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Journals / Aksaray University Journal of Sport and Health Researches / 2023 / Cilt: 4 Sayı: 1

Urinary Stone Disease and Renal Microlithiasis In Children: A Single Centre Study

Çocuklarda Üriner Taş Hastalığı ve Renal Mikrolitiyazis: Tek Merkezli Bir Çalışma

Esra Nagehan Akyol Onder(Aksaray University Training and Research Hospital Pediatric Nephrology Division)0000-0003-0321-2204
Murat Kılıçaslan(Aksaray University Training and Research Hospital, General Pediatrics)0000-0003-1243-9830
Mehmet Semih Demirtaş(AKSARAY ÜNİVERSİTESİ, TIP FAKÜLTESİ, DAHİLİ TIP BİLİMLERİ BÖLÜMÜ, ÇOCUK SAĞLIĞI VE HASTALIKLARI ANABİLİM DALI)0000-0003-2965-1811
Cengizhan Kılıçaslan(AKSARAY ÜNİVERSİTESİ, TIP FAKÜLTESİ, DAHİLİ TIP BİLİMLERİ BÖLÜMÜ, ÇOCUK SAĞLIĞI VE HASTALIKLARI ANABİLİM DALI)0000-0002-6093-7132
Pages
25–33
Publication Date
2023-06-29
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Therefore, all patients with urolithiasis, regardless of stone size, should be followed up to prevent complications of the disease.

📌 3 Key Takeaways

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Objective & Hypothesis:defined as a renal hyperechogenic focus smaller than 3 mm in diameter on urinary ultrasound.
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Key Findings & Data:There were statistically significant differences between the two groups in terms of laterality, number of stones, stone diameter, urinary tract infections, pain at presentation, incidental kidney stones, urine density, hypercalciuria, spot urine uric acid/creatinine ratio, urine sodium/potassium ratio, and potassium citrate therapy (p = 0.02, p = 0.03, p < 0.001, p = 0.02, p = 0.04, p = 0.01, p = 0.04, p = 0.02, p < 0.001, p = 0.03, p = 0.041, and p = 0.013, respectively).
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Conclusion & Impact:Therefore, all patients with urolithiasis, regardless of stone size, should be followed up to prevent complications of the disease.
🔬Design:Klinik Araştırma
📍Scope:Comprehensive Sample
⚙️Variables:Çocuk · mikrolitiyazis · nefrolitiyazis

Abstract

defined as a renal hyperechogenic focus smaller than 3 mm in diameter on urinary ultrasound. The clinical importance of ML remains controversial in the pediatric population. The current study evaluated the differences in the demographic data and metabolic abnormalities between children with renal ML and those with overt nephrolithiasis. There were statistically significant differences between the two groups in terms of laterality, number of stones, stone diameter, urinary tract infections, pain at presentation, incidental kidney stones, urine density, hypercalciuria, spot urine uric acid/creatinine ratio, urine sodium/potassium ratio, and potassium citrate therapy (p = 0.02, p = 0.03, p < 0.001, p = 0.02, p = 0.04, p = 0.01, p = 0.04, p = 0.02, p < 0.001, p = 0.03, p = 0.041, and p = 0.013, respectively). ML may be the first stage in the development of overt nephrolithiasis. Therefore, all patients with urolithiasis, regardless of stone size, should be followed up to prevent complications of the disease.

Özet

Nefrolitiazis, çocuklarda görülme sıklığı giderek artan yaygın bir hastalıktır. Renal mikrolitiazis (ML), üriner ultrasonda 3 mm'den küçük renal hiperekojenik odak olarak tanımlanır. Pediyatrik popülasyonda ML'nin klinik önemi halen tartışmalıdır. Bu çalışma, çocuklarda renal ML ve aşikar nefrolitiazisli çocukların demografik verileri ve metabolik anormalliklerindeki farklılıkları değerlendirdi. İki grup arasında lateralite, taş sayısı, taş çapı, İYE, ağrı ile prezentasyon, rastlantısal olarak saptanan böbrek taşı, idrar yoğunluğu, hiperkalsiüri, spot idrar ürik asit/kreatinin oranı, idrar sodyum/potasyum oranı, ve potasyum sitrat tedavisi alma (p = 0,02, p = 0,03, p<0,001, p = 0,02, p = 0,04, p = 0,01, p = 0,04, p = 0,02, p<0,001, p = 0,03, p = 0,041 ve p = 0.013, sırasıyla) açısından anlamlı fark saptandı. ML, aşikar nefrolitiazisin gelişimindeki ilk basamak olabilir. Bu nedenle, ürolitiazis saptanan tüm hastalar taş boyutuna bakılmaksızın hastalığın komplikasyonlarını önlemek amacı ile takip altına alınmalıdır.

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Cite This Article

Onder, E. N. A., Kılıçaslan, M., Demirtaş, M. S., Kılıçaslan, C. (2023). Urinary Stone Disease and Renal Microlithiasis In Children: A Single Centre Study. Aksaray University Journal of Sport and Health Researches, Cilt: 4 Sayı: 1, 25–33. https://doi.org/10.54152/asujshr.1286100

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