Searchable abstracts of presentations at key conferences in endocrinology
Endocrine Abstracts (2016) 44 P54 | DOI: 10.1530/endoabs.44.P54

SFEBES2016 Poster Presentations Bone and Calcium (20 abstracts)

Surgical management of primary hyperparathyroidism in East Sussex Healthcare NHS Trust (retrospective audit of patients had parathyroidectomy over 2 years in East Sussex NHS Trust)

Vanitha Karunakaran , Shakeel Ahmad , Simeen Ali , Rajesh Govindan , Paul Kirkland & Periasamy Sathiskumar


East Sussex Healthcare NHS Trust, Hastings, UK.


Retrospective audit of Patients had Parathyroidectomy over 2 years in East Sussex NHS trust; 73 patients had Parathyroid surgery for Primary hyperparathyroidism during this period. We have collected the data using case notes and hospital electronic records. Fifty-six patients were females and 17 were Males. Ninety-three per cent of patients were more than 50 years old. Common presenting symptoms were Lethargy (51%), bone pain (44%) and other symptoms were polyuria, polydipsia. Incidental finding in 15%. All patients had corrected calcium, parathyroid hormone levels and renal functions measured. Only 92% had tests for 24 h. urine calcium and Vitamin D levels. Cacl;crcl or fractional excretion were documented in only 12% of cases. Pre-operative localization of parathyroid adenoma was successful with ultrasound scan in 84%, SestaMIBI scan 94% and with SPECT CT 22%. All patients had both ultrasound parathyroid and sestaMIBI scan and only 75% has SPECT CT scan. Only 44% of patient had documented evidence of DEXA scan. Eighteen per cent of patients had evidence of osteoporosis. Ninety per cent of patients had preoperative localization of adenoma. Sixty-two per cent of patients had indications of permanent treatment. Successful removal of parathyroid adenoma was achieved in 95% of patients with normalization of post-operative calcium. Positive Correlation between preoperative scans results and surgical finding were seen in 88% of patients. Six patients were persistently hypercalcemic post operatively. Three patients (4%) had evidence of vocal card paralysis. Ninety-five per cent of patients had follow up appointment once within 6 months after the surgery. Most patient had 24 h urine calcium measurement, but there is no documentation about cacl;crcl or fractional excretion of calcium measurements in the notes to exclude Familial hypocalciuric hypercalcemia. Thirty-eight per cent of patients not had international consensus guidelines criteria for permanent treatment. We have started Parathyroid multidisciplinary meeting to discuss patients before surgical treatment since.

Volume 44

Society for Endocrinology BES 2016

Brighton, UK
07 Nov 2016 - 09 Nov 2016

Society for Endocrinology 

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