Abnormal DMSA renal scan findings and associated factors in older children with vesicoureteral reflux
| Autor: | Yiloren Tanidir, Tufan Tarcan, Mehmet Umut Kutukoglu, Onur Telli, Selcuk Yucel, Çağrı Akın Şekerci, Raziye Ergun |
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| Rok vydání: | 2021 |
| Předmět: |
Male
Nephrology medicine.medical_specialty Multivariate analysis Adolescent Urology Urinary system 030232 urology & nephrology 030204 cardiovascular system & hematology Kidney urologic and male genital diseases Vesicoureteral reflux 03 medical and health sciences 0302 clinical medicine Internal medicine medicine Humans Child Radionuclide Imaging Retrospective Studies Vesico-Ureteral Reflux business.industry Febrile urinary tract infection Medical record Reflux medicine.disease female genital diseases and pregnancy complications Dimercaptosuccinic acid Child Preschool Technetium Tc 99m Dimercaptosuccinic Acid Female Radiopharmaceuticals business medicine.drug |
| Zdroj: | International Urology and Nephrology. 53:1963-1968 |
| ISSN: | 1573-2584 0301-1623 |
| DOI: | 10.1007/s11255-021-02934-3 |
| Popis: | There are scanty data on the rate of abnormal Tc-99 m dimercaptosuccinic acid (DMSA) renal scintigraphy and associated factors in children older than 5 years with diagnosis of VUR. We do not have knowledge about which older children should undergo DMSA after VUR diagnosis. This study aims to assess the rate of abnormal DMSA findings and associated factors in children older than 5 years of age diagnosed with VUR. We retrospectively reviewed the medical records of 258 children with VUR diagnosed at or older than 5 year age. 179 children [42 (23.5%) males and 137 (76.5%) females] with complete data were included. 268 reflux units were compared according to gender, bilaterality, grade, reflux phase at voiding cystourethrography, febrile urinary tract infection (fUTI), lower urinary tract dysfunction (LUTD), and DMSA findings with uni- and multivariate analysis. The median age was 110 (60–216) months. VUR grades were I, II, and III in 197 (73.6%) units and IV–V in 71 (26.4%). 138 (51.5%) renal units had abnormal DMSA. VUR grade (p |
| Databáze: | OpenAIRE |
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