A review of pediatric cases of urinary tract calculi

Cheah, Wei-Keat; King, P. A.; Tan, H L

doi:10.1016/0022-3468(94)90745-5

Cited by 11 publications

(10 citation statements)

References 11 publications

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“…Similar to our results, in previous studies the most common symptoms of urolithiasis were reported to be abdominal pain, hematuria, vomiting and dysuria [15,24,25]. The observation of a 33% hematuria rate in the metabolic group and a 26% dysuria rate in the infection group is clinically significant.…”

Section: Discussionsupporting

confidence: 94%

The metabolic etiology of urolithiasis in Turkish children

et al. 2009

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Pediatric urolithiasis is an endemic disease, especially in certain developing regions of the world, such as the Far East, and to a certain extent the Middle East and Turkey. The aim of the study is to determine the metabolic etiology and the prevalence of formation of urinary calculi in Turkish pediatric patients with urolithiasis. Seventy-two pediatric patients diagnosed as having urolithiasis were studied from 1999-2005 in Dr. Behcet Uz Child Disease and Surgery Education and Research Hospital Nephrology Department, Izmir, according to their presenting signs and clinical and laboratory findings. The other necessary tests were also applied to detect the etiology of the calculi formation. Of the 72 patients, 50 (69.4%) were male and 22 (30.6%) were female, with ages ranging from 2 to 168 months (mean age 72 +/- 35.7 months), and the male-to-female ratio of patients was 2.3. Twenty-four (33%) of them were diagnosed as having metabolic urolithiasis, 21 (30%) anatomic, 19 (26%) infectious and 8 (11%) idiopathic. The age at which urolithiasis was first diagnosed was found to be low in the metabolic and anatomic etiology groups (P = 0.028). Thirteen patients (18%) with urolithiasis were known to have a family history of stone disease, and in all of them metabolic etiology was considered to be the reason (P < 0.001). In all of the groups, the localization of the stone was found to be the upper urinary system most of the time, and in 17 (24%) with bilateral multiple stones, the etiology was found to be metabolic (P < 0.001). All of the patients were followed up for 3-72 months (mean 29.2 +/- 13.7 months), and four of them (5.5%) had recurrences. In order to prevent renal damage and recurrences in pediatric patients with urolithiasis in Turkey in whom the etiology is mostly metabolic, the illnesses must be investigated very cautiously, and their early diagnosis and treatment modalities must be considered.

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Section: Discussionsupporting

confidence: 94%

The metabolic etiology of urolithiasis in Turkish children

et al. 2009

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“…25 Isen et al, reported their experience with pneumatic CL in children with a mean age of 7.6yrs (range, 3 -14). The mean stone size was 14mm (range, [8][9][10][11][12][13][14][15][16][17][18][19][20]. The operating time was 22min (range, 10-46 min).…”

Section: Discussionmentioning

confidence: 99%

Transurethral Holmium Laser Cystolithotripsy in Children: Single Center Experience

Aboulela

ElSheemy

Shoukry

et al. 2015

Journal of Endourology

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“…Most of these children are Aboriginal. Other studies have reported an incidence of renal stones in Aboriginal children of up to 10% 1−4,8 . The children presented come from families who live in widely different conditions and from different socio‐economic and cultural backgrounds.…”

Section: Discussionmentioning

confidence: 99%

“…Upper tract renal stones are common in Australian Aboriginal children 1−4 . Renal disease is a major medical problem for Australia's Aboriginal people and it is likely that insults to the kidney during childhood play a role in the aetiology of adult renal disease 5,6 .…”

mentioning

confidence: 99%

Carbohydrate intolerance and kidney stones in children in the Goldfields

Baldwin

Spencer

Jeffries-Stokes

2003

J Paediatrics Child Health

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Renal stones have been reported as a common finding in Australian Aboriginal children. The stones are predominantly urate in composition. We report on five children with nephrolithiasis from the Goldfields region of Western Australia. All were diagnosed when under 5 years of age, the majority being under 3 years. All five children also had lactose intolerance, and we postulate that carbohydrate malabsorption, together with the ensuing chronic diarrhoea and intraluminal breakdown of sugars by enteric bacteria may result in a situation of chronic metabolic acidosis. Chronic metabolic acidosis can lead to protein catabolism, increased urate excretion and the formation of renal stones. Carbohydrate intolerance may be an aetiological factor in the development of renal stones and possibly chronic renal disease, particularly in Aboriginal Australians. Renal disease represents one of the most significant factors affecting the health of Australian Aboriginal people. The incidence of end stage renal failure in this population exceeds that of non-Aboriginals by a factor of 13:1, and this disproportionate figure is increasing. It is likely that chronic renal damage is multifactorial; however, it is probable that at least some aetiological factors have their onset during childhood.

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A review of pediatric cases of urinary tract calculi

Cited by 11 publications

References 11 publications

The metabolic etiology of urolithiasis in Turkish children

The metabolic etiology of urolithiasis in Turkish children

Transurethral Holmium Laser Cystolithotripsy in Children: Single Center Experience

Carbohydrate intolerance and kidney stones in children in the Goldfields

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