Interpretation of intra-operative PTH changes in patients with multi-glandular primary hyperparathyroidism (pHPT).

@article{Karakousis2007InterpretationOI,
  title={Interpretation of intra-operative PTH changes in patients with multi-glandular primary hyperparathyroidism (pHPT).},
  author={Giorgos Constantine Karakousis and Dale Han and Rachel Rapaport Kelz and Deepika Nemani and Jagajan Karamacharya and Robert E. Roses and Phyllis A. Gimotty and Douglas L. Fraker},
  journal={Surgery},
  year={2007},
  volume={142 6},
  pages={845-50; discussion 850.e1-2}
}
BACKGROUND The correct interpretation of intraoperative parathyroid hormone (IOPTH) levels in patients with primary hyperparathyroid patients (pHPT) with multiglandular disease (MGD) can impact the success rate of initial parathyroid exploration, but it remains an understudied topic. METHODS In all, 592 of 823 patients were explored by a single surgeon with biochemical evidence of pHPT (1997-2007) and underwent parathyroidectomy using IOPTH. We investigated the incidence of MGD in patients… CONTINUE READING