Educational review: role of the pediatric nephrologists in the work-up and management of kidney stones.
Background: The incidence of nephrolithiasis in children and adolescents is increasing and appears to double every 10 years. The most important role of the pediatric nephrologist is to diagnose and modify various metabolic and non-metabolic risk factors, as well as prevent long-term complications es...
| Publicado en: | Pediatric Nephrology Vol. 35; no. 3; pp. 383 - 398 |
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| Autores principales: | , , , |
| Formato: | questions and answers review tables/charts Journal Article |
| Publicado: |
Springer Nature
Mar2020
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=141253351&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 141253351 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 0931041X EF1 jtl: Pediatric Nephrology issn: 0931041X maglogo: N pubinfo: dt: Mar2020 vid: 35 iid: 3 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 141253351 141253351 141253351 10.1007/s00467-018-4179-9 141253351 ppf: 383 ppct: 15 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Educational review: role of the pediatric nephrologists in the work-up and management of kidney stones. aug: au: Rodriguez Cuellar, Carmen Inés Wang, Peter Zhan Tao Freundlich, Michael Filler, Guido affil: Department of Pediatrics, Schulich School of Medicine & Dentistry, University of Western Ontario, N6A 5W9, London, ON, Canada sug: subj: Urolithiasis Diagnosis Urolithiasis Therapy Pediatric Care Nephrologists Physician's Role Kidney Calculi Etiology Diet Environment Infant Urolithiasis Prevention and Control Cystinuria Sodium, Dietary Adverse Effects Plant-Based Diet Hypercalciuria Infant: 1-23 months ab: Background: The incidence of nephrolithiasis in children and adolescents is increasing and appears to double every 10 years. The most important role of the pediatric nephrologist is to diagnose and modify various metabolic and non-metabolic risk factors, as well as prevent long-term complications especially in the case of recurrent nephrolithiasis. Objective: The purpose of this review is to summarize the existing literature on the etiology and management of pediatric nephrolithiasis. Results: The incidence of kidney stones is increasing; dietary and environmental factors are probably the main causes for this increased incidence. In most pediatric patients, the etiology for the kidney stones can be identified. Metabolic factors, such as hypercalciuria and hypocitraturia, urinary tract infection, and urinary stasis, constitute leading causes. Herein, we review the etiologies, diagnostic work-up, and treatment options for the most prevalent causes of kidney stones. The detrimental effects of excessive dietary sodium, reduced fluid intake, and the benefits of plant-based over animal-based protein consumption on urinary crystal formation are discussed. We also review the long-term complications. Conclusions: Pediatric nephrologists have an important role in the diagnostic work-up and prevention of recurring nephrolithiasis. pubtype: Academic Journal doctype: questions and answers review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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