liu.seSearch for publications in DiVA
Endre søk
RefereraExporteraLink to record
Permanent link

Direct link
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • oxford
  • Annet format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annet språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf
Long-term results of surgery for lithium-associated hyperparathyroidism
Ryhov Hosp, Dept Surg, S-55185 Jonkoping, Sweden.
NAL Trollhattan, Dept Surg, Trollhattan, Sweden.
Ryhov Hosp, Dept Surg, S-55185 Jonkoping, Sweden.
Sahlgrens Univ Hosp, Dept Surg, Gothenburg, Sweden.
Vise andre og tillknytning
2010 (engelsk)Inngår i: British Journal of Surgery, ISSN 0007-1323, E-ISSN 1365-2168, Vol. 97, nr 11, s. 1680-1685Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

 Background: Lithium therapy for affective bipolar disease is frequently associated with hyperparathyroidism (HPT), but the results of surgical treatment are virtually unknown. The aim of this retrospective review was to analyse the long-term outcome after surgery for lithium-induced HPT in a large series of patients.

Methods: Seventy-one patients on chronic lithium therapy who underwent surgery in three university and three district hospitals in Sweden were followed for a median of 6.3 years. Histopathology, complications of surgery and normocalcaemia at 6 months after surgery and last follow-up were analysed.

Results: The primary histopathological diagnoses were adenoma (45 per cent), double adenomas (3 per cent) and hyperplasia (52 per cent). No permanent paresis of the recurrent laryngeal nerve was recorded but 13 per cent of the patients suffered from permanent hypoparathyroidism. At follow-up, the rate of persistent and recurrent HPT was 42 per cent regardless of the histopathological diagnosis.

Conclusion: The results of conventional surgery for lithium-associated HPT are poor. The surgical approach should be adjusted for the multiglandular disease that is usually the cause of HPT in patients on chronic lithium therapy.

sted, utgiver, år, opplag, sider
Wiley , 2010. Vol. 97, nr 11, s. 1680-1685
HSV kategori
Identifikatorer
URN: urn:nbn:se:liu:diva-65610DOI: 10.1002/bjs.7199OAI: oai:DiVA.org:liu-65610DiVA, id: diva2:397198
Tilgjengelig fra: 2011-02-13 Laget: 2011-02-13 Sist oppdatert: 2017-12-11

Open Access i DiVA

Fulltekst mangler i DiVA

Andre lenker

Forlagets fulltekst

Personposter BETA

Järhult, Johannes

Søk i DiVA

Av forfatter/redaktør
Järhult, Johannes
I samme tidsskrift
British Journal of Surgery

Søk utenfor DiVA

GoogleGoogle Scholar

doi
urn-nbn

Altmetric

doi
urn-nbn
Totalt: 68 treff
RefereraExporteraLink to record
Permanent link

Direct link
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • oxford
  • Annet format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annet språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf