral-axillo-breast-approach-robotic-parathyroidectomy-versus-open-parathyroidectomy-for-primary-hyperparathyroidism-a-single-institution-retrospective-study
#16
JOURNAL ARTICLE
Jae Bong Choi, Jee-Hye Choi, Yoon Kong, Ja Kyung Lee, Woochul Kim, Hyeong Won Yu, Su-Jin Kim, Young Jun Chai, June Young Choi, Kyu Eun Lee
PURPOSE: Bilateral axillo-breast approach robotic parathyroidectomy (BABA-RP) aims to remove overactive or enlarged parathyroid glands with no visible neck collar incision. In this study, we compared the safety and surgical outcomes of BABA-RP vs. those of an open surgery group to ascertain whether BABA-RP is a safe and feasible surgical approach for patients with primary hyperparathyroidism (pHPT). METHODS: This single-institution retrospective cohort study included 74 patients with primary HPT who underwent open parathyroidectomy (n = 37) or BABA-RP (n = 37) at our institution between November 2014 and March 2023...
April 2024: Annals of Surgical Treatment and Research
https://read.qxmd.com/read/38583772/the-effects-of-parathyroidectomy-versus-medical-treatments-for-secondary-hyperparathyroidism-in-patients-undergoing-dialysis-a-meta-analysis
#17
REVIEW
Zhixing Song, Christopher Wu, Rongzhi Wang, Andrea Gillis, Jessica Fazendin, Brenessa Lindeman, Herbert Chen
BACKGROUND: The management of secondary hyperparathyroidism in patients undergoing dialysis is debated, with uncontrolled parathyroid hormone (PTH) levels becoming more common despite the expanded use of medical treatments like cinacalcet. This study examines the clinical benefits of parathyroidectomy versus medical treatment in reducing mortality and managing key laboratory parameters in patients undergoing dialysis. METHODS: PubMed, Embase, Cochrane, Scopus, and Web of Science databases were searched for cohort studies or randomized controlled trials published before August 18, 2023...
April 5, 2024: Endocrine Practice
https://read.qxmd.com/read/38577726/multiple-pathological-fractures-and-muscle-atrophy-caused-by-a-parathyroid-carcinoma-with-postoperative-hungry-bone-syndrome-a-case-report
#18
Qinguo Liu, Ying Zhang, Deshou Ma, Huazhen Gengzhi, Yusufu Maimaiti, Qishuai Chen, Zhijun Ma
BACKGROUND: Parathyroid carcinoma (PC) is a rare endocrine malignancy causing pathological changes such as abnormal bone metabolism, elevated serum calcium, and impaired renal function, and uncontrollable hypercalcemia is the main cause of death in PC patients. The diagnosis of PC is challenging and relying on postoperative histopathology. Radical surgery at the first time is the only effective therapy to cure PC. Hungry bone syndrome (HBS) is a relatively uncommon complication of parathyroidectomy characterized by profound and prolonged hypocalcemia, timely electrolyte monitoring and alternative interventional protocols can prevent symptomatic hypocalcemia...
April 2024: Cancer reports
https://read.qxmd.com/read/38575949/thoracoscopic-treatment-of-mediastinal-ectopic-parathyroid-adenomas-a-latinamerica-experience-case-series-and-literature-review
#19
REVIEW
Chavez Karla Veronica, Chavez-Tostado Mariana, Peña-Rivera Adriana Graciela, Cervantes-Perez Gabino, Bolaños-Morales Francina Valezka
BACKGROUND: Hyperparathyroidism (HPT) is a disease caused by hypersecretion of one or more parathyroid glands, it can be associated with ectopic mediastinal parathyroid glands (MEPA) in 2% of cases. The use of video-assisted thoracoscopic surgery (VATS) for the surgical resection of these glands is a safe, cost-effective, and low morbidity option for patients with MEPA. We report a case series of patients with this disease managed with VATS, the first in Mexico and Latinamerica. METHODS: From 2008 to 2022, a retrospective study involving patients with MEPA and treated by VATS approach was performed in a tertiary hospital in Mexico city...
April 4, 2024: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/38575330/outcome-of-surgical-parathyroidectomy-for-tertiary-hyperparathyroidism-in-kidney-transplant-recipients-tertiary-hyperparathyroidism-should-not-be-ignored-for-the-sake-of-precious-allografts
#20
REVIEW
Michio Nakamura, Shinya Takiguchi, Saeko Uehara, Yusuke Tomita
Tertiary hyperparathyroidism is a complication of kidney transplantation. This complicated condition carries over from the dialysis period and varies according to the function of the transplanted allograft. Treatments include pharmacotherapy (mainly using calcimimetics) and parathyroidectomy, but calcimimetics are currently not covered by the national insurance system in Japan. Two types of parathyroidectomy can be performed: subtotal parathyroidectomy; and total parathyroidectomy with partial autograft. Both types can be expected to improve hypercalcemia...
December 2024: Renal Failure
keyword
keyword
26884
1
2
Fetch more papers »
Fetching more papers... Fetching...
Remove bar
Read by QxMD icon Read
×

Save your favorite articles in one place with a free QxMD account.

×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"

We want to hear from doctors like you!

Take a second to answer a survey question.