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Elevation of serum erythropoietin after subtotal parathyroidectomy in chronic haemodialysis patients
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1992
Year
Parathyroid DiseaseDialysis TherapySurgeryParathyroid GlandSuccessful Subtotal ParathyroidectomyRenal FunctionParathyroid HormoneSubtotal ParathyroidectomyChronic Kidney DiseaseHemodialysisKidney FailureChronic Haemodialysis PatientsInadequate PtxEndocrine SurgeryUrologySerum ErythropoietinAbrupt ReductionMedicineNephrology
After successful subtotal parathyroidectomy (PTX) in 10 chronic haemodialysis patients, significant elevation of Epo was observed, from 48.4± 17.8 mU/ml(M ±SEM) at preoperative state to 103.3±34.7mU/ml at 6 h and 163.4±50.2mU/ml at 12 h after PTX. Significant reductions in both PTH-m and ionized calcium (iCa) were confirmed. Since Epo did not increase in the cases with an inadequate PTX and ovariectomy, an abrupt reduction in PTH with a decrease in iCa may play some role in the elevation of Epo.