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Intraoperative intact parathyroid hormone (iPTH) monitoring is a reliable examination used to cure PHPT. The aim was to assess the necessity of intraoperative iPTH monitoring. Methods Sixty patients were examined using preoperative MIBI and US. iPTH was measured at 3 time points: (1) at the start of surgery; (2) 10 minutes after gland resection; and (3) more than 60 minutes after surgery. We defined a decreased iPTH level as an iPTH measured 10 minutes after resection that was less than 50% of the preoperative level. Results The iPTH of 55 patients with concordant lesions decreased to within the normal range more than 60 minutes after surgery. Conclusions It is not necessary to monitor intraoperative iPTH when single concordant lesions are preoperatively identified on both MIBI and US.", "subitem_description_type": "Abstract"}]}, "item_2_description_63": {"attribute_name": "引用", "attribute_value_mlt": [{"subitem_description": "The American Journal of Surgery, 206(4), pp.574-577; 2013", "subitem_description_type": "Other"}]}, "item_2_publisher_33": {"attribute_name": "出版者", "attribute_value_mlt": [{"subitem_publisher": "Elsevier Inc."}]}, "item_2_relation_12": {"attribute_name": "DOI", "attribute_value_mlt": [{"subitem_relation_type": "isVersionOf", "subitem_relation_type_id": {"subitem_relation_type_id_text": "10.1016/j.amjsurg.2013.01.043", "subitem_relation_type_select": "DOI"}}]}, "item_2_rights_13": {"attribute_name": "権利", "attribute_value_mlt": [{"subitem_rights": "© 2013 Elsevier Inc. 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Can the use of intraoperative intact parathyroid hormone monitoring be abandoned in patients with hyperparathyroidism?
http://hdl.handle.net/10069/33987
http://hdl.handle.net/10069/339873455d437-62a1-4051-b495-d279b3b73fa4
名前 / ファイル | ライセンス | アクション |
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AJS206_574.pdf (127.3 kB)
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Item type | 学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2013-11-26 | |||||
タイトル | ||||||
タイトル | Can the use of intraoperative intact parathyroid hormone monitoring be abandoned in patients with hyperparathyroidism? | |||||
言語 | ||||||
言語 | eng | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Intraoperative intact parathyroid hormone monitoring | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Primary hyperparathyroidism | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Technetium-99m sestamibi scintigraphy | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Ultrasound | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
資源タイプ | journal article | |||||
著者 |
Sakimura, Chika
× Sakimura, Chika× Minami, Shigeki× Hayashida, Naomi× Uga, Tatsuya× Inokuchi, Naoko× Eguchi, Susumu |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | Background Ultrasound (US) and technetium-99m sestamibi scintigraphy (MIBI) are used to determine the localization of abnormal glands in cases of primary hyperparathyroidism (PHPT). Intraoperative intact parathyroid hormone (iPTH) monitoring is a reliable examination used to cure PHPT. The aim was to assess the necessity of intraoperative iPTH monitoring. Methods Sixty patients were examined using preoperative MIBI and US. iPTH was measured at 3 time points: (1) at the start of surgery; (2) 10 minutes after gland resection; and (3) more than 60 minutes after surgery. We defined a decreased iPTH level as an iPTH measured 10 minutes after resection that was less than 50% of the preoperative level. Results The iPTH of 55 patients with concordant lesions decreased to within the normal range more than 60 minutes after surgery. Conclusions It is not necessary to monitor intraoperative iPTH when single concordant lesions are preoperatively identified on both MIBI and US. | |||||
書誌情報 |
The American Journal of Surgery 巻 206, 号 4, p. 574-577, 発行日 2013-10 |
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出版者 | ||||||
出版者 | Elsevier Inc. | |||||
ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 00029610 | |||||
DOI | ||||||
関連タイプ | isVersionOf | |||||
識別子タイプ | DOI | |||||
関連識別子 | 10.1016/j.amjsurg.2013.01.043 | |||||
権利 | ||||||
権利情報 | © 2013 Elsevier Inc. All rights reserved. | |||||
権利 | ||||||
権利情報 | NOTICE: this is the author’s version of a work that was accepted for publication in The American Journal of Surgery. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in The American Journal of Surgery, 206, 4(2013) | |||||
著者版フラグ | ||||||
出版タイプ | AM | |||||
出版タイプResource | http://purl.org/coar/version/c_ab4af688f83e57aa | |||||
引用 | ||||||
内容記述タイプ | Other | |||||
内容記述 | The American Journal of Surgery, 206(4), pp.574-577; 2013 |