Acute kidney injury due to bilateral ureteral obstruction in children

Bianchi, Daniele; Vespasiani, Giuseppe; Bove, Pierluigi

doi:10.5527/wjn.v3.i4.182

Cited by 30 publications

(25 citation statements)

References 98 publications

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“…13 Other causes also noted in our study were urethral strictures, prostate cancer, posterior urethral valve, ureteric ligation from total abdominal hysterectomy and pelvi-ureteric junction obstruction, as reported in the previous studies. 10,12,14,15 We also found a case of urethral stenosis in a female child similar to that reported from Port Harcourt. 16 Urinary diversion was done in 25% of our patients which is lower than 100% and 45% reported by the previous studies.…”

Section: Discussionsupporting

confidence: 83%

Management of obstructive nephropathy in a tertiary hospital in North West Nigeria: A five-year review

Muhammad¹,

Abdulwahab-Ahmed²,

Agwu³

et al. 2018

East. Cent. Afr. J. Surg.

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Background: Obstructive nephropathy is managed initially with urinary diversion and possibly haemodialysis before definitive therapy. This study was aimed at determining the pattern of presentation, aetiology and management options of obstructive nephropathy in our practice. Methods: This was a five-year retrospective study of the patients managed for obstructive nephropathy at our facility from January 2011-December 2015. Data were collected via a pro forma and analysed using SPSS version 20.0.Results: There were 106 patients managed for obstructive nephropathy with a mean age of 48.3 ± 17. 4 years and age range of 4 months to 85 years. The male: female ratio was 10:1. The most common causes of obstructive nephropathy were bladder cancer (49.1%), benign prostatic hyperplasia (BPH, 22.6%), bilateral ureteric stone (5.7%) (22.6%), nephrostomy (2.8%) and dialysis (10.4%) were the initial treatments. Chemoradiation was done for the patients with bladder cancer and 17.9% of the patients had operative interventions, which included ureteroneocystostomy, open prostatectomy or transurethral resection of the prostate, and ureteroscopy + lithotripsy. Fifty-two patients (49.1%) died while awaiting dialysis and four patients (3.8%) developed end-stage renal disease. and bilateral schistosomal lower ureteric obstruction (4.7%). Urethral or suprapubic catheterisation Conclusions: Bladder carcinomas, BPH, ureteric obstruction are the commonest causes of obstructive nephropathy in our practice. The initial treatment includes urinary diversion and or dialysis before definitive treatment.

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Section: Discussionsupporting

confidence: 83%

Management of obstructive nephropathy in a tertiary hospital in North West Nigeria: A five-year review

Muhammad¹,

Abdulwahab-Ahmed²,

Agwu³

et al. 2018

East. Cent. Afr. J. Surg.

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“…AGE-related urolithiasis can be found in otherwise healthy children, and its prognosis is generally favorable, although a subset of affected patients may require invasive procedures, such as nephrostomy. We believe that this rare complication of pediatric AGE is an underrecognized disease entity outside Japan, warranting further studies [5]. In clinical practice, urolithiasis should be included in the differential diagnosis for patients with AGE who present with symptoms, such as hematuria or persistent oliguria.…”

Section: Discussionmentioning

confidence: 97%

Pediatric urolithiasis associated with acute gastroenteritis: an inpatient database study in Japan

et al. 2017

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Childhood AGE is associated with a twofold risk of urolithiasis in a hospitalized cohort, but the absolute risk is low. Our study shows that AGE-related urolithiasis occurs through a variety of pathogens, and the outcomes of patients are favorable, which is in contrast to previous reports. What is Known: • There are several sporadic reports of pediatric urolithiasis associated with acute gastroenteritis (AGE), predominantly from Japan. • The epidemiology of AGE-related urolithiasis is however unclear. What is New: • AGE is associated with a two-fold risk of urolithiasis in a hospitalized cohort, with its absolute risk of 3.7 cases/10,000 AGE admissions.

