About parathyroid surgery for hyperparathyroidism:
Unlike a goiter that is noticeable to the eye, patients suffering from
hyperparathyroidism usually present no visible signs. Instead, they
may present other manifestations of hyperparathyroidism, such as
kidney stones, loss of calcium from the bones (osteoporosis), joint
and muscle pain, psychological depression or gastrointestinal
illnesses.
Typically, there are several steps in determining if
hyperparathyroidism exists and if surgery is required:
- The patient notices symptoms and visits a primary care physician,
internist or endocrinologist.
- Blood tests may demonstrate elevations of calcium that
accompany high parathyroid hormone levels.
- Scans (radio isotopes, ultrasound, MRI, CT) may be used to
identify the location of the abnormality.
Because of the numerous small nerves and other important
structures within the neck around the parathyroid glands, a standard
parathyroid operation can be technically challenging. Additionally,
there are many rare thyroid and parathyroid conditions, so the more
overall experience the surgeon has, the more likely he or she is to
have encountered these conditions. With the proper planning and
technique, parathyroid surgery can be safe and curative.
Parathyroid surgery can be performed under either general or local
anesthesia. Most parathyroid surgery patients go home the day of
surgery.
Drs. Shiley and Hargunani will discuss all of the steps and options
with you and your referring physician prior to surgery.
Samuel G. Shiley Christopher A. Hargunani
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Thyroid & Parathyroid Surgery Specialists Portland, Oregon
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