Your Messages Inbox
Most Viewed Abstracts
1. Report Shows Shift in Starting Salaries for Physicians 2. AHA Guidelines on Cardiac CT for Assessing Coronary Artery Disease 3. Rapid correction of low vitamin D status in nursing home residents 4. 2008 Exclusive Survey—Earnings: Good news for primary care income 5. Medicare pay-for-reporting effort draws fire from frustrated doctors
Your Article Summary
See Latest ArticlesImaging for primary hyperparathyroidism--an evidence-based analysis
Langenbeck's Archives of Surgery, 07/14/09
Mihai R et al. - The authors found evidence at level III leading to recommendations at grade B, that sestamibi scintigraphy is a recommended first test, but that US by an experienced investigator may be an alternative. MIP may be performed when both tests are concordant, and in case of only one test being positive, unilateral exploration and use of intraoperative PTH measurements are recommended. Bilateral neck exploration is used when both tests are negative.
Per Hellman, 07/14/09
| Although endocrine surgery practice today in many hospitals include minimal invasive parathryoidectomy (MIP), there has been very few randomized trials stsing that MIP is superior to the classical bilateral neck exploration. In addition, the increased sensitivites of ultrasound as well as sestamibi scintigraphy, and the available use of intraoperative PTH measurements make MIP even more accessible. These methods are wicely described in numerous reports in the literature, with somewhat scarce level of novelty as the list just increases. In the present review we have tried to identify the role of MIP, BNE, sestamibi scintigraphy and ultrasound for parathyroid surgery, and found evidence enough to make grade B recommendations, now being the official European Society of Endocrine Surgoens guidelines for this type of surgery. |
Related Articles
Postexercise Cardiac Performance Among Patients With Mild Primary Hyperparathyroidism
The Endocrinologist, 11/16/09
Relevance Score: 87%
Insulin resistance is not coupled with defective insulin secretion in primary hyperparathyroidism
Diabetic Medicine, 10/02/09
Relevance Score: 87%
Multimodality imaging in hyperparathyroidism
Postgraduate Medical Journal, 11/10/09
Relevance Score: 85%
No recurrence of sporadic primary hyperparathyroidism when cure is established 6 months after parathyroidectomy
European Journal of Endocrinology, 11/05/09
Relevance Score: 85%
What steps should be considered in the patient who has had a negative cervical exploration for primary hyperparathyroidism
Clinical Endocrinology, 10/15/09
Relevance Score: 84%
Today in Diagnostics...keeping you current
Receive free subspecialty "5-minute updates" via email
Performance of HbA1c and fasting capillary blood glucose test for screening newly diagnosed diabetes and pre-diabetes defined by OGTT in Qingdao, China
Diabetes Care, 12/15/09
Follicular neoplasm of the thyroid gland: Unique cytologic appearances in a fine-needle aspiration biopsy
Diagnostic Cytopathology, 12/15/09
Developments in the use of ultrasound for thyroid cancer
Current Opinion in Oncology, 12/14/09
Today in Thyroid/Parathyroid...keeping you current
Receive free subspecialty "5-minute updates" via email
Decreased serum TSH levels are not associated with mortality in the adult northeast German population
European Journal of Endocrinology, 12/15/09
Subclinical thyroid dysfunctions are independent risk factors for mortality in a 7.5 year follow-up: the Japanese-Brazilian thyroid study
European Journal of Endocrinology, 12/15/09
Peculiarities of Graves’ disease in children and adolescents with Down’s syndrome
European Journal of Endocrinology, 12/15/09
Sponsor
Article Search
Sponsor
Sponsor