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Nephrol Dial Transplant (2003) 18: III23-III26
© 2003 European Renal Association-European Dialysis and Transplant Association

Original Article

Role of parathyroid intervention in the management of secondary hyperparathyroidism

Masafumi Fukagawa and Shohei Nakanishi

Division of Nephrology and Dialysis Center, Kobe University School of Medicine, Kobe, Japan

Measurement of the size of the parathyroid glands is mandatory for the selection of the optimal therapy for secondary hyperparathyroidism. Surgical parathyroidectomy or parathyroid intervention is indicated for patients with nodular hyperplasia as this form is seldom responsive to medical therapy. Selection of the intervention should be determined by the number, size and location of the parathyroid glands with nodular hyperplasia, including ectopic glands.

Keywords: hyperparathyroidism; parathyroid hyperplasia; parathyroid intervention; parathyroidectomy; percutaneous ethanol injection therapy; ultrasonography

Correspondence and offprint requests to: Masafumi Fukagawa, MD, PhD, Division of Nephrology and Dialysis Center, Kobe University School of Medicine, 7-5-2 Kusunoki-cho, Chuo-ku, Kobe 650-0017, Japan. Email: fukagawa{at}med.kobe-u.ac.jp


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