La ponction biopsie rénale: indications, complications et résultats

Mhamedi, Saad Alaoui; Meghraoui, H. El; Benabdelhak, M.; Bentata, Y.; Haddiya, I.

doi:10.11604/pamj.2018.31.44.15604

Cited by 5 publications

(5 citation statements)

References 18 publications

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“…The mean age of these patients is 37.68 ± 31 years, which is comparable to the results of two other studies [2] [6]. For renal manifestations, high blood pressure was found in 41.13% and reduced dieresis in 11.39%, nephrotic syndrome is the most frequent mode of presentation in our patients, it presents the first indication for renal biopsy with a frequency of 65.18%, this result is comparable to the study conducted in Oujda [7], this frequency is higher than the study conducted in Spain [8]. The presence of acute renal failure was the second indication for PRB with a frequency of 14.55%.…”

Section: Discussionsupporting

confidence: 90%

Post-Renal Biopsy Deglobulization: Risk Factors and Prognosis: A Study of 157 Biopsies

Elbardai¹,

Raiss²,

Chouhani³

et al. 2022

OJNeph

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391Open Journal of Nephrology factors for deglobulization found in our patients were: hyperuremia 80.6% (p: 0.017), acute renal failure 77.8% (p: 0.04), acute hemodialysis 24.7% (p: 0.02), hyperphosphatemia 63.6% (0.04). Conclusion: Renal biopsies are an overall safe procedure with rare major complications. Post-renal biopsy deglobulization is common. Routine post-biopsy ultrasound may not be necessary. Renal biopsies can be performed safely if risk factors are controlled, such as renal failure, hyperuremia, hyperphosphatemia, hemodialysis patients and a diagnosis of lupus nephropathy.

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Section: Discussionsupporting

confidence: 90%

Post-Renal Biopsy Deglobulization: Risk Factors and Prognosis: A Study of 157 Biopsies

Elbardai¹,

Raiss²,

Chouhani³

et al. 2022

OJNeph

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“…In our patient cohort, we observed that 33.3% had used herbal medicine, while 32.5% had hypertension, and 6.7% and 1.7% had type 2 diabetes and sickle cell disease, respectively. In a study by Mhamedi et al, from Morocco, 17% of patients had hypertension, and lupus was present in 14% of patients, while glomerulopathy was found in 11% of cases [21].…”

Section: Discussionmentioning

confidence: 91%

“…In Mhamedi et al's study, nephrotic syndrome also dominated as the primary indication of KB (60%) across all age groups; the presence of a systemic disease with proteinuria or renal involvement (14%) constituted the second most common indication for kidney biopsy, alongside acute kidney injury at 14%. Following close were glomerular syndrome (6%) and rapidly progressive glomerulonephritis (3%) [21]. Within our series, we encountered 21 cases of complications, which included 12.5% (n = 15) of cases of macroscopic hematuria and 5% (n = 6) of cases of microscopic hematuria (detected by an urine dipstick) among the set of KBs.…”

Section: Discussionmentioning

confidence: 92%

“…The average age of patients was 35 years, with extremes of 5 and 68 years. The most represented age group was [15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34], making up 48.33% of the cohort. This average age was lower than that reported in studies conducted by Ben Salem et al in Tunisia in 2020 (45 years old) [11] or in a study carried out in a military hospital in Morocco (44 years old) [12], with a standard deviation of 16 and 15 years, respectively.…”

Section: Discussionmentioning

confidence: 99%

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Implementation of Kidney Biopsy in One of the Poorest Countries in the World: Experience from Zinder Hospital (Niger)

Diongolé,

Tondi,

Garba

et al. 2024

JCM

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Kidney biopsy (KB) has become essential in the nephrologist’s approach to kidney diseases, both for diagnosis, treatment, and prognosis. Our objective is to describe the preliminary results of KBs in Niger, one of the poorest countries in the world. This is a descriptive cross-sectional study that took place over 36 months in the nephrology/dialysis department of the Zinder National Hospital. Biopsy results were obtained in less than 5 working days. Patients were responsible for covering the cost of the kidney biopsy. The data collected were analyzed using Epi Info V7 software. We performed 120 kidney biopsies during the study period. The average age of the patients was 35 years ± 15.4 [5–68]. The male/female sex ratio was 2:1. Patients’ medical history included herbal medicine use in 33% of cases and high blood pressure in 27.5% of cases. Proteinuria was present at a rate of ≥3 g/24 h in 46.6% of them. The primary indication for kidney biopsy was glomerular syndrome in 62.5% of cases, including 50% with nephrotic syndrome. All kidney biopsies were performed with real-time ultrasound guidance, using an automatic gun fitted with a 16G needle. Regarding complications, macroscopic hematuria was present in 12.5% of cases. Inadequate kidney biopsy was infrequent (5.8% of cases). The most common findings were (i) glomerular diseases (58.4%), such as membranoproliferative glomerulonephritis (13.3%), focal-segmental glomerulosclerosis (10.6%), lupus nephritis (8.8%), minimal change disease (8%), and membranous nephropathy (2.7%), and (ii) tubulointerstitial changes (31.8%). Diabetic nephropathy was rare (2.6%), as was IgA nephropathy (0.9%). We have demonstrated that implementing a sustainable kidney biopsy program in a very poor country is feasible, thanks to the dedication of a specialized renal pathologist. Having a clear diagnosis can assist in properly treating these renal patients according to international guidelines, thereby delaying the progression to end-stage kidney disease.

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“…The presence of DR can be diagnosed by fundus examination. In contrast, the kidneys are hidden in the abdomen of the human body, so doctors cannot accurately see the specific situation, and the gold standard for diagnosing renal disease is renal puncture biopsy ( 25 ). However, renal puncture biopsy is an invasive test, which is often difficult for the majority of patients to accept, so the use of fundus examination to predict renal disease is increasingly becoming the primary means of clinical doctors to screen for DN.…”

Section: Parallelism Between Dn and Dr Developmentmentioning

confidence: 99%

Parallelism and non-parallelism in diabetic nephropathy and diabetic retinopathy

Tang,

An,

Sun

et al. 2024

Front. Endocrinol.

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Diabetic nephropathy (DN) and diabetic retinopathy (DR), as microvascular complications of diabetes mellitus, are currently the leading causes of end-stage renal disease (ESRD) and blindness, respectively, in the adult working population, and they are major public health problems with social and economic burdens. The parallelism between the two in the process of occurrence and development manifests in the high overlap of disease-causing risk factors and pathogenesis, high rates of comorbidity, mutually predictive effects, and partial concordance in the clinical use of medications. However, since the two organs, the eye and the kidney, have their unique internal environment and physiological processes, each with specific influencing molecules, and the target organs have non-parallelism due to different pathological changes and responses to various influencing factors, this article provides an overview of the parallelism and non-parallelism between DN and DR to further recognize the commonalities and differences between the two diseases and provide references for early diagnosis, clinical guidance on the use of medication, and the development of new drugs.

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La ponction biopsie rénale: indications, complications et résultats

Cited by 5 publications

References 18 publications

Post-Renal Biopsy Deglobulization: Risk Factors and Prognosis: A Study of 157 Biopsies

Post-Renal Biopsy Deglobulization: Risk Factors and Prognosis: A Study of 157 Biopsies

Implementation of Kidney Biopsy in One of the Poorest Countries in the World: Experience from Zinder Hospital (Niger)

Parallelism and non-parallelism in diabetic nephropathy and diabetic retinopathy

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