Parathyroid hormone is the main hormone for calcium homeostasis in our body. It is the third most common endocrine disorder after diabetes mellitus and thyroid disease. This study also aimed to find out the sensitivity and specificity of pre‐operative investigations and the etiologic diagnosis of primary hyperparathyroidism and types of surgical exploration, immediate post‐operative complications in Eastern India. In this hospital based study out of 34 patients 22 patients were under retrospective study and 12 were under prospective study. All the patients were clinically and biochemically diagnosed cases of hyperparathyroidism irrespective of age and sex, who presented to the both surgery or endocrine OPD, IPGME and R/SSKM Hospital, Kolkata, West Bengal, India between January, 2008 to December, 2012 were included in this research work. Most of the patients were symptomatic 18(52.9%) and all (34 patients) had increased pre‐operative intact parathormone (iPTH‐1) with hypercalcemia, 28(82.4%) patients had pre‐operative hypophosphatemia. Out of 34 patients 33 had parathyroid adenoma underwent focused unilateral adenoma excision and 1patient had parathyroid hyperplasia underwent bilateral subtotal excision. In our research study we found hypercalcemia with increased pre‐operative intact serum parathormone level is the most common feature in primary hyperparathyroidism and most patients had parathyroid adenoma in Eastern India.
Amit Sinha, Bitan Kumar Chattopadhyay, Diptendra Kumar Sarkar, Satinath Mukhopadhay and Debarshi Jana. Spectrum of Parathyroid Surgery in Primary Hyperparathyroidism in Eastern India, Kolkata.
DOI: https://doi.org/10.36478/10.36478/makrjms.2025.1.125.130
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2025.1.125.130