دورية أكاديمية
Abnormalities of serum magnesium levels in dialysis patients undergoing parathyroidectomy.
| العنوان: | Abnormalities of serum magnesium levels in dialysis patients undergoing parathyroidectomy. |
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| المؤلفون: | Kuo CY; Department of Surgery, MacKay Memorial Hospital, 92, Chung-Shan North Road, Section 2, Taipei, 104217, Taiwan.; Department of Medicine, School of Medicine, MacKay Medical College, New Taipei City, Taiwan., Tsai CH; Department of Surgery, MacKay Memorial Hospital, 92, Chung-Shan North Road, Section 2, Taipei, 104217, Taiwan.; Department of Medicine, School of Medicine, MacKay Medical College, New Taipei City, Taiwan., Lee JJ; Department of Surgery, MacKay Memorial Hospital, 92, Chung-Shan North Road, Section 2, Taipei, 104217, Taiwan.; Department of Medicine, School of Medicine, MacKay Medical College, New Taipei City, Taiwan., Cheng SP; Department of Surgery, MacKay Memorial Hospital, 92, Chung-Shan North Road, Section 2, Taipei, 104217, Taiwan. surg.mmh@gmail.com.; Department of Medicine, School of Medicine, MacKay Medical College, New Taipei City, Taiwan. surg.mmh@gmail.com.; Institute of Biomedical Sciences, MacKay Medical College, New Taipei City, Taiwan. surg.mmh@gmail.com. |
| المصدر: | Updates in surgery [Updates Surg] 2024 Aug; Vol. 76 (4), pp. 1435-1441. Date of Electronic Publication: 2024 Mar 13. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Springer-Verlag Italia Country of Publication: Italy NLM ID: 101539818 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2038-3312 (Electronic) Linking ISSN: 2038131X NLM ISO Abbreviation: Updates Surg Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Milano : Springer-Verlag Italia |
| مواضيع طبية MeSH: | Parathyroidectomy* , Magnesium*/blood , Hyperparathyroidism, Secondary*/surgery , Hyperparathyroidism, Secondary*/blood , Hyperparathyroidism, Secondary*/etiology , Renal Dialysis*, Humans ; Female ; Male ; Middle Aged ; Aged ; Adult ; Pruritus/etiology ; Pruritus/blood ; Calcium/blood ; Hypocalcemia/etiology ; Hypocalcemia/blood ; Postoperative Complications/blood ; Postoperative Complications/etiology ; Length of Stay ; Retrospective Studies |
| مستخلص: | In primary hyperparathyroidism, postoperative hypocalcemia can be exacerbated by magnesium deficiency. However, the significance of magnesium homeostasis in surgery for secondary hyperparathyroidism is unknown. In this study, 268 consecutive adult patients on renal replacement therapy who underwent parathyroidectomy for secondary hyperparathyroidism were included for analysis. We found that about one fifth presented with hypomagnesemia (5.6%) or hypermagnesemia (14.6%). Hypomagnesemia was associated with lower calcium levels and longer postoperative hospital stays. Hypermagnesemia was associated with higher calcium-phosphorus products and lower parathyroid hormone levels. In multivariate analysis, patient age, alkaline phosphatase, and osteocalcin were independent predictors of prolonged stay after parathyroidectomy. There was a positive correlation between serum magnesium levels and severity of itching in these patients. Calcium-phosphorus products and serum magnesium levels were independently associated with pruritus. In conclusion, magnesium abnormalities play a minor role in hungry bone syndrome after parathyroidectomy for secondary hyperparathyroidism. Patients with higher serum magnesium levels had greater severity of pruritus. (© 2024. Italian Society of Surgery (SIC).) |
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| فهرسة مساهمة: | Keywords: Hungry bone syndrome; Magnesium; Parathyroidectomy; Pruritus; Secondary hyperparathyroidism |
| المشرفين على المادة: | I38ZP9992A (Magnesium) SY7Q814VUP (Calcium) |
| تواريخ الأحداث: | Date Created: 20240314 Date Completed: 20240823 Latest Revision: 20240823 |
| رمز التحديث: | 20240823 |
| DOI: | 10.1007/s13304-024-01790-x |
| PMID: | 38480639 |
| قاعدة البيانات: | MEDLINE |
Find this article in full text from Springer Verlag. 
Full Text Finder | تدمد: | 2038-3312 |
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| DOI: | 10.1007/s13304-024-01790-x |