B. Marden Black

Primary hyperparathyroidism and peptic ulcer.

The influence of serum calcium level on gastric secretions provides the most striking evidence for an association between these two disorders. Because the association now appears to be more than coincidental, and because traditional ulcer therapy or gastric surgery can be dangerous — even fatal — in the patient with hyperparathyroidism, the presence of this endocrinopathy should be excluded in all patients with peptic-ulcer disease, before medical or surgical treatment is begun.

Primary Hyperparathyroidism: Postsurgical Alterations in Renal Function and Serum Electrolytes.

Excerpt We have evaluated renal function and serum electrolytes in 13 patients before and immediately after surgical exploration of the neck for removal of parathyroid tumors. There were nine femal...