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Titolo:
Diuretic renography in infants with prenatal unilateral hydronephrosis: anexplanation for the controversy about poor drainage
Autore:
Gordon, I;
Indirizzi:
Great Ormond St Hosp Children NHS Trust, London WC1N 3JH, England Great Ormond St Hosp Children NHS Trust London England WC1N 3JH England
Titolo Testata:
BJU INTERNATIONAL
fascicolo: 6, volume: 87, anno: 2001,
pagine: 551 - 555
SICI:
1464-4096(200104)87:6<551:DRIIWP>2.0.ZU;2-B
Fonte:
ISI
Lingua:
ENG
Soggetto:
GRAVITY-ASSISTED DRAINAGE; UPPER URINARY-TRACT; JUNCTION OBSTRUCTION; DIURESIS RENOGRAPHY; OUTPUT EFFICIENCY; RENAL OUTPUT; HYDROURETERONEPHROSIS; DILATATION; PARAMETER; CHILDREN;
Keywords:
hydronephrosis; diuretic renogram; antenatal hydronephrosis;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
14
Recensione:
Indirizzi per estratti:
Indirizzo: Gordon, I Great Ormond St Hosp Children NHS Trust, Great Ormond St, LondonWC1N 3JH,England Great Ormond St Hosp Children NHS Trust Great Ormond St London England WC1N 3JH
Citazione:
I. Gordon, "Diuretic renography in infants with prenatal unilateral hydronephrosis: anexplanation for the controversy about poor drainage", BJU INT, 87(6), 2001, pp. 551-555

Abstract

Objective To present an explanation for impaired drainage on diuretic renography in infants with a prenatal diagnosis of unilateral renal pelvic dilatation (RPD) who are stable both in terms of renal function and dilatation on follow-up investigations, despite undergoing no surgical intervention, and who undergo diuretic renography postnatally: this should provide some insight into whether impaired drainage is a sign of obstruction in these asymptomatic infants. Materials and methods Using a combination of published studies on the technique of diuretic renography and an analysis of such studies. a theoreticalmodel of the infant kidney was developed to assess the possibility of prolonged drainage. Results The results from the model showed prolonged drainage in many different situations, thus offering an explanation of expected impaired drainageeven if there was no obstruction. Conclusion Understanding the pathophysiology of prenatally diagnosed Rrl) allows different interpretations of the diuretic renogram and may affect the treatment of these children.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 15/07/20 alle ore 05:27:31