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“…Improvement of kidney function is inversely proportional to the duration of obstruction. 5,12 In this study the duration of symptoms used as a parameter as the time of suspected obstruction to get treatment. In patients with release of obstruction procedure being performed ≤ 6 weeks after symptoms appeared, a significant and better reduction in serum creatinine compared with the release of obstruction performed > 6 weeks after the onset of symptoms.…”

Section: Discussionmentioning

confidence: 99%

Patient prognosis after relief of obstruction

Danarto

2018

JMedScie

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Obstructive uropathy may lead to irreversible kidney damage. The insertion of ureteral stent is one of procedure to relief obstruction and prevent further kidney damaged, septicemia as well as urosepsis. A study to evaluate the predictive factor of urinary diversion in improving kidney function is needed. This study aimed to assess prognosis factors post-relief of obstruction in patients with uropathic obstruction focusing on kidney function recovery. This was a retrospective cohort study conducted at An-Nur Private Hospital in Yogyakarta Special Region, Indonesia using the medical record of patients with obstructive uropathy whom underwent DJ Stent insertion from a period of 2011 to 2015. The data of clinical assessment, laboratory and radiologic examination data were collected and analyzed using Chi square or student t test. A total 59 patients with obstructive uropathy aged around 50.9 years whom underwent DJ Stent were involved in this study. The results showed that release of obstruction with the installation of ureteral stents was significantly able to improve kidney function. The duration of obstruction, etiology, and hemoglobin (Hb) levels were associated with creatinine levels, whereas gender, urinary tract infection (UTI) and comorbid were not. In conclusion, prognosis factors of post-relief obstuction are duration of obstruction, etiology of obstruction and Hb levels before the release of obstruction. ABSTRAK Uropathi obstruktif dapat menyebabkan kerusakan ginjal permanen. Penyisipan sten uretra adalah salah satu prosedur menghilangkan obstruksi untuk menjegah kerusakan ginjal lebih lanjut, septisimia, dan urosepsis. Dibutuhkan penelitian untuk mengevaluasi faktor prediktif pengalihan urin dalam meningkatkan fungsi ginjal. Penelitian ini bertujuan untuk menentukan faktor prognosis pasca penghilangan obstruksi pada pasien dengan obstruksi uropatik dengan fokus pada pemulihan fungsi ginjal. Penelitian ini merupakan penelitian kohort retrospektif di Rumah Sakit An-Nur, Daerah Istimewa Yogyakarta, Indonesia menggunakan data rekam medis pasien uropati obstruksi yang menjalan pemasangan sten DJ selama periode 2011 sampai 2015. Data pemeriksaan klinik, laboratorium dan radiologi dikumpulkan dan dianalisis dengan uji Chi square atau uji t. Total 59 pasien uropati obstuksi berumur sekitar 50,9 tahun yang menjalani pemasangan sten DJ terlibat dalam penelitian. Hasil penelitian menunjukkan bahwa pelepasan obstruksi dengan pemasangan stent ureter secara nyata dapat meningkatkan fungsi ginjal. Lama obstruksi, penyebab obstruksi, dan kadar hemoglobin (Hb) berhubungan dengan kadar kreatinin, sedangkan jenis kelamin, infeksi saluran kemih, dan komorbid tidak. Dapat disimpulkan, faktor prognosis pasca penghilangan obstruksi adalah lama obstruksi, penyebab obstruksi, dan kadar Hb sebelum pelepasan obstruksi.

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Acute kidney injury due to bilateral ureteral obstruction in children

Cited by 30 publications

References 98 publications

Management of obstructive nephropathy in a tertiary hospital in North West Nigeria: A five-year review

Management of obstructive nephropathy in a tertiary hospital in North West Nigeria: A five-year review

Pediatric urolithiasis associated with acute gastroenteritis: an inpatient database study in Japan

Patient prognosis after relief of obstruction

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