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This Month in
August 2003

This month in Archives of Surgery

Author Affiliations
 

GERALD W.PESKINMD

Arch Surg. 2003;138(8):821. doi:10.1001/archsurg.138.8.821

Hamoui et al3013 alert us to the fact that elevated levels of parathyroid hormone are associated with malabsorption of calcium in the upper gastrointestinal tract and may be present when weight loss accompanies obesity but more so, perhaps, when a duodenal switch operation has been performed for morbid obesity with a short common channel (75 cm). although this does not produce hyperparathyroidism as we know it clinically, it does give us a lead to bone disease in later life.

Further, the fact that patients are very elderly does not preclude their undergoing surgical treatment for symptomatic hyperparathyroidism. kebebew et al3005 analyzed results from 54 consecutive patients 80 years and older (43 women and 11 men) with primary disease with excellent outcomes, short hospitalization time, no mortality, and a few minor complications. they conclude that parathyroidectomy in elderly patients is safe, curative, and beneficial.

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