Ponction biopsies rénales dans le Service de Néphrologie de Fès: indications et résultats: à propos de 522 cas

Mbarki, H.; Belghiti, K. Alaoui; Harmouch, Taoufiq; Najdi, Adil; Arrayhani, M.; Sqalli, T.

doi:10.11604/pamj.2016.24.21.3982

Cited by 6 publications

(6 citation statements)

References 17 publications

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“…Our sample consisted of 80 men (66.7%) and 40 women (33.3%), resulting in a sex ratio of 2:1. This male predominance aligns with data from other studies [12,18,19] although some studies report a female predominance [10,20].…”

Section: Discussionsupporting

confidence: 92%

“…Among primary glomerular nephropathy, membranoproliferative glomerulonephritis was the most common, occurring in 13.3% of cases. In contrast, Traore et al's study [10] found focal segmental hyalinosis to be dominant in 16% of cases and a predominance of minimal glomerular lesions in Mbarki et al's study [20] in 13.7% of cases. Tubulointerstitial nephropathy in our study represented 31% of all histological lesions diagnosed, with a predominance of chronic tubulointerstitial nephropathy and acute tubular necrosis at 20% and 6.2%, respectively.…”

Section: Discussionmentioning

confidence: 77%

“…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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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 77%

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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“…[ 2 ] et 103/an dans l'étude menée par Mbarki et al . [ 3 ]. Cette incidence était plus importante dans Lei-shi et al .…”

Section: Discussionunclassified

La ponction biopsie rénale: indications, complications et résultats

Mhamedi¹,

Meghraoui²,

Benabdelhak³

et al. 2018

Pan Afr Med J

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La ponction biopsie rénale (PBR) est une technique indispensable au diagnostic des maladies rénales. Ce geste demeure invasif avec diverses complications, essentiellement hémorragiques. L'objectif de notre travail était d'étudier notre pratique de la PBR, mettre le point sur la technique de la biopsie rénale transcutanée, évaluer ses complications, et déterminer les néphropathies diagnostiquées dans notre région. Il s'agit d'une étude rétrospective, menée entre Janvier 2015 et Juin 2017. Nous avons inclus 69 patients du service de Néphrologie du CHU Mohamed VI, Oujda, Maroc ayant bénéficié d'une biopsie de reins natifs. L'âge moyen des patients au moment de la PBR était de 38,16 ±13 ans (12-77 ans), le sexe ratio (H/F) était de 0,86. Le syndrome néphrotique était l'indication la plus fréquente tout âge confondu. Les néphropathies glomérulaires représentaient 81% des maladies rénales, réparties comme suit: la glomérulonéphrite extra-membraneuse retrouvée chez 19% des patients, la hyalinose segmentaire et focale chez 18%, la glomérulonéphrite lupique chez 11%, les glomérulonéphrites chroniques diagnostiquées dans 11% des cas, la glomérulonéphrite membrano-proliférative chez 7%, la glomérulonéphrite extra-capillaire chez 5% à part égale avec l'amylose rénale. Quatre pour cent (4%) des PBR étaient en faveur d'une néphropathie diabétique. Avec un taux estimé à 2% chacune, l'étude histopathologique avait retrouvé la glomérulonéphrite aigue post-infectieuse, la lésion glomérulaire minime, la néphropathie à IgA, les vascularites, les néphropathies tubulo-interstitielles ainsi que la microangiopathie thrombotique. Cinq pour cent (5%) des PBR étaient aglomérulaires. L'hématurie macroscopique était la principale complication observée dans notre série avec une fréquence de 2,8%. La PBR reste le gold standard du diagnostic de la maladie rénale, cependant le diagnostic syndromique permet au clinicien d'identifier la maladie rénale la plus probable et de guider les thérapeutiques urgentes.

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“…A series by Yong on the analysis of renal biopsy data from a single center in the rural Midlands region of China from 1996 to 2010 found a mean age of 33.1 years (extreme 16 -72 years) [9]. In contrast, in Morocco in 2016, the mean age of patients was 39 ± 17 years, with extremes of 3 and 82 years [10].…”

Section: Discussionmentioning

confidence: 99%

Result of 10 Years of Experience in Echo-Guided Kidney Biopsy Punctures in the Nephrology Department of the Martigues Hospital Center, France

Fofana¹,

Samaké²,

Sy³

et al. 2021

OJNeph

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Introduction: Percutaneous renal biopsy (PRB) is an essential procedure for the diagnosis and therapeutic management of many primary or secondary nephropathies. Objectives: To identify the indications, to determine the profile of the diagnosed nephropathies and to evaluate the short-term complications related to the practice of echo-guided PRB at the Martigues hospital center. Methodology: This was a retrospective and descriptive study carried out on the records of patients who underwent echo-guided native kidney biopsy from January 1, 2010 to December 31, 2019 in the nephrology department of the Martigues Hospital. Results: The analysis of 123 cases of echoguided PRB involved 76 men and 47 women with a sex ratio of 1.6. The mean age was 55.92 ± 17.80 with age extremes of 16 and 87 years. Glomerular syndromes were the main indication with 42 cases of nephrotic syndrome (34.1%), 15 cases of nephritic syndrome (12.2%), 11 cases of rapidly progressive glomerulonephritis syndrome (8.9%), and 6 cases of recurrent macroscopic hematuria syndrome (4.9%). The histological findings were 47 cases of primary glomerular lesions (38.3%), 32 cases of nephroangiosclerosis lesions (26%), 24 cases of secondary glomerulopathy (19.5%

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Ponction biopsies rénales dans le Service de Néphrologie de Fès: indications et résultats: à propos de 522 cas

Cited by 6 publications

References 17 publications

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

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

La ponction biopsie rénale: indications, complications et résultats

Result of 10 Years of Experience in Echo-Guided Kidney Biopsy Punctures in the Nephrology Department of the Martigues Hospital Center, France

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