Diagnostic Approach to Reflux in 2007
نویسندگان
چکیده
There is ongoing controversy regarding the association between vesicoureteric reflux (VUR), recurrent urinary tract infections (UTI), and renal damage. Despite this, routine work up for VUR is still recommended after febrile UTI in most children. The present article reviews the indications and imaging modalities available for VUR diagnosis. Alternative newer techniques like MR cystography and voiding urosonography are discussed. The increasing evidence of the role of DMSA scans in managing children with VUR is highlighted.
منابع مشابه
مقایسه قدرت تشخیصی اندکس داپلر مقاومت شریان کلیه با روش سنتی گرافی DMSA در کودکان مبتلا به عفونت مجاری ادراری تب دار و پیش بینی پیلونفریت حاد و رفلاکس در آنها
Background and Purpose: UTI is one of the most common bactctrial infections in pediatrics. Febrile urinary tract infection can produce severe renal complications when unrecognized or untreated. Acute pyelonephritis (APN) and reflux are two synergistic factors in the destruction of kidneys of children. There are no certain specific diagnostic laboratory tests and clinical symptoms for diagnosi...
متن کاملبررسی ریفلاکس گاستروازوفاژیال در کودکان زیر یکسال بر اساس یافته‌های سونوگرافیک و علایم بالینی
Introduction: Gastroesophageal reflux is a common gastrointestinal disorder among infants, which can cause complications, such as esophagitis and Barrett's esophagus if its diagnosis and treatment are delayed. On the other hand, similarity of Gastro esophageal Reflux symptoms with symptoms of other childhood diseases makes its diagnosis and treatment difficult. So a proper tool for early screen...
متن کاملGastroesophageal reflux and asthma in childhood: a study on their relationship using esophageal PH monitoring.
OBJECTIVES This study aims at verifying the prevalence of gastroesophageal reflux in asthmatic children, and at determining the sensitivity and specificity of the reflux index for the diagnosis of gastroesophageal reflux disease. METHODS Sixty-nine children, aged 1-5 years, with asthma, were studied by 24-hour pH monitoring. The patients were randomly selected. RESULTS Ages varied from 12.4...
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Classic anti reflux procedures on children with a history of posterior urethral valve does not usually yield good results and often ends up with ureteral obstruction and even permanent urinary diversion. From 1981 through 1988,21 boys with history of posterior urethral valve (PUV) underwent evaluation for vesicoureteral (VU) reflux 17 boys had VU reflux. Following valve ablation, reflux di...
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ورودعنوان ژورنال:
- Advances in Urology
دوره 2008 شماره
صفحات -
تاریخ انتشار 2008