Litiasis urinaria en pediatría

F, Edda Lagomarsino; S, Daniela Avila; D, Paulina Baquedano; Sm, Felipe Cavagnaro; P., Pamela Céspedes

doi:10.4067/s0370-41062003000400005

Cited by 7 publications

(10 citation statements)

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“…A study from Venezuela reported that urolithiasis was responsible for 7% of general outpatient consultations in all national children’s hospitals during 1998 [ 28 ]. In Chile, the reported rate of pediatric urolithiasis was 1.6 in 1,000 pediatric admissions and 4.3% of pediatric nephrology admissions during 2003 [ 29 ].…”

Section: Differences In Epidemiologymentioning

confidence: 99%

History, epidemiology and regional diversities of urolithiasis

2010

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Archeological findings give profound evidence that humans have suffered from kidney and bladder stones for centuries. Bladder stones were more prevalent during older ages, but kidney stones became more prevalent during the past 100 years, at least in the more developed countries. Also, treatment options and conservative measures, as well as 'surgical' interventions have also been known for a long time. Our current preventive measures are definitively comparable to those of our predecessors. Stone removal, first lithotomy for bladder stones, followed by transurethral methods, was definitively painful and had severe side effects. Then, as now, the incidence of urolithiasis in a given population was dependent on the geographic area, racial distribution, socio-economic status and dietary habits. Changes in the latter factors during the past decades have affected the incidence and also the site and chemical composition of calculi, with calcium oxalate stones being now the most prevalent. Major differences in frequency of other constituents, particularly uric acid and struvite, reflect eating habits and infection risk factors specific to certain populations. Extensive epidemiological observations have emphasized the importance of nutritional factors in the pathogenesis of urolithiasis, and specific dietary advice is, nowadays, often the most appropriate for prevention and treatment of urolithiasis.

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Section: Differences In Epidemiologymentioning

confidence: 99%

History, epidemiology and regional diversities of urolithiasis

2010

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“…In economically developed countries, reno-ureteral urolithiasis calculi comprising chiefly calcium oxalate and phosphate are found to be more common, while in Asia, vesical urolithiasis are more common with calculi comprising mainly ammonium urate and calcium oxalate [21]. Worldwide epidemiology studies stated that about 60% to 90% of stones found in children are formed of calcium oxalate, seconded by 10% to 20% formed of calcium phosphate, 1% to 14% of struvite, 5% to 10% of uric acid, 1% to 5% of cysteine, and 4% mixed or miscellaneous [22][23][24][25][26][27][28][29][30][31][32].…”

Section: Epidemiologymentioning

confidence: 99%

Prevalence and Pathophysiology of Pediatric Urolithiasis - A Review

Fadl¹,

Pasha

Abanumay

et al. 2021

JPRI

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Urolithiasis is a condition in which hard deposits made of salts and minerals are accumulated inside the kidneys. A lot of studies demonstrated adult urolithiasis but studies on pediatric urolithiasis is still scarce. Studies had shown that pediatric urolithiasis prevalence is progressively increasing worldwide. The main cause for this increase is not totally clear but has been associated to changes in climate, nutritional habits and other environmental factors. Pediatric urolithiasis is distinctive and different from adult urolithiasis concerning prevalence, etiology and clinical presentation. Over the time while the condition was evolving, the main cause has changed from predominantly infectious to metabolic in nature. Pediatric urolithiasis should not be underestimated as it is associated with morbidity mainly since it possesses a striking feature which is ability to recur. Metabolic risk factors are more communal in pediatric urolithiasis than in adults. The common type of calculi in children is comprised of either calcium oxalate or calcium phosphate mainly and is often associated with a metabolic abnormality. Informed as metabolic abnormalities, Idiopathic hypercalciuria and hypocitraturia are the most frequently reported. A good understanding of the causes and risk factors of pediatric urolithiasis will provide better strategies and techniques for calculi treatment and prevention in children.

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“…La litiasis es tan solo la manifestación de otras enfermedades subyacentes, pero no la enfermedad en si, por lo que se necesita una evaluación diagnóstica completa en cada caso, de forma que se pueda instaurar el tratamiento adecuado lo más temprano posible. El historial médico debe incluir toda la información posible sobre antecedentes familiares (50% de los pacientes tienen familiar con urolitiasis y nos orienta sobre posible trastorno genético), prematuridad, enfermedades concomitantes (con su tratamiento médico), ingesta diaria de líquidos, dieta, uso de suplementos vitamínicos (1,8). El diagnóstico puede ser casual al realizar una ultrasonografía abdominal en un niño asintomático, o puede realizarse en un paciente con síntomas clínicos en el que ya se sospecha la enfermedad litiásica (3).…”

Section: Diagnósticounclassified

“…Desde la antigüedad existe evidencia de que el ser humano ha sufrido de urolitiasis, con casos reportados en momias de niños egipcios (1). La litiasis urinaria en los niños es multifactorial, se presenta en todo el mundo y tiende a recurrir (2,3).…”

Section: Introductionunclassified

Litiasis urinaria en pediatría

García¹,

Corrales

2019

Rev.méd.sinerg.

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La litiasis renal es una entidad infrecuente en la infancia y su incidencia va en aumento en los países desarrollados. Afecta más a los individuos de raza blanca que a los afroamericanos en una proporción 4:1, con predominio del sexo masculino. Existen factores geográficos, raciales, genéticos implicados en su patogenia, que depende también de factores fisicoquímicos (eliminación renal de agua y solutos, pH urinario, equilibrio entre factores estimulantes/inhibidores de la cristalización), alteraciones anatómicas, infecciones y cambios socioeconómicos; los cuales a lo largo del tiempo han producido cambios en los hábitos dietéticos, lo que ha modificado la frecuencia, composición química y localización de los cálculos. A pesar de su rareza se debe pensar en la litiasis, con el fin de evitar un daño renal irreversible. La disponibilidad de terapia menos agresiva ha reducido a un 5% las indicaciones quirúrgicas, abriendo nuevas perspectivas en el tratamiento de la urolitiasis en la infancia.

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Litiasis urinaria en pediatría

Cited by 7 publications

References 0 publications

History, epidemiology and regional diversities of urolithiasis

History, epidemiology and regional diversities of urolithiasis

Prevalence and Pathophysiology of Pediatric Urolithiasis - A Review

Litiasis urinaria en pediatría

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