Short-Term Changes in Renal Function After Extracorporeal Shock Wave Lithotripsy in Children

Villányi, K; Szekely, J.; Farkas, László; Jávor, Éva; Pusztai, Csaba

doi:10.1016/s0022-5347(05)66130-7

Cited by 57 publications

(33 citation statements)

References 22 publications

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“…Secondly, ESWL itself may cause renal injury and result in loss of renal function. Although most clinical studies suggest that the initial decline in GFR is capable of improving with time (20), long-term effects are not known and have yet to be elucidated. Although no significant correlation was observed between the frequency of the ESWL sessions and renal function in the present study, a long-term longitudinal study should be conducted to confirm this point.…”

Section: Discussionmentioning

confidence: 99%

Chronic kidney disease in urolithiasis patients following successful extracorporeal shockwave lithotripsy

et al. 2011

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Abstract. Recently, it has been reported that kidney stones are a significant and independent risk factor for chronic kidney disease (CKD) in the general population. However, the prevalence of CKD in patients following successful extracorporeal shockwave lithotripsy (ESWL) has yet to be elucidated. In the present study, the prevalence of CKD and the clinical factors associated with the presence of CKD in patients following successful ESWL were investigated. A cross-sectional study was performed in 114 patients who had undergone ESWL for upper urinary tract stones and 96 age-and gender-matched healthy control subjects. We initially determined the stage of CKD and compared the prevalence of CKD between healthy subjects and patients who underwent successful ESWL. We then investigated the clinical factors associated with the presence of CKD by logistic regression analysis. The prevalence of CKD was significantly higher in patients following successful ESWL than in the healthy subjects [40 patients (35.1%) vs. 9 healthy controls (9.4%), P<0.0001]. Logistic regression analysis showed that the significant factors associated with the presence of CKD were increased body mass index (BMI) and the presence of a ureteric stone (pre-ESWL stone position). The findings indicated that there was a high prevalence of CKD among patients following successful ESWL, and that an increased BMI and a ureteric stone were factors associated with the presence of CKD.

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Section: Discussionmentioning

confidence: 99%

Chronic kidney disease in urolithiasis patients following successful extracorporeal shockwave lithotripsy

et al. 2011

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“…Types of SWL machines, shock wave numbers and dosage may have an important role on renal effects. The technical parameters of each SWL machine are different but third generation ultrasound guided machines with a small focal zone is recommended for treating kidney stones in children [15]. The kV and number of shocks are maintained as low as possible and 2 weeks is optimal time to repeat SWL session due to regeneration time of the transient renal proximal tubular dysfunction in children [15].…”

Section: Discussionmentioning

confidence: 99%

Stepwise shock wave lithotripsy: Results of initial study for the treatment of urinary stones in childhood

et al. 2006

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“…Many reports confirm that shockwave lithotripsy (SWL) can be performed in children with no suspicion of long-term morbidity of the kidney [19][20][21][22]. Calyceal or renal stones with a stone diameter of up to 2 cm are an ideal indication for ESWL.…”

Section: Conservative Management Of Acute Stone Episodementioning

confidence: 99%

“…Stone-free rates of 67-93 % in short-term and 57-92 % in long-term followup studies have been reported [4,17,18]. Consequently, ESWL can be indicated in children with a larger stone volume, and the placement of a ureteral stent before or after ESWL is generally unnecessary [18,[20][21][22][23][24][25]. The mean number of shock waves for each treatment is about 1,800 and 2,000 (up to 4,000 if needed) and the mean power set varies between 14 and 21 kV.…”

Section: Conservative Management Of Acute Stone Episodementioning

confidence: 99%

Current management of paediatric urolithiasis

Gnessin

Chertin

2012

Pediatr Surg Int

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We aimed to review a current management of paediatric nephrolithiasis. The current literature, including our own experience on the treatment of paediatric nephrolithiasis was reviewed by MEDLINE/PubMed search. We have used in our search following keywords: urolithiasis, nephrolithiasis, paediatrics, surgical treatment, conservative management, ESWL, ureteroscopy, and open renal surgery. The search was limited to the English language literature during the period of time from 1990 to 2011. All papers were reviewed independently by all co-authors and only the manuscripts directly related to the reviewed subjects were included into the current review. Due to the high incidence of predisposing factors for urolithiasis in children and high stone recurrence rates, every child with urinary stone should be given a complete metabolic evaluation. Most stones in children can be managed by ESWL and endoscopic techniques. Paediatric stone disease is an important clinical problem in paediatric urology practice. Because of its recurrent nature, every effort should be made to discover the underlying metabolic abnormality so that it can be treated appropriately. Obtaining a stone-free state with interventional management and close follow-up are of utmost importance.

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Short-Term Changes in Renal Function After Extracorporeal Shock Wave Lithotripsy in Children

Cited by 57 publications

References 22 publications

Chronic kidney disease in urolithiasis patients following successful extracorporeal shockwave lithotripsy

Chronic kidney disease in urolithiasis patients following successful extracorporeal shockwave lithotripsy

Stepwise shock wave lithotripsy: Results of initial study for the treatment of urinary stones in childhood

Current management of paediatric urolithiasis

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