SavedAdd your journal

Journals / Şişli Etfal Hastanesi Tıp Bülteni / 2004 / Cilt: 38 - Sayı: 4

Percutaneous renal biopsy in children: Using smaller needle

Çocuklarda perkütan böbrek biyopsisi: Daha ince iğne kullanımı

Gül ÖZÇELİK
Tuğçin Bora POLAT
Can ÇALIŞKAN
Işın KILIÇASLAN
Tülay OLGUN
Pages
47–52
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

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

Conclusion: We assumed that the use of smaller (16 gauge) needle with an automated core biopsy system under real-lime sonographic guidance would also provide low complication rates and adequate tissue for diagnosis in children.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objective: Real-time sonographic guidance in conjunction with an automated core biopsy system is safe and effective method of performing percutaneous renal biopsy in children.
📊
Key Findings & Data:Material and Methods: We determinate the diagnostic adequacy and complication rates using smaller needle (16 gauge).
💡
Conclusion & Impact:Conclusion: We assumed that the use of smaller (16 gauge) needle with an automated core biopsy system under real-lime sonographic guidance would also provide low complication rates and adequate tissue for diagnosis in children.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Biyopsi · iğne · Böbrek

Abstract

Objective: Real-time sonographic guidance in conjunction with an automated core biopsy system is safe and effective method of performing percutaneous renal biopsy in children. Material and Methods: We determinate the diagnostic adequacy and complication rates using smaller needle (16 gauge). Biopsies were performed on a total of 82 patients: 24 patients using 14 gauge needle (group I) and 58 patients using 16 gauge needle (group 2) with an automated core biopsy device in the Department of Pediatrics at Şişli Etfal Hospital. Vital parameters have been observed 24 hours after biopsy. Results: Adequate tissue for diagnosis was obtained in 21 of 24 patients (87%) in group I, and 54 of 58 patients (93%) in group 2. A total of 7 complications occurred in group I (29%), consisting of 1 perirenal hematom and 6 macroscopic hematuria and 12 complications occurred in group 2 (20%)) consisting of 2 perirenal hematom and 10 macroscopic hematuria. Sample adequacy and complication rates were no significantly different between the two groups. Conclusion: We assumed that the use of smaller (16 gauge) needle with an automated core biopsy system under real-lime sonographic guidance would also provide low complication rates and adequate tissue for diagnosis in children.

Özet

Amaç: Çocuklarda ultrasonografi (US) eşliğinde yapılan otomatik tabanca ile perkütan böbrek biyopsisi etkin ve emniyetli bir yöntemdir. Bu teknikle daha ince iğne (lögauge) kulanımının tanı değeri ve komplikasyonları irdelendi. Gereç ve yöntem: Şişli Etfal Hastanesi Çocuk kliniklerinde tetkik ve tedavi edilen toplam 82 hastadan 24 olguya (grup I) 14 gauge biyopsi iğnesi ve 58 olguya (grup 2) Ki gauge biyopsi iğnesi kullanılarak otomatik biyopsi tabancası eşliğinde kapalı böbrek biyopsi yapıldı. Hastaların 24 saat boyunca vital bulguları izlendi. Bulgular; I. gruptaki 24 olgunun 21'inde (%87), 2. gruptaki 58 haşlanın 54'ünde (%>93) biyopsi materyali ışık mikroskopisi ve inımunjioresan inceleme için yeterliydi. Grup I olgularda 1'i perirenal hemalom 6'sı makroskopik hematüri olmak üzere toplam 7 olguda (%,29) komplikasyon gelişti. 2. grupta 2'si perirenal hematom, 10'nu makroskopik hematüri olmak üzere toplam 12 olguda (%2()j komplikasyon gözlendi. Her iki grup hastanın gelişen komplikasyon oranları ve biyopsi materyal yeterlilikleri açısından anlamlı islatiksel farklılık saplanmadı (p>(),05). Sonuç: Çocuklarda perkütan böbrek biyopsisinin otomatik tabanca ile (US eşliğinde) daha ince biyopsi iğnesi kullanılması ile de düşük komplikasyon oranları ve de lamda yeterli biyopsi materyali elde edilebileceği gösterilmiştir.

