Metabolic Evaluation in Paediatric Urolithiasis: A 4-Year Open Prospective Study

Gajengi, Ajay Kumar R; Wagaskar, Vinayak; Tanwar, Harshwardhan V; Mhaske, Sunil; Patwardhan, Sujata

doi:10.7860/jcdr/2016/17265.7251

Cited by 13 publications

(12 citation statements)

References 8 publications

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“…El elevado riesgo de recurrencia es considerado un problema mayor de salud en pediatría y la frecuencia de la misma es equivalente a la de adultos. Existen estudios que reportan que el 50% de niños sufren recidivas 7 años posteriores al episodio litiásico (1,23) y son similares a lo encontrado en los niños en este estudio. Las manifestaciones clínicas en los niños son variadas y no se centran en el cólico clásico de aparición frecuente en los adultos (1) .…”

Section: Discussionunclassified

Alteraciones urinarias en niños litiásicos paraguayos según estado nutricional

Funes

Avelar-Sosa

Díaz

et al. 2019

Mem. Inst. Investig. Cienc. Salud

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Section: Discussionunclassified

Alteraciones urinarias en niños litiásicos paraguayos según estado nutricional

Funes

Avelar-Sosa

Díaz

et al. 2019

Mem. Inst. Investig. Cienc. Salud

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“…Ayrıca kalsiyumun düşük olması kalsitrol üretimine ve hiperkalsiüriye neden olmaktadır. 1 Hastalarımızın günlük kalsiyum alımı 541±182 (336-1200) mg/gün ve tamamında kan kalsiyum düzeyi normal sınırlarda (8,5-10,5 mg/dL) bulunmuştur. Serum 25(OH) vitamin D düzeyi >30 ng/mL olduğunda yeterli, 20-30 ng/mL ise vitamin D yetersizliği, <20 ng/mL ise vitamin D eksikliği olarak kabul edilmektedir.…”

Section: Discussionunclassified

“…Hiperkalsiüri diyet özelliklerinden etkilenen en önemli litojenik faktör olarak tanımlanmaktadır. 1,14,15 Tamamı immobil ve sürekli enteral yoldan beslenen hastalarımızda, literatüre göre hiperkalsiüri ve ürolitiazis sıklığındaki yüksekliğin sıcak bir coğrafyada yaşıyor olmamıza bağlı olabileceği düşünülmüştür.…”

Section: Discussionunclassified

The Effectiveness of Ultrasonography in Detecting Emergent Pediatric Pathologies and Requirement for Additional Imaging Techniques: A Retrospective Study

