Extended esophagolaryngeal resection with parathyroid autotransplantation

Citation
E. Kourias et al., Extended esophagolaryngeal resection with parathyroid autotransplantation, DIS ESOPHAG, 12(4), 1999, pp. 314-316
Citations number
11
Categorie Soggetti
Gastroenerology and Hepatology
Journal title
DISEASES OF THE ESOPHAGUS
ISSN journal
11208694 → ACNP
Volume
12
Issue
4
Year of publication
1999
Pages
314 - 316
Database
ISI
SICI code
1120-8694(1999)12:4<314:EERWPA>2.0.ZU;2-E
Abstract
Esopharyngolaryngeal resection for carcinoma of the cervical esophagus must he accompanied by resection of the thyroid gland, parathyroid bodies, and regional lymph nodes. In order to reduce long-term morbidity associated wit h the procedure, we performed parathyroid autotransplantation in two patien ts who underwent esophagolaryngeal resections. Grafting of the upper two pa rathyroid glands into the sternocleidomastoid muscle was carried out succes sfully in both cases. Graft function was rapidly restored. During the third postoperative week, blood levels of intact parathormone (PTH) reached 20 p g ml(-1) in the first case and 15 pg ml(-1) in the second, and the patients were successfully weaned off calcium and vitamin D supplementation. Parath yroid autotransplantation should be attempted in all cases of esophagolaryn geal resections provided that parathyroid glands are free of malignancy.