Dergiler / Turkish Journal of Urology / 2022 / Cilt: 48 - Sayı: 3

Percutaneous nephrostomy in Ureteropelvic junction obstruction with poorly functioning kidney: Is it still pertinent in adults?

Sayfa
229–235
DOI
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⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

The trial of percutaneous nephrostomy is pertinent if split renal function is between 6% and 15%

📌 3 Maddede Bu Makale

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Amaç & Hipotez:Objective: To determine the pertinence of percutaneous nephrostomy drainage in adult patients of primary ureteropelvic junction obstruction with poorly functioning kidneys ( 10% and had daily percutaneous nephrostomy output >400 mL, underwent pyeloplasty and the rest underwent nephrectomy.
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Temel Bulgular & Veri:Results: Seventy-two patients were studied, out of which 5 were in group I, 20 in groups II and III each, and 27 in group IV.
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Sonuç & Katkı:The trial of percutaneous nephrostomy is pertinent if split renal function is between 6% and 15%
🔬Tür:Araştırma Makalesi
📍Kapsam:Genişletilmiş Akademik Örneklem
⚙️Değişkenler:Alan Parametreleri

Özet

Objective: To determine the pertinence of percutaneous nephrostomy drainage in adult patients of primary ureteropelvic junction obstruction with poorly functioning kidneys ( 10% and had daily percutaneous nephrostomy output >400 mL, underwent pyeloplasty and the rest underwent nephrectomy. Results: Seventy-two patients were studied, out of which 5 were in group I, 20 in groups II and III each, and 27 in group IV. The mean age of presentation was 34.4 ± 14 years. The split renal function improvement of >10% was seen in 55 patients (76.4%) after percutaneous nephrostomy drainage (P < .05). Pyeloplasty was done in 40 patients (55.6%) and nephrectomy was done in 32 patients (44.4%). Conclusion: In conclusion, we recommend the use of a Tc-99m ethylenedicysteine scan for estimation of split renal function during the initial presentation in every patient followed by reconstructive surgery if split renal function is above 15% and nephrectomy if it is below 5%. The trial of percutaneous nephrostomy is pertinent if split renal function is between 6% and 15%

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Bu Makaleye Atıf Yap

SİNGH, U. P., KAKOTİ, S., SUREKA, S. K., DANİSH, N., KUMAR, A., TAMBOLİ, Z., ANAND, M., SRİVASTAVA, A. (2022). Percutaneous nephrostomy in Ureteropelvic junction obstruction with poorly functioning kidney: Is it still pertinent in adults?. Turkish Journal of Urology, Cilt: 48 - Sayı: 3, 229–235. https://ajindex.com/articles/413229

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Kaynakça (12)

  1. . Zhang S, Zhang Q, Ji C, et al. Improved split renal function after percutaneous nephrostomy in young adults with severe hydrone- phrosis due to ureteropelvic junction obstruction. J Urol. 2015
  2. 193(1):191-195. [CrossRef] 2. Chandra M, Bachches N, Bhattacharya A, Attri A. The evaluation of safety and efficacy of percutaneous nephrostomy in young adult patients with severe hydronephrosis due to uretropelvic junction obstructions. Int J Res Med Sci. 2019
  3. 7(9):3260-3265. [CrossRef] 3. Patil SR, Pawar PW, Savalia AJ, Mundhe ST, Narwade SS, Tam- hankar AS. Role of calculated glomerular filtration rate using per- cutaneous nephrostomy creatinine clearance in the era of radionuclide scintigraphy. Urol Ann. 2017
  4. 9(1):61-67. [CrossRef] 4. Nayyar R, Yadav S, Singh P, Kumar R, Seth A, Dogra PN. Out- comes of pyeloplasty in very poorly functioning kidneys: examin- ing the myths. Urology. 2016
  5. [CrossRef] 5. Gupta DK, Chandrasekharam VV, Srinivas M, Bajpai M. Percu- taneous nephrostomy in children with ureteropelvic junction obstruction and poor renal function. Urology. 2001
  6. 57(3):547-550. [CrossRef] 6. Department of Radiodiagnosis, All India Institute of Medical Sci- ences, Bhuvaneshwar, India, Md SN. Dual Technique Percutane- ous Nephrostomy: Experience from a Tertiary Care Centre. J Med Sci Clin Res. 2018
  7. 6(2). Available at: http://jmscr.ig mpubl icati on.org/v6- i2/18 5%20j mscr. pdf. 7. Prasad N, Rangaswamy D, Patel M, et al. Long-term outcomes in children on chronic continuous ambulatory peritoneal dialysis: a retrospective cohort study from a developing country. Pediatr Nephrol. 2019
  8. 34(11):2389-2397. [CrossRef] 8. Gates GF. Glomerular filtration rate: estimation from fractional renal accumulation of 99mTc-DTPA (stannous). AJR Am J Roent- genol. 1982
  9. 138(3):565-570. [CrossRef] 9. Taylor AT, Brandon DC, de Palma D, et al. SNMMI procedure standard/EANM practice guideline for diuretic renal scintigraphy in adults with suspected upper urinary tract obstruction 1.0. Semin Nucl Med. 2018
  10. 48(4):377-390. [CrossRef] 10. Blaufox MD, De Palma D, Taylor A, et al. The SNMMI and EANM practice guideline for renal scintigraphy in adults. Eur J Nucl Med Mol Imaging. 2018
  11. 45(12):2218-2228. [CrossRef] 11. Kabasakal L, Turoğlu HT, Onsel C, et al. Clinical comparison of technetium-99m-EC, technetium-99m-MAG3 and iodine-131- OIH in renal disorders. J Nucl Med. 1995
  12. 36(2):224-228. 12. Dalal R, Bruss ZS, Sehdev JS. Physiology, renal blood flow and filtration. In: StatPearls