van Lanschot J J, Bruining H A
Neth J Surg. 1984 Apr;36(2):38-41.
Frequently a causal relationship between hyperparathyroidism (HPT) and pancreatitis has been defended. Bess et al. queried the existence of any causality. A series of 686 patients with surgically confirmed primary hyperparathyroidism (PHPT) was analysed with a coincidence of pancreatitis of 1.5% (n = 10). Three patients had an attack immediately after exploration of the neck, which is more than one would expect after a non-related operation. Although these data are not conclusive, a causal relationship cannot be excluded. It is uncertain whether a parathyrotoxic crisis due to surgical manipulation plays a part. In 27 patients a partial or total thyroidectomy was performed at the time of the parathyroidectomy. None of these patients had a postoperative pancreatitis, which means that in this series the recently postulated protective role of calcitonin cannot be confirmed.
甲状旁腺功能亢进症（HPT）与胰腺炎之间的因果关系常被提及。贝丝等人对两者之间是否存在因果关系提出质疑。对686例经手术确诊的原发性甲状旁腺功能亢进症（PHPT）患者进行了分析，胰腺炎的并发率为1.5%（n = 10）。3例患者在颈部探查后立即发作，这比非相关手术后预期的发作情况要多。尽管这些数据尚无定论，但不能排除因果关系。手术操作引发的甲状旁腺毒性危象是否起作用尚不确定。在27例患者中，甲状旁腺切除术时同时进行了部分或全甲状腺切除术。这些患者均未发生术后胰腺炎，这意味着在该系列研究中，最近假定的降钙素的保护作用无法得到证实。
