Actualización en El Tratamiento Endoscópico Del Reflujo Vesicoureteral Primario en La Infancia

Martínez, Amarilys Mercantete; Jackson, Emilio Víctor Cordiés; Gómez, Yalaysis Rodríguez; Calderin, Yisell Portales

doi:10.47230/unesum-ciencias.v6.n1.2022.667

Cited by 1 publication

(4 citation statements)

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“…The incidence of urinary tract infection in childhood varies between s, affecting 1 to 2% of boys and can increase up to 5% in girls. It is suggested that 25 to 70% of infants who suffer from recurrent febrile urinary tract infections are carriers of VUR 4,8 .…”

Section: Discussionmentioning

confidence: 99%

“…The exact prevalence of VUR is unknown, it is considered that one third of patients treated for urinary tract infection(UTI) are carriers of VUR. UTI occurs in between 5 and 10% of all children, in 20% of them the infection recurs, VUR is considered a predisposing factor for recurrence1.In Cuba this condition has an incidence of 1% in healthy children and 30 to 50% in children with UTI 4 . The association between VUR and urinary infection has been clearly established.…”

Section: Introductionmentioning

confidence: 99%

“…As a consequence of the combination of hyperpressure on the kidney and urinary infection, pyelonephritic changes occur capable of causing kidney failure and hypertension; the kidney damage caused is known as scarring nephropathy. VUR constitutes 20% of the causes of chronic kidney disease in childhood 1,4 The diagnosis of VUR is essentially made through imaging studies. Ultrasound of the urinary tract is the first-line study in children with recurrent UTI; Dilation of the excretory system is an ultrasonographic sign of VUR.…”

Section: Introductionmentioning

confidence: 99%

“…These complications are mostly resolved with medical or conservative treatment and do not leave long-term sequelae. The most feared complication is persistent ureterovesical junction obstruction since it evolves with deterioration of renal function and in most cases requires ureteral reimplantation; it can affect 2% of patients 4,8,9,10,11 . This research was carried out with the objective ofidentify risk factors associated with endoscopic treatment of VUR in children…”

Section: Introductionmentioning

confidence: 99%

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Risk Factors Associated With Endoscopic Treatment of Vesicoureteral Reflux in Children

Velázquez-Sarabia,

Sarabia-Alcocer,

López-Gutiérrez

et al. 2024

JHS

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Vesicoureteral reflux (VUR) is the abnormal flow of urine backing up from the bladder through the tubes (ureters) that connect the kidneys to the bladder. Normally, urine flows from the kidneys through the ureters to the bladder. It is not supposed to flow in the opposite direction, back to the kidneys. Aim:Identify risk factors associated with endoscopic treatment of VUR in children. Material and methods: A descriptive, retrospective study was carried out on 263 patients with a diagnosis of VUR who received endoscopic treatment, in Health Institutions of the City of San Francisco de Campeche, Campeche, during the period from January 2020 to December 2023. The variables studied were: age, gender, conditions associated with VUR, degree and laterality of reflux, injection technique, complications, severity and treatment of complications. A review of the medical records and files was carried out. The data were processed using SPSS version 23.0. To summarize the variables, absolute and relative frequencies were used; mean and range were determined for age. Results: Females predominated and ages ranged from 5 to 9 years, the average age was 6.12 years. 52.47% of patients presented bilateral VUR. In total, 401 ureteral meatuses were injected, VUR grades III (34.16%) and IV (31.42%) predominated, 11.40% of the sample presented a complete double excretory system. The most used injection technique was the STING (71.10%). 10.26% presented complications, urinary infection was the most frequent (6.46%) followed by late ureteral obstruction (2.28%). Most complications were resolved with medical treatment. Lower grade complications predominated. Conclusions: Endoscopic treatment of VUR is associated with few complications, the most frequent being minor. Late ureteral obstruction is the most serious complication. Long-term followup of patients is important to avoid irreversible kidney damage caused by sustained ureteral obstruction.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%