Nefrología (Mar 2019)

¿Mejora la función renal tras la paratiroidectomía en el hiperparatirodismo primario?

  • Florencio García-Martín,
  • Sonsoles Guadalix,
  • Fernando García-Boyano,
  • Natalia Melón Peña,
  • José Ignacio Martínez Pueyo,
  • Ramiro Callejas Martínez,
  • Manuel Praga Terente

Journal volume & issue
Vol. 39, no. 2
pp. 160 – 167

Abstract

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Resumen: Introducción: El hiperparatiroidismo primario (HPTP) es un trastorno endocrino frecuente, caracterizado por hipercalcemia y elevación de la parathormona. La disminución del filtrado glomerular ( 11,2 mg/dl (27%), litiasis renal (13%), baja masa ósea (12%), edad 60 ml/min (creatinina sérica basal 0,77 mg/dl vs. creatinina sérica al año 0,81 mg/dl, p 11.2 mg/dl (27%), nephrolithiasis (13%), low bone mass (12%), age 60 ml/min (baseline serum creatinine levels 0.77 mg/dl vs serum creatinine levels after one year 0.81 mg/dl, P < .001). Conclusions: PHPT was asymptomatic in most patients who underwent surgery. Hypercalcaemia and nephrolithiasis were the most common indications of parathyroidectomy in asymptomatic patients. MIBI scan was the most useful localisation method. Surgical treatment of PHPT is followed by renal function impairment, which persists after the first week post-PTX. Palabras clave: Hiperparatiroidismo primario, Paratiroidectomía, Función renal, Keywords: Primary hyperparathyroidism, Parathyroidectomy, Renal function