🔖

Cite This Article

ÖZÇELİK, G., POLAT, T. B., ÇALIŞKAN, C., KILIÇASLAN, I., OLGUN, T. (2004). Percutaneous renal biopsy in children: Using smaller needle. Şişli Etfal Hastanesi Tıp Bülteni, Cilt: 38 - Sayı: 4, 47–52. https://ajindex.com/articles/363629

References (1)

  1. Alınkııist RD. Buckalew WM Jr: Technk|ues of ren al bi¬opsy. Urol Cliıı Nortlı Am. 6:503-517. 1979 2. Chezmar JL. Keith LL, Nelson RC. Plaire JC. Hertzler GL, Bernardino ME: Liver transplant biopsies with a bi¬opsy gun. Radiology. I79:447-44S, 1991. 3. Poster RB. Jones DB. Spirt BA: Percutaneous pediatric renal biopsy; use of I ho biopsy gun. Radiology. 176:725- 727. 1990. 4. Hopper KD. Baird DE, Redely VV, et al: Efficacy of auto¬mated biopsy guns versus conventional biobsy needles in the pygmy pig. Radiology. ¡76:671-676. 1990. 5. Nadel L, Baumgartner BR, Bernardino ME: Percutaneous renal biopsies:accuracy,safetv and indications.Urol Radi¬ol. S:67-71, 1986. 6. Mostbeck GH. Wiuich GR, Derller K. er al: Optimal ne¬edle size for renal biopsy:in vitro and in vivo evaluation, Radiology, I73:SI9-N22. I989. 7. Chan JCM, Brewer WH: Renal biopsies under ultrasound guidance: 100 consecutive biopsies in children. J Urol, "Î 29:103-107, 1983. 8. Komaiko MS, Jordan SC, Querleld U, Goodman MD: A new percutaneous renal biopsy device for pediatric pati¬ents. Pediatr Nephrol, 3:191-193, 1989. 9. Veiga PA, Moxey-Mims MM, Springate JE, Feld LG: A simple method for percutaneous renal biopsy. Child Nephrol Urol, 11:196-198, 1991. 10. Jorulf H.Bennett LV: Adjustable automated biopsy devi¬ce. Radiology, ]K5:K97-K9K, 1992. 11. Feneberg R, Schaefcr F, Zieger B, WaIdherr R, Mehls O, Scharer K: Percutaneous renal biopsy in children a 27-ye¬ar experience. Nephron, 79(4):438-446, 1998. 12. Resnick LJ, Blomley MJ, Drayson RA, Weston MJ, Brown R, Hoffbrand Bl: Percutaneous renal biopsy in the district general hospital. J R Coll Physicians Lond, 27(3):247-5l, 1993. 13. Tung KT, Downes MO, O'Donnell PJ: Renal biopsy in diffuse renal disease-experience with a 14-gauge automa¬ted biopsy gun. Clin Radiol, 46(2): 111-3, 1992. 14. Chan R, Common AA, Marcuzzi D: Ultrasound-guided renal biopsy: experience using an automated core biopsy system. Can Assoc Radiol J, 51 (2): i 07-13, 2000. 15. Doyle AJ, Gregory MC, Terreros DA: Percutaneous nati¬ve renal biopsy: comparison of a 1.2-mm spring-driven system with a traditional,2-mm hand-driven system. Am J Kidney Dis, 23(4):498-503, 1994. 16. Kim D, Kim H, Shin G, Ku S, Ma K, ShinS, et al: A ran¬domized, prospective, comparative study of manuel and automated renal biopsies. Am J Kidney Dis, 32(3):426- 31,1998. 17. Ralls PW, Barakos J A, Kaptein EM, Friedman PE, Foula- dian G, Bosweli WD, et al: Renal biopsy-related hemorr¬hage: frequency and com