Brasil | Artículos de revistas
dc.creatorReis, LO
dc.creatorZani, EL
dc.creatorIkari, O
dc.creatorGugliotta, A
dc.date2010
dc.dateJAN
dc.date2014-11-13T22:22:30Z
dc.date2015-11-26T17:11:55Z
dc.date2014-11-13T22:22:30Z
dc.date2015-11-26T17:11:55Z
dc.date.accessioned2018-03-29T00:00:22Z
dc.date.available2018-03-29T00:00:22Z
dc.identifierActas Urologicas Espanolas. Ene Ediciones Sl, v. 34, n. 1, n. 78, n. 81, 2010.
dc.identifier0210-4806
dc.identifierWOS:000290355500013
dc.identifierhttp://www.repositorio.unicamp.br/jspui/handle/REPOSIP/66559
dc.identifierhttp://www.repositorio.unicamp.br/handle/REPOSIP/66559
dc.identifierhttp://repositorio.unicamp.br/jspui/handle/REPOSIP/66559
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/1281211
dc.descriptionPurpose: To determine the effectiveness of extracorporeal shock-wave lithotripsy (ESWL) and possible deleterious effects on renal parenchyma of children subjected to treatment of renal lithiasis, using renal scintigraphy with 99mTc dimercapto-succunic acid (DMSA). Patients and methods: From January 2004 to November 2007, 18 children (age 3-10 years) underwent ESWL (Philips-Dornier) for kidney urolithiasis. All patients underwent preoperative evaluation, including physical examination, urine culture, image exams and renal scintigraphy with Tc99-DMSA. Evaluation after treatment consisted of a clinical examination, blood pressure measurement, urine culture, renal ultrasound and Tc99-DMSA, repeated at 3, 6 and 12 months, which were compared to the scans obtained before ESWL to determine possible morphological or functional changes. Results: Success in the stones fragmentation was achieved in all cases - in 9 patients (50%) with one session of ESWL, in 6 (33%) with two sessions and in 3 patients (17%) with 3 sessions of ESWL. Only one patient (5%), after three sessions of ESWL and 6 months of follow-up showed change in size of right kidney with a decrease in tubular function, without hypertension or other major changes. In the other cases, there was absence of hypertension up to 12 months of follow-up, absence of renal hematomas detected by ultrasound or significant renal scars in scintigraphic examinations. Conclusion: ESWL is effective and safe for treating renal lithiasis in children. Renal parenchyma lesions may occur early after treatment, but these lesions are transients and resolve spontaneously in virtually all cases; generally, there are no irreversible renal lesions associated with ESWL, even after the follow-up period with clinical examination, ultrasound examination and 99mTc-DMSA scintigraphy. (C) 2009 AEU. Published by Elsevier Espana, S.L. All rights reserved.
dc.description34
dc.description1
dc.description78
dc.description81
dc.languagees
dc.publisherEne Ediciones Sl
dc.publisherMadrid
dc.publisherEspanha
dc.relationActas Urologicas Espanolas
dc.relationActas Urol. Esp.
dc.rightsfechado
dc.sourceWeb of Science
dc.subjectExtracorporeal shock-wave lithotripsy
dc.subjectLithotripsy in children
dc.subjectLong-term evaluation
dc.subjectRenal parenchyma damage
dc.subjectTc-99m-DMSA scintigraphy
dc.subjectTreatment efficacy
dc.subjectShock-wave Lithotripsy
dc.subjectFollow-up
dc.subjectUrolithiasis
dc.subjectComplications
dc.subjectConsequences
dc.subjectExperience
dc.subjectMorphology
dc.subjectInfants
dc.subjectStones
dc.subjectScan
dc.titleExtracorporeal lithotripsy in children - The efficacy and long-term evaluation of renal parenchyma damage by DMSA-Tc-99m scintigraphy
dc.typeArtículos de revistas


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