Childhood Urolithiasis: Experiences and Advances
| Autor: | John P. Gearhart, Gilbert Z. Herzberg, Robert D. Jeffs |
|---|---|
| Rok vydání: | 1991 |
| Předmět: |
medicine.medical_specialty
Abdominal pain business.industry medicine.medical_treatment Urinary system Calcium oxalate Retrospective cohort study Lithotripsy medicine.disease Extracorporeal Surgery chemistry.chemical_compound chemistry Pediatrics Perinatology and Child Health medicine medicine.symptom business Obstructive uropathy Pediatric population |
| Zdroj: | Pediatrics. 87:445-450 |
| ISSN: | 1098-4275 0031-4005 |
| DOI: | 10.1542/peds.87.4.445 |
| Popis: | Between June 1979 and June 1989, 54 children with urolithiasis were evaluated and treated at the Johns Hopkins Children's Center. The most common symptoms were flank or abdominal pain (58%) and gross hematuria (28%). In 46 children (86%), stones were secondary to a preexisting condition and in only 8 (14%) no apparent cause of stone formation could be found. Thirty-six patients (66%) had a solitary stone, most commonly found in the kidney. Urinary tract infections were present in 25 (47%) of the patients who had stones. Stones composed either of calcium oxalate or struvite were the most frequently recovered in these patients with infections. Twenty-one patients (39%) spontaneously passed their stones whereas 23 (43%) required either surgery or extracorporeal shock-wave lithotripsy to resolve stones. Ten (20%) showed recurrence of their urolithiasis, with follow-up examination periods ranging from 1 month to 10 years. Recent advances in the management of urolithiasis and their applicability to the pediatric population are discussed. |
| Databáze: | OpenAIRE |
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