Endocrine Abstracts

Serum parathyroid hormone (PTH) and other parameters are measured post-parathyroidectomy to assess cure. A persistently raised serum PTH may indicate an unsuccessful procedure. However, vitamin D deficiency is increasingly recognised in the general population, and may be a cause of raised PTH post-surgery (secondary hyperparathyroidism). Persistently elevated post-operative PTH may continue to stimulate bone turn over and bone loss post-surgery. Our aim was to determine whethe...

Introduction: A persistently elevated parathyroid hormone (PTH) following parathyroidectomy is usually associated with vitamin D deficiency. We have previously demonstrated this to occur in ~60% of post-operative patients. We have examined the effect of routine vitamin D replacement pre-operatively on the proportion of patients with persistently elevated PTH post-operatively.Methods: Data was collated retrospectively from our parathyroid database, includ...