Hiperparatiroidismo recurrente y persistente. Parte 2: análisis de diagrama de flujo de razonamiento clínico y revisión de la literatura
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Date
2024-06
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Facultad/escuela
Idioma
es
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Volume Title
Publisher
Sociedad de Cirujanos de Chile
Nombre de Curso
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Attribution 4.0 International
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https://creativecommons.org/licenses/by/4.0/
Abstract
El manejo habitual del HPTPha experimentado varias modificaciones en el tiempo encuanto a tecnologías de localización y tipos de cirugía. En general, tiene un alto éxito terapéutico. Sin embargo, hay un porcentaje de casos que presentan persistencia o recurrencia y pueden ser muy difíciles de enfrentar. Metodología: En este artículo mostramos un esquema de enfrentamiento basado en la literatura y en los casos clínicos enfrentados por los autores, que permiten abordar desde la causa probable y los estudio de relocalización, hasta el manejo terapéutico y sus posibles evoluciones. Además, se analiza cada una de las situaciones descritas en la Parte 1 de este artículo con una revisión actualizada de la literatura. Conclusión: El estudio protocolizado y en equipo multidisciplinario es vital para abordar adecuadamente los casos de pacientes con HPTP persistente y recurrente. Con este esquema de pensamiento proponemos una forma de enfrentar el problema
The usual management of PHPT has undergone several modifications over time in terms of localization technologies and types of surgery. In general, it has high therapeutic success. However, there is a percentage of cases that present persistence or recurrence and can be very difficult to face. Methods: In this article we show a confrontation scheme based on the literature and the clinical cases faced by the authors, which allow us to address everything from the probable cause and relocation studies to therapeutic management and its possible evolutions. Additionally, each of the situations described in Part 1 of this article is analyzed with an updated literature review. Conclusion: The protocolized study in a multidisciplinary team is vital to adequately address the cases of patients with persistent and recurrent PHPT. With this scheme of thought we propose a way to face the problem
The usual management of PHPT has undergone several modifications over time in terms of localization technologies and types of surgery. In general, it has high therapeutic success. However, there is a percentage of cases that present persistence or recurrence and can be very difficult to face. Methods: In this article we show a confrontation scheme based on the literature and the clinical cases faced by the authors, which allow us to address everything from the probable cause and relocation studies to therapeutic management and its possible evolutions. Additionally, each of the situations described in Part 1 of this article is analyzed with an updated literature review. Conclusion: The protocolized study in a multidisciplinary team is vital to adequately address the cases of patients with persistent and recurrent PHPT. With this scheme of thought we propose a way to face the problem
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Indexación: Scopus
Keywords
paratiroides, hiperparatiroidismo, recurrencia, persistencia, cirugía endocrina
Citation
Revista de Cirugia Volume 76, Issue 5, Pages 451 - 456 2024
DOI
10.35687/s2452-454920250022352