Unilateral renal agenesis: case review of ambulatory pediatric nephrology clinics in Cali.
Introduction: Unilateral renal agenesis is a frequent renal malformation with incidence of 1 per 1000 live born children. There are no statistics nor protocols to manage and follow-up these patients. Usually asymptomatic, it can be early detected by prenatal ultrasound, allowing opportune detection...
| Publicado en: | Colombia Medica Vol. 41; no. 1; pp. 41.52 - 49.52 |
|---|---|
| Autores principales: | , , , , |
| Formato: | Artículo |
| Publicado: |
Universidad del Valle
ene-mar2010
|
| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=lth&AN=49735080&site=ehost-live header: @attributes: shortDbName: lth uiTerm: 49735080 longDbName: MedicLatina uiTag: AN controlInfo: bkinfo: jinfo: jid: 01208322 165D jtl: Colombia Medica issn: 01208322 maglogo: N pubinfo: dt: ene-mar2010 vid: 41 iid: 1 pid: 19876 pub: Universidad del Valle artinfo: ui: 49735080 10.25100/cm.v41i1.685 ppf: 41.52 ppct: 8 formats: fmt: @attributes: type: P size: 207KB tig: atl: Unilateral renal agenesis: case review of ambulatory pediatric nephrology clinics in Cali. aug: au: DE ROVETTO, CONSUELO RESTREPO URCUQUI, LUZ ÁNGELA VALENCIA, MARIBEL DE CASTAÑO, IRIS MARTÍNEZ, ALEXANDER MAXIMILIANO affil: Professor and Chief of Department of Pediatrics, School of Medicine, Universidad del Valle, Cali, Colombia. Pediatrics resident, Department of Pediatrics, School of Medicine, Universidad del Valle, Cali, Colombia. Associate Professor, Department of Pediatrics, School of Medicine, Universidad del Valle, Cali, Colombia. Epidemiology Master’s candidate, School of Public Health, Universidad del Valle, Cali, Colombia. su: Kidney abnormalities Pediatrics Prenatal diagnosis Urinary tract infections Longitudinal method Diagnosis Patients sug: subj: Kidney abnormalities Pediatrics Prenatal diagnosis Urinary tract infections Longitudinal method Diagnosis Patients keyword: Body-mass index Hydronephrosis Proteinuria Renal insufficiency Unilateral renal agenesis Vesicoureteral reflux Índice masa corporal Agenesia renal unilateral Diagnóstico prenatal Hidronefrosis Infecciones del tracto urinario Insuficiencia renal Proteinuria Reflujo vésico-ureteral ab: Introduction: Unilateral renal agenesis is a frequent renal malformation with incidence of 1 per 1000 live born children. There are no statistics nor protocols to manage and follow-up these patients. Usually asymptomatic, it can be early detected by prenatal ultrasound, allowing opportune detection and adequate follow up. The goal is to describe main features found in children with renal agenesis at four ambulatory pediatric nephrology clinics in Cali, Colombia: Hospital Universitario del Valle (HUV), Club Noel Children's hospital and the private practice of two pediatric nephrologists. Methods: This is a retrospective descriptive study in a series of cases with congenital renal agenesis diagnosed between January, 1995 and December 2007, of patients under 18 years of age and based on a review of clinical records. Results: 43 patients were found, 51.2% males, 88% from the department of Valle del Cauca. Prenatal diagnoses were conducted in only 21% of these patients; agenesis was right in 48.8% and left in 51.2%. In 46.5%, association with other pathologies was found: occult spinal bifida, congenital scoliosis, and Klippel-Feil sequence. Compensatory renal hypertrophy was reported in 39.5% of the patients, 42% had episodes of urinary tract infection, 31% vesicoureteral reflux and 10% proteinuria. Four male patients (9.3%) developed renal failure. The average follow-up was 6.6 years. Conclusions: Prenatal diagnose was not very frequent in our set of cases. Urinary tract infection and vesicoureteral reflux were common, increasing the risk of renal deterioration. Prolonged follow up is suggested, with unified protocols to prevent renal failure. Introducción: La agenesia renal unilateral (ARU) es una malformación con una incidencia de 1 por 1000 nacidos vivos. En Colombia no hay estadísticas ni protocolos para el manejo y seguimiento de estos pacientes. La ARU casi siempre es asintomática y se puede descubrir temprano por ecografía prenatal, que permite el adecuado seguimiento. El objetivo es describir las características principales encontradas en la revisión de historias clínicas de niños con agenesia renal que se examinaron en dos servicios de nefrología pediátrica de la ciudad de Cali: Hospital Universitario del Valle (HUV), Hospital Infantil Club Noel (HICN) y en los consultorios de dos nefrólogas pediatras. Metodología: Es un estudio descriptivo retrospectivo de tipo serie de casos basado en la revisión de historias clínicas, de pacientes menores de 18 años con diagnóstico de agenesia renal congénita atendidos entre enero de 1995 y diciembre de 2007. Resultados: Se encontraron 43 pacientes, 51.2% masculinos. El 88% procedía del departamento del Valle. El diagnóstico prenatal sólo se hizo en 21% de los casos. En 48.8% de los pacientes la agenesia renal fue derecha y en el resto izquierda. En 46.5% hubo asociación con otras entidades (espina bífida oculta, escoliosis congénita y secuencia de Klippel Feil). En 39.5% de los pacientes se vio hipertrofia renal compensatoria, 42% presentaron algún episodio de infección urinaria, 31% reflujo vésico-ureteral y 10% proteinuria; en 4 pacientes (9.3%), todos varones desarrollaron falla renal. El promedio de seguimiento fue 6.6 años. Conclusiones: El diagnóstico prenatal fue poco frecuente en esta serie de casos. La infección urinaria y el reflujo vésicoureteral son altos y aumentan el riesgo de daños renales. Se recomienda el seguimiento extendido en niños con ARU, mediante protocolos unificados para prevenir el deterioro renal. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: Y custom: Copyright of Colombia Medica is the property of Universidad del Valle and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. item: Colombia Medica holder: Universidad del Valle dt: @attributes: year: 2010 holdings: @attributes: islocal: N |
|---|