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Journals / İzmir Tepecik Eğitim Hastanesi Dergisi / 2017 / Cilt: 27 - Sayı: 3

Multikistik displastik böbreklerin uzun dönem izlemi: Tek merkez deneyimi

Long-Term follow-up of multicystic dysplastic kidneys: A single center experience

Fulya Kamit CAN
Serdar SARITAŞ
Caner ALPARSLAN
Önder YAVAŞCAN
Pages
217–221
DOI
—
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AI Summary & Key Takeaways

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

A VCUG may not be routinely required in MCDK patients unless renal US reveals signs of suspect VUR or renal parenchymal defects

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: Multicystic dysplastic kidney (MCDK) is one of the most common developmental anomalies of the kidney with an incidence of approximately 1 in 4300 live births.
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Key Findings & Data:Methods: Follow-up outcomes of 36 pediatric patients with antenatally detected unilateral MCDK were assessed.
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Conclusion & Impact:A VCUG may not be routinely required in MCDK patients unless renal US reveals signs of suspect VUR or renal parenchymal defects
🔬Design:Review & Systematic Survey
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Objective: Multicystic dysplastic kidney (MCDK) is one of the most common developmental anomalies of the kidney with an incidence of approximately 1 in 4300 live births. The goal of our study was to review our follow-up procedure of children with MCDK through this study via comparison of outcomes with the literature. Methods: Follow-up outcomes of 36 pediatric patients with antenatally detected unilateral MCDK were assessed. Results: The compensatory renal hypertrophy of the contralateral kidney was seen in 94.4% of the patients and mean complete involution time was 22.97±32.63 months. Four patients underwent nephrectomy because of hypertension resistant to medication in 2 patients and parental concern in 2 patients. Vesicoureteral reflux (VUR) was the most frequent anomaly detected in 5 (13.8%) patients. VUR were low grade in all patients and any scar was not detected on DMSA. Conclusion: The results of our study showed that MCDK is usually a benign disease. Ultrasound is a noninvasive and cost- effective method of choice in follow-up. A VCUG may not be routinely required in MCDK patients unless renal US reveals signs of suspect VUR or renal parenchymal defects

Özet

Amaç: Multikistik displastik böbrek (MKDB), böbreğin en sık görülen gelişimsel anomalilerinden birisidir. Yaklaşık olarak 4300 canlı doğumda bir görülmektedir. Çalışmamızın amacı, MKDB'li çocukların takip prosedürünün mevcut sonuçlarımızı literatür ile karşılaştırılması yoluyla gözden geçirmektir.Yöntem: Antenatal tanılı MKDB'li 36 çocuk hastanın izlem sonuçları değerlendirildi.Bulgular: Hastaların %94,4'ünde karşı taraf böbrekte kompanzatris hipertrofi görüldü. Tam involüsyon süresi ortalama 22,97±32,63 ay idi. İkisi ilaç tedavisine dirençli hipertansiyon ve 2'si ebeveyn endişesi nedeniyle olmak üzere 4 hastaya nefrektomi yapıldı. Vezikoüreteral reflü (VUR) en sık görülen anomali olarak saptandı. Beş (%13,8) hastada VUR saptandı. Saptanan VUR tüm olgularda düşük dereceliydi ve DMSA'da skar saptanmadı.Sonuç: Çalışmamızın sonuçlarına göre MKDB genellikle iyi huylu bir hastalıktır. Ultrasonografi hastaların izleminde yeğlenebilecek girişimsel olmayan ve maliyet etkin bir yöntemdir. Ultrasonografi bulguları renal parenkimal defekt ve şüpheli VUR bulguları göstermedikçe rutin VCUG yapılması gerekmeyebilir

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Cite This Article

CAN, F. K., SARITAŞ, S., ALPARSLAN, C., YAVAŞCAN, Ö. (2017). Multikistik displastik böbreklerin uzun dönem izlemi: Tek merkez deneyimi. İzmir Tepecik Eğitim Hastanesi Dergisi, Cilt: 27 - Sayı: 3, 217–221. https://ajindex.com/articles/201702

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References (13)

  1. Kiyak A, Yilmaz A, Turhan P, Sander S, Aydin G, Aydogan G. Unilateral multicystic dysplastic kidney: single-center experience. Pediatr Nephrol 2009;24:99-104.
  2. Mansoor O, Chandar J, Rodriguez MM, Abitbol CL, Seeherunvong W, Freundlich M, et al. Long-term risks of chronic kidney disease in unilateral multicystic dysplastic kidney. Pediatr Nephrol 2011;26:597-603.
  3. Mentser M, Mahan J, Koff S. Multicystic dysplastic kidney. Pediatr Nephrol 1994;8:113-5.
  4. Schreuder M, Westland R, Wijk JAE. Unilateral Multicystic dysplastic kidney: a meta-analysis of observational studies on the incidence, associated urinary tract malformations of the contralateral kidney. Nephrol Dial Transplant 2009;24:1810-18.
  5. Singh JK, Kanojia RP, Narasimhan KL. Multicystic dysplastic kidney - A need for conservative and long term approach. Indian J Pediatr 2009;76:809-12.
  6. Aksu N, Yavascan O, Kangin M, Kara OD, Aydin Y, Erdogan H, et al. Postnatal management of infants with antenatally detected hydronephrosis. Pediatr Nephrol 2005;20:1253-9.
  7. Cambio AJ, Evans CP, Kurzrock EA. Non-surgical management of multicystic dysplastic kidney. BJU Int 2008;101:804-8.
  8. Hayes WN, Watson AR, Tent & Anglia MCDK Study Group. Unilateral multicystic dysplastic kidney: does initial size matter? Pediatr Nephrol 2012;27:1335-40.
  9. Aslam M, Watson AR, Trent& Anglia MCDK Study Group. Unilateral multicystic dysplastic kidney: Long-term outcomes. Arch Dis Child 2006;91:820-23.
  10. Ismaili K, Avni FE, Alexander M, Schulman C, Colier F, Halll M. Routine voiding cystouretrography is if no value in neonates with unilateral multicystic dysplastic kidney. J Pediatr 2005;146:759-63.
  11. Welch JR, Wacksmand. The changing approach to multicystic dysplastic kidney in children. J Pediatr 2005;146:723-5.
  12. Seeman T, John U, Blahova K, Vondrichova H, Janda J, Missewitz J. Ambulatory blood pressure monitoring in children with unilateral multicystic dysplastic kidney. Eur J Pediatr 2001;160:78-8.
  13. Rudnik-Schöneborn S, J