Pediatric Kidney: Functional Outcome After Extracorporeal Shock Wave Lithotripsy

Goel, Mahesh C.; Baserge, Narender S.; Babu, Ramesh; Sinha, Sanjay; Kapoor, Rakesh

doi:10.1016/s0022-5347(01)66101-9

Cited by 81 publications

(31 citation statements)

References 23 publications

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“…Çocuk ve genç hastalarda üretra çapının dar olması ve geç komplikasyon olan üretral darlığı önlemek için olabildiğince endoskopik girişimlerden kaçın-mak açık sistolitotomi ve peruktan yaklaşımları tercih etmek gerekmektedir (11) . ESWL'de üretra çapının dar olması ve kırılan taş parçaları düşmesi zor ve düşerken üretral zedelenmeye neden olabileceği için yine genç ve çocuk hastalarda pek tercih edilmemektedir (11,12) . İlk olgumuzda prostatik üretrayı tıkayan taş her iki olgumuzda ise radyolojik olarak saptanan mesane duvar kalınlığı ile de bilateral orifis oklüzyonu düşünülmüştür.…”

Section: Discussionunclassified

Huge bladder stone coused acute renal injury,Case report

Yoldaş¹,

Yoldaş²,

Türk³

et al. 2015

Tepecik Dergisi

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ÖZETÜlkemiz, taş hastalığının sık görüldüğü, İpek Yolu üzerinde yer alan dünya taş kuşağı bölgesinde yer almaktadır. Ülkemizde taş hastalığı sıklığı %10'un üzerindedir ve mesane taşları tüm üriner sistem taşları içinde %5 gibi bir paya sahiptir. Hastalar genelde sıklık, aciliyet ve idrar yaparken ani kesilme yakınmaları ile başvurmaktadırlar, ancak bilateral hidronefroz ve akut böbrek hasarı ile hastaların karşımıza çıkması enderdir ve litaretürde sadece olgu sunumları olarak rastlanmaktadır. Bu sunumumuzda bilateral hidroüreteronefroz ve akut böbrek hasarı ile başvuran 2 olguyu değerlendirdik. Anahtar kelimeler: Akut böbrek hasarı, bilateral hidronefroz, dev mesane taşı, sistolitotomi ABSTRACTOur country is situated in the stone disease region commonly seen in the stone belt of the world on the road. In our country frequency of stone disease is over 10 percent. Bladder stones account for 5% of all urinary system cstones. Usually patients present with frequency, urgency, but with bilateral hydronephrosis and acute renal injury are rare and they are encountered as case reports in the literature. In this case presentation, we have evaluated 2 patients with bilateral hydroureteronephrosis, and acute renal injury.

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Section: Discussionunclassified

Huge bladder stone coused acute renal injury,Case report

Yoldaş¹,

Yoldaş²,

Türk³

et al. 2015

Tepecik Dergisi

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“…Although long-term detrimental effects of SWL on renal function and permanent histological changes have been noted in young rats, [11] long term follow up with renal scintigraphy of children treated with SWL could not demonstrate any parenchymal damage. [12] Brinkman et al noted no evidence of renal scarring, change in blood pressure, or renal function loss following SWL in 63 children, over a follow-up of 45 months. [13] Similarly, no adverse parenchymal effects, functional compromise, or neo onset hypertension, was reported in infants undergoing SWL for urolithiasis.…”

Section: Pediatric Shock Wave Lithotripsy (Swl)mentioning

confidence: 99%

Current status of minimally invasive management of pediatric upper urinary tract calculi

Kolla

Wadhwa

Aron

2006

J Indian Assoc Pediatr Surg

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ABSTRACT ABSTRACT ABSTRACTThe surgical management of pediatric upper urinary tract calculi has evolved from open surgery to minimally invasive techniques. With advancement in instrumentation, endourological procedures are being performed more commonly in children. However, the endourological management of renal and ureteral stones in the pediatric population is considered challenging, owing to the smaller size of the urinary tract. Various minimally invasive techniques that are being applied in the management of pediatric urolithiasis, include shock wave lithitripsy (SWL), percutaneous nephrolithotomy (PCNL), ureterorenoscopy and a combination of these procedures. The role of SWL is well established and is considered the first line of treatment in the management of urinary calculi in pediatric patients. Recent reports have confirmed the safety of PCNL and ureteroscopy in children, although they are not as widely practiced in children as in adults. This article reviews literature published till October 2005, pertaining to the minimally invasive management of pediatric upper urinary tract calculi.

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“…Se ha comunicado en la bibliografía la ausencia de cálculos en el 75 al 92% de los pacientes después de uno a tres tratamientos de LEOC 10,[14][15][16][17][18][19] .…”

Section: Comentariounclassified

“…En dos de ellos se evaluaron los resultados funcionales tras LEOC con gammagrafía renal con 99m Tc-ácido pentaacético (DTPA). En un estudio en 50 pacientes Goel et al observaron que la filtración glomerular (FG) ipsilateral media de los riñones tratados no cambiaba significativamente en el seguimiento a largo plazo, y que los cambios agudos tras LEOC en unos pocos pacientes se resolvían espontáneamente 16 . En otro estudio, Vlajkovic et al demostraron que la FG disminuía inmediatamente después de la LEOC, pero volvía a los valores anteriores tres meses después 14 .…”

Section: Comentariounclassified

Litotricia extracorpórea en niños: Eficacia y evaluación a largo plazo de la lesión del parénquima renal mediante gammagrafía con DMSA-99mTc

Reis¹,

Zani²,

Ikari³

et al. 2010

Actas Urol Esp

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Palabras clave:Litotricia extracorpórea por ondas Resultados: se fragmentaron con éxito los cálculos en todos los casos; en 9 pacientes (50%) con una sesión de LEOC, en 6 (33%) con dos sesiones y en tres pacientes (17 %) con tres sesiones de LEOC. Sólo un paciente (5%) mostró un cambio de tamaño del riñón derecho con descenso de la función tubular, sin hipertensión ni otros cambios importantes después de tres sesiones de LEOC y 6 meses de seguimiento. En los demás casos se comprobó la ausencia de hipertensión hasta los 12 meses de seguimiento, de hematomas en la ecografía o de cicatrices renales importantes en las exploraciones gammagráficas.Conclusión: la LEOC es eficaz y segura para tratar la litiasis renal en niños. Pueden aparecer lesiones del parénquima renal precozmente tras el tratamiento, pero estas lesiones son pasajeras y se resuelven espontáneamente en prácticamente todos los casos. No existen generalmente lesiones renales irreversibles asociadas con la LEOC, ni siquiera después del periodo de seguimiento con exploración clínica y ecográfica y gammagrafía con DMSA-99m Tc.

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Pediatric Kidney: Functional Outcome After Extracorporeal Shock Wave Lithotripsy

Abstract: ESWL is effective in the pediatric population, and it can be safely performed without long-term bio-effects on the function or morphology of the growing kidney.

Cited by 81 publications

References 23 publications

Huge bladder stone coused acute renal injury,Case report

Huge bladder stone coused acute renal injury,Case report

Current status of minimally invasive management of pediatric upper urinary tract calculi

Litotricia extracorpórea en niños: Eficacia y evaluación a largo plazo de la lesión del parénquima renal mediante gammagrafía con DMSA-99mTc

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