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lüll Medical and surgical treatment for secondary and tertiary hyperparathyroidism Schlosser K; Zielke A; Rothmund MScand J Surg 2004[]; 93 (4): 288-97Prevention and treatment of secondary hyperparathyroidism (SHPT) in patients on chronic maintenance hemodialysis and of tertiary hyperparathyroidism (THPT) in patients after kidney transplantation is a challenge for the nephrologist and for the surgeon. Indication and results of medical and surgical therapy for SHPT and THPT have remained under discussion during the last decades. This review resumes the current medical and surgical strategies for patients with SHPT and THPT.|Bone and Bones/metabolism/pathology[MESH]|Calcium/blood/metabolism/therapeutic use[MESH]|Diet[MESH]|Humans[MESH]|Hyperparathyroidism, Secondary/diagnosis/etiology/*therapy[MESH]|Hypocalcemia/etiology[MESH]|Kidney Failure, Chronic/*complications[MESH]|Kidney Transplantation[MESH]|Parathyroid Hormone/blood/metabolism/therapeutic use[MESH]|Parathyroidectomy/methods[MESH]|Phosphoric Monoester Hydrolases/blood/metabolism/therapeutic use[MESH]|Postoperative Care[MESH]|Postoperative Complications[MESH]|Recurrence[MESH]|Renal Dialysis/adverse effects[MESH]|Vitamin D/blood/metabolism/therapeutic use[MESH] |