کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
6218336 1607136 2014 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Effective endoscopic diagnosis and treatment of pediatric occult vesicoureteral reflux with intermediate to long-term follow-up
ترجمه فارسی عنوان
تشخیص و درمان آندوسکوپی موثر رفلاکس با ریزش موی بیمار کودکان با پیگیری متوسط ​​تا طولانی مدت
کلمات کلیدی
پیلونفریت، عفونت مجاری ادراری، ریفلاکس حنجره ویزوکورترال، تشخیص،
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی پریناتولوژی (پزشکی مادر و جنین)، طب اطفال و بهداشت کودک
چکیده انگلیسی

PurposeRecurrent febrile urinary tract infections (fUTIs) in children with non-diagnostic voiding cystourethrogram (VCUG) are challenging, as misdiagnosis can lead to renal damage and increased morbidity. We compared fUTI rates before and after endoscopic treatment of patients with suspected occult VUR.MethodsBetween January 2009 and December 2012, children with history of fUTI and non-diagnostic VCUG(s) underwent endoscopic ureteral hydrodistention (HD) and injection of dextranomer hyaluronic acid co-polymer (Dx/HA). fUTI rates before and after intervention were evaluated. Demographics, imaging and endoscopic findings were assessed.ResultsThirty-four children (mean age 5.4 ± 2.8 years) underwent bilateral Dx/HA injection for occult VUR. Average follow-up was 28.8 months. Seventeen children had renal scarring. Mean ureteral HD grade was 2.2/3. HD grade for ureters associated with renal scarring was significantly (p < 0.05) higher (2.6/3) than those without scarring (2.0/3). Mean injected volume was 1.2 mL. Ureters associated with renal scarring (n = 21) required significantly (p < 0.05) higher volumes (1.4 mL) than those without scarring (n = 47; 1.1 mL). Prior to intervention, the fUTI rate was 0.15/patient/month compared to just 0.02 after treatment (p < 0.0001).ConclusionsIncidence of fUTIs significantly decreased following treatment, supporting the use of Dx/HA injection in carefully selected children when the suspicion for occult VUR is high.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Pediatric Urology - Volume 10, Issue 6, December 2014, Pages 1095-1099
نویسندگان
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