To screen or not to screen for vesicoureteral reflux in children with ureteropelvic junction obstruction: a systematic review

Weitz, Marcus; Schmidt, Michael

doi:10.1007/s00431-016-2818-3

Cited by 24 publications

(12 citation statements)

References 59 publications

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“…There is good evidence for the prediction of outcome after birth asphyxia in term infants, and the aEEG has been established as a tool to identify infants who will benefit from cooling 8 . In preterm infants, there is also good evidence that long-term neurological outcome can be predicted by early aEEG recordings 15 16 17 18 19 20 . However, to date, this knowledge does not result in consequences for clinical decision making in this population of infants.…”

Section: Discussionmentioning

confidence: 99%

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Application of an Amplitude-integrated EEG Monitor (Cerebral Function Monitor) to Neonates

Bruns

Blumenthal

Meyer

et al. 2017

JoVE

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Amplitude-integrated EEG (aEEG) is an easily accessible technique to monitor the electrocortical activity in preterm and term infants in neonatal intensive care units (NICUs). This method was first used to monitor newborns after asphyxia, providing information about future neurological outcomes. The aEEG is also helpful to select newborns who benefit from cooling. The aEEG monitoring of preterm infants is becoming more widespread, as various studies have shown that neurodevelopmental outcome is related to early aEEG tracings. Here, we demonstrate the application of the aEEG monitoring system and present typical patterns that depend upon gestational age and pathophysiological conditions. Furthermore, we mention pitfalls in the interpretation of the aEEG, as this method requires accurate fixation and localization of the electrodes. Additionally, the raw EEG can be used to detect neonatal seizures or to identify aEEG application problems. In conclusion, aEEG is a safe and generally well-tolerated method for the bedside monitoring of neonatal cerebral function; it can even provide information about long-term outcome.

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Section: Discussionmentioning

confidence: 99%

“…aEEG has been proven to be a safe method for cerebral function monitoring, even in extremely preterm infants, and is generally well-accepted by NICU staff 14 . Several studies showed a correlation between early aEEG recordings and neurodevelopmental outcomes in preterm infants 15 16 17 18 19 20 .…”

Section: Introductionmentioning

confidence: 99%

Application of an Amplitude-integrated EEG Monitor (Cerebral Function Monitor) to Neonates

Bruns

Blumenthal

Meyer

et al. 2017

JoVE

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“…3 % der Gesamtpopulation erlitt eine HWI im Verlauf [46]. In aktuellen Publikationen wird daher gefordert, nach sonografischen Zeichen eines VUR zu suchen, bevor die Indikation zum MCU gestellt wird [47,48]. In einer kürzlich publizierten Studie wiesen 18 % von 262 Neugeborenen mit Nierenbeckendilatation einen VUR auf.…”

Section: Indikation Zur Refluxprüfung Eingrenzenunclassified

“…Bei ureteropelviner Stenose findet sich bei ca. 8 % der Kinder mit ureteropelviner Stenose ein ipsilateraler oder/und kontralateraler VURetwa dreimal so häufig wie in der Normalpopulation [48,49]. Dieser Prozentsatz rechtfertigt bei asymptomatischen Kindern ohne sonografisch nachweisbare Ureterdilatation nicht den Aufwand einer Refluxprüfung [48].…”

Section: Indikation Zur Refluxprüfung Eingrenzenunclassified

“…8 % der Kinder mit ureteropelviner Stenose ein ipsilateraler oder/und kontralateraler VURetwa dreimal so häufig wie in der Normalpopulation [48,49]. Dieser Prozentsatz rechtfertigt bei asymptomatischen Kindern ohne sonografisch nachweisbare Ureterdilatation nicht den Aufwand einer Refluxprüfung [48]. Auch die Annahme, dass im Falle der Entscheidung zur Pyeloplastik ein präoperatives MCU unerlässlich ist, weil das Übersehen eines Refluxes das Operationsergebnis gefährden könnte, beruht auf Kasuistiken und ist bislang nicht evidenzbasiert.…”

Section: Indikation Zur Refluxprüfung Eingrenzenunclassified

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Refluxdiagnostik – Stellenwert des Miktionszystourethrogramms

Beetz

2019

Aktuel Urol

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ZusammenfassungDas radiologische Miktionszystourethrogramm gilt in der Kinderurologie seit Langem als Goldstandard zur Refluxprüfung. In den zurückliegenden Jahrzehnten haben sich daneben zusätzliche kontrastmittelgestützte Verfahren wie die sonografische Refluxprüfung oder die Radionuklidzystografie etabliert. Ihr Hauptindikationsgebiet liegt in der Reflux-Diagnostik nach Pyelonephritis im Säuglings- und Kindesalter. Für die Auswahl der geeigneten Methode spielen klinische Fragestellung, Verfügbarkeit, ökonomische Aspekte, personeller und zeitlicher Aufwand und das Ziel der geringstmöglichen Strahlenbelastung bei maximalem Informationsgehalt eine Rolle. Moderne Strategien streben unabhängig von der Methode der Refluxprüfung eine risikoorientierte, individuelle Indikationsstellung an.

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Determination of voiding pressure in infants with normal lower urinary tracts: Exploring the possible effect of sacral development

Zahir,

Ladi‐Seyedian,

Majidi Zolbin

et al. 2024

Neurourology and Urodynamics

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ObjectiveTo investigate the association between sacral underdevelopment, as defined by subnormal sacral ratio (SR) measurements, with increased maximum detrusor voiding pressure (P det. Max) in infants.MethodsIn this 2007–2015 retrospective cohort study, the medical records of all infants who underwent a pyeloplasty due to congenital ureteropelvic junction obstruction were added. Their P det. Max was evaluated through the suprapubic catheter utilized for urinary drainage intraoperatively, without imposing any additional risk of urethral catheterization on the infant. SR was calculated via the plain kidney, ureter, and bladder (KUB) radiography film obtained during the voiding cystourethrogram (VCUG) evaluation before the surgery. Participants were categorized into SR < 0.74 or SR ≥ 0.74. P det. Max was subsequently compared between these two groups.ResultsA total of 45 patients were included in our analysis. Twenty‐eight (62.2%) patients had a (SR < 0.74), while 17 (37.8%) had a (SR ≥ 0.74). P det. Max was shown to be significantly higher in the SR < 0.74 compared to the SR ≥ 0.74 group (167.5 ± 60.8 vs. 55.7 ± 17.9 cmH2O, p < 0.001). After adjusting for age and sex, SR remained a significant contributor to P det. Max (p < 0.001). Physiologic detrusor sphincter dyscoordination (PDSD) rate was significantly higher in the SR < 0.74 versus SR ≥ 0.74 group (100.0% vs. 70.6%, respectively; p = 0.005).ConclusionLumbosacral underdevelopment, as indicated by subnormal sacral ratios, is associated with sphincter‐detrusor dyscoordination, which causes PDSD and can ultimately result in higher P det. Max in infants.

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To screen or not to screen for vesicoureteral reflux in children with ureteropelvic junction obstruction: a systematic review

Cited by 24 publications

References 59 publications

Application of an Amplitude-integrated EEG Monitor (Cerebral Function Monitor) to Neonates

Application of an Amplitude-integrated EEG Monitor (Cerebral Function Monitor) to Neonates

Refluxdiagnostik – Stellenwert des Miktionszystourethrogramms

Determination of voiding pressure in infants with normal lower urinary tracts: Exploring the possible effect of sacral development

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