Baştuğ¹

2018

cayd

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Giriş: Bu çalışmada, ev tipi ventilatör ile izlenen trakeostomili hastalarda ürolitiazis sıklığı ve risk faktörlerinin değerlendirilmesi amaçlanmıştır. Yöntemler: Ocak 2014 ve Aralık 2015 tarihleri arasında çocuk yoğun bakım ünitemize yatırılan ve ev tipi ventilatörü olan trakeostomili 30 hasta geriye dönük olarak değerlendirilmiştir. Hastalara ait yaş, cinsiyet, altta yatan hastalık, kullanmakta olduğu ilaçlar, beslenme şekli, beslenme ürünü, kan biyokimyası, parathormon, 25(OH) vitamin D düzeyi, spot idrarda kalsiyum/kreatin, üriner sistem ultrasonografisi bilgileri hastaların arşiv dosyaları ve bilgisayar sisteminden elde edilmiştir. Bulgular: Hastaların %30'u (9/30) kız, %70'i (21/30) erkek olup yaş ortanca 70 ay (15-197 ay) idi. Motor fonksiyon sınıflama sistemine göre hastaların %33,3'ü (10/30) skor 4, %66,7'si (20/30) skor 5 olup tamamı immobil hastalar idi. Üriner sistem ultrasonografisi ile hastaların %30'unda (9/30) üst üriner sistem taşı saptandı. Hastaların %56,7'sinde (17/30) spot idrar kalsiyum/kreatin 0,21'in üzerinde bulundu. Yaşa göre spot idrar kalsiyum/kreatin hastaların %66,6'sında (20/30) yüksek saptandı. Hastaların günlük kalsiyum alımı 541±182 (336-1200) mg/gün; vitamin D alımı 25, 9±10,6 (7,8-51,4) μg/gün idi. Hastaların tamamında kan kalsiyum düzeyi normal sınırlarda (8,5-10,5 mg/dL) olup kan 25(OH) vitamin D düzeyi 8 hastada >30 ng/mL, 13 hastada 20-30 ng/mL ve 9 hastada <20 ng/mL idi. Sonuç: Ev tipi ventilatör ile izlenen trakeostomili hastalarda immobilizasyon ürolitiazis açısından önemli bir risk faktörü olup bu hastaların eşlik eden metabolik bozukluklar açısından düzenli olarak takip edilmesi gerekmektedir. Anahtar Kelimeler: Çocuk, immobilizasyon, ürolitiazis, ev tipi ventilatör hastası Introduction:The aim of this study was to assess the frequency of urolithiasis and risk factors for urolithiasis in home ventilated patients with tracheostomy. Methods: We retrospectively analyzed 30 home-ventilated patients with tracheostomy who were followed up at our pediatric intensive care unit from January 2014 to December 2015. Data analyzed included age, gender, underlying disease for hospitalization, drugs, nutrition method, nutrition solution, biochemical parameters, 25(OH) vitamin D and paratyroid hormone levels, urinary calcium/creatinine ratio, and urinary ultrasonography results. Results: A total of 30 patients [9 female (30%), 21 male (70%)] with a median age of 90.06 months were evaluated in this study. According to the motor function classification system, 33.3% (10/30) of patients were class 4 and 66.7% (20/30) were class 5 and all patients were immobile. Upper urinary stone was detected with urinary ultrasonography in 30% (9/30) of patients. Urinary calcium/creatinine ratio was >0.21 in 56.7% (17/30) of patients. Age-related urinary calcium/creatinine ratio was above the normal limits in 66.6% (20/30) of patients. The mean daily calcium intake was 54±82 (336-1200) mg/day and vitamin D intake was 25.9±10.6 (7.8-51.4) μg/day. Blood calcium was normal (8.5-10.5 mg/dL) in all pati...

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“…Bacteria may become a crystallisation nucleus. The urinary tract infections occur in about 50% of the patients with urolithiasis, and in small children (under 5 years old) the incidence of such cases is about 62% [8].…”

Section: Pathomechanism Of Stone Formationmentioning

confidence: 99%

Urolithiasis in Children – A Health Problem of Civilization

Jurkiewicz

Samotyjek

2017

hpc

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Authors' contribution Wkład autorów: A. Study design/planning zaplanowanie badań B. Data collection/entry zebranie danych C. Data analysis/statistics dane-analiza i statystyki D. Data interpretation interpretacja danych E. Preparation of manuscript przygotowanie artykułu F. Literature analysis/search wyszukiwanie i analiza literatury G. Funds collection zebranie funduszy Summary In the past 25 years, the incidence of urolithiasis in the paediatric population increased twofold. The reasons for the increased morbidity are not completely clear, but it is believed that many different factors impact this situation including bad eating habits, salty diets, inadequate fluid intake, obesity, hypertension, environmental pollution or uncontrolled multivitamin intake. At the same time, improving diagnostics quality and its availability contributed to an increase in the detection of urolithiasis. The paediatric population is subject to high risk of disease recurrence; therefore, it is essential to choose a method of treatment that provides a stone removal in a minimally invasive but effective way. Over 80% of bladder stones are evacuated spontaneously and do not require surgical intervention. The remaining ones need conservative or surgical treatment. A choice of the most appropriate method depends on many factors. The procedures of surgical treatment of urolithiasis in children include ESWL, URSL, RIRS, PCNL and pyelolithotomy using a laparoscopic or open technique. Urolithiasis in children is a severe interdisciplinary problem because of its more common prevalence. Its formation requires a thorough recognition, proper treatment by a nephrologist and the use of efficient, effective and minimally invasive surgical procedure.

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Metabolic Evaluation in Paediatric Urolithiasis: A 4-Year Open Prospective Study

Cited by 13 publications

References 8 publications

Alteraciones urinarias en niños litiásicos paraguayos según estado nutricional

Alteraciones urinarias en niños litiásicos paraguayos según estado nutricional

The Effectiveness of Ultrasonography in Detecting Emergent Pediatric Pathologies and Requirement for Additional Imaging Techniques: A Retrospective Study

Urolithiasis in Children – A Health Problem of Civilization

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