Development of pediatric hydronephrosis patients visiting the San Vicente Foundation University Hospital, Medellín, Colombia
| Autor: | Vélez Tejada, María Paulina, Niño Serna, Laura Fernanda, Serna Higuita, Lina María, Serrano Gayubo, Ana Katherina, Vélez Echeverri, Catalina, Vanegas Ruiz, Juan José, Sierra Abaúnza, Javier Mauricio, Piedrahita Echeverry, Vilma María |
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| Jazyk: | angličtina |
| Rok vydání: | 2014 |
| Předmět: | |
| Zdroj: | Iatreia, Volume: 27, Issue: 2, Pages: 252-259, Published: JUN 2014 Repositorio UdeA Universidad de Antioquia instacron:Universidad de Antioquia |
| Popis: | Hydronephrosis is one of the most common congenital malformations detected on prenatal ultrasounds. Moderate and severe cases are often associated with urological abnormality. Objetive: To describe a series of pediatric patients diagnosed with hydronephrosis determining their etiology, prenatal diagnosis and frequency of chronic kidney disease (CKD). Materials and methods: A descriptive, retrospective study. Results: The records of 924 patients between the ages of 0 and 18 years were evaluated, 35.7% female and 64.3% male. In 14.4% (133) the diagnosis was prenatal. Hydronephrosis was bilateral in 198 patients (28.5%). In 18.3% (169) no associated urological abnormality was found, reaching 4.2% in CKD (7). Ureteropelvic stenosis was diagnosed in 23.3% (216) followed with 21.5% VUR (199) and posterior urethral valves in 9.4% (87), reaching 10.2% ERC (93). When the hydroneprhosis was diagnosed by urography, those patients presented 11.3% of chronic kidney disease vs. 8.4% in whom the diagnosis was made by ultrasound, when the hydronephosis diagnosed was by prenatal vs postnatal ultrasound, the percentage of CKD was 4.8% vs 10.8%, respectively. Conclusion:Early diagnosis of hydronephrosis allows the detection of urologic abnormalities susceptible of treatment. Although there are still many questions about which one is the ideal strategy of follow up; the ultrasonography, voiding cystourethrogram, urography, scintigraphy and magnetic resonance urography in selected patients are the most useful tools in order to evaluate urinary tract anomaly. |
| Databáze: | OpenAIRE |
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