Contradictory Renal Function Measured With Mercaptoacetyltriglycine Diuretic Renography in Unilateral Hydronephrosis

1995 ◽  
pp. 1486-1489 ◽  
Author(s):  
Gordon R. Gluckman ◽  
Laurence S. Baskin ◽  
Guy A. Bogaert ◽  
Robert A. Mevorach ◽  
Robert S. Hattner ◽  
...  
Keyword(s):  
Renal Function ◽  
Diuretic Renography ◽  
Unilateral Hydronephrosis

Contradictory Renal Function Measured With Mercaptoacetyltriglycine Diuretic Renography in Unilateral Hydronephrosis

1995 ◽  
Vol 154 (4) ◽  
pp. 1486-1490 ◽  
Author(s):  
Gordon R. Gluckman ◽  
Laurence S. Baskin ◽  
Guy A. Bogaert ◽  
Robert A. Mevorach ◽  
Robert S. Hattner ◽  
...  
Keyword(s):  
Renal Function ◽  
Diuretic Renography ◽  
Unilateral Hydronephrosis

scholarly journals Diuretic 99mTc DTPA renography in assessment of renal function and drainage in infants with antenatally detected hydronephrosis

2015 ◽  
Vol 72 (12) ◽  
pp. 1080-1084
Author(s):  
Marija Radulovic ◽  
Dragan Pucar ◽  
Ljiljana Jaukovic ◽  
Marija Sisic ◽  
Zoran Krstic ◽  
...  
Keyword(s):  
Renal Function ◽  
Integral Method ◽  
Antenatal Diagnosis ◽  
Posterior Urethral Valves ◽  
Newborn Period ◽  
Diuretic Renography ◽  
Urethral Valves ◽  
Unilateral Hydronephrosis ◽  
Good Drainage

Background/Aim. The controversy over the postnatal management of infants with antenataly detected hydronephrosis (ANH) still exists. We presented the results of diuretic 99mTc diethylenetriamine pentaacetic acid (DTPA) renography in 30 infants with the antenatal diagnosis of unilateral renal pelvic dilatation. The aim of this study was to assess the renal function determined by the pattern of drainage and split renal function (SRF) on diuretic renography and to correlate these findings with anteroposterior pelvic diameter (APD) estimated by ultrasonography. Methods. A total of 30 infants with 60 renal units (RU) (25 boys and 5 girls, median age 6.0 months, range 2-24) presented with unilateral hydronephrosis on ultrasound in the newborn period, underwent DTPA diuretic renal scintigraphy (F+15 protocol). The median APD evaluated on perinatal ultrasound was 15 mm (range 5-30). The postnatal associated clinical diagnosis were pelviureteric junction obstruction (PUJ), simple hydronephrosis, megaureter, vesicoureteral reflux (VUR) and posterior urethral valves in 11, 10, 6, 2 and 1 infant, respectively. Images and Tmax/2 after diuretic stimulation on the background subtracted renographic curves were used as the criteria for classifying the drainage as good, partial, and poor or no drainage. The SRF was calculated with the integral method. Results. Good drainage was shown in 36/60, partial drainage in 13/60 and poor or no drainage in 11/60 RU. The SRF >40% was observed in 55/60 RU, with no RU showing SRF lower than 23.5%. In infants with severe ANH the obstruction was not excluded in 94.1%. Conclusion. Diuretic renography in antenatally detected hydronephrosis should be a useful tool in postnatal follow up, especially in differentiating nonobstructive hydronephrosis from obstructive. It is also importanat to assess and monitor the SRF. Our results suggest that even in the presence of partial or no drainage, SRF may not be significantly impaired.

scholarly journals Outcome of Exernal and Internal Drainage of Urine after Anderson Hynes Pyeloplasty - A Comparative Study

2013 ◽  
Vol 2 (1) ◽  
pp. 22-25
Author(s):  
AM Shahinoor ◽  
MMR Shibli ◽  
MAB Akan ◽  
M Anisuzzaman ◽  
MN Islam ◽  
...  
Keyword(s):  
Renal Function ◽  
Hospital Stay ◽  
Postoperative Hospital Stay ◽  
Paediatric Surgery ◽  
Nephrostomy Tube ◽  
Split Renal Function ◽  
Unilateral Hydronephrosis ◽  
Group A ◽  
Group B ◽  
Medical University

Background: Hydronephrosis in children is a common abnormality of the kidney. Surgical intervention in patient with hydronephrosis is to improve urinary drainage and to preserve renal function. Surgery (Anderson Hynes pyeloplasty: A-H pyeloplasty ) can be done with or without (Nephrostomy tube) D-J stent.Here we are describing our comparative experience between A-H pyeloplasty with D-J stent and A-H pyeloplasty with nephrostomy tube, at Bangabandhu Sheikh Mujib Medical University(BSMMU) to show the postoperative advantages of the former over the latter. Objectives: To assess functional outcome after A-H pyeloplasty with or without D-J stent in patients of unilateral hydronephrosis. Post operatively renal function was estimated after 3 months by DTPA renogram. Methods: It was a prospective study at Paediatric Surgery department of Bangabandhu Sheikh Mujib Medical University from April 2009 to October 2010. Twenty eight ( age, sex, side and type of operation matched) patients of unilateral hydronephrosis were included in the study and divided into two Groups: Group A (na =15) and Group B (nb=13) patients who underwent A-H pyeloplasty with D-J stent and A-H pyeloplasty with nephrostomy tube respectively. Child with bilateral hydronephrosis, hydronephrosis with associated anomalies like horseshoe kidney, ectopic kidney, solitary kidney, hydronephrosis with vesico ureteric reflux and redopyeloplasty were excluded in this study. Unpaired “t” test and Chi-square test were used for statistical analysis whereas postoperative hospital stay and renal functional improvement were used as parameters of the study. Results: For study Group A (A-H pyeloplasty with D-J stent) postoperative hospital stay were significantly lesser (P<0.00) than the GroupB ( A-H pyeloplasty with nephrostomy tube). Post operative split renal function and glomerular filtration rate (GFR) in Group A was improved (percentage) than Group B. Conclusion: This study reveals postoperative shorter hospital stay and improved postoperative split renal function in A-H pyeloplasty with D-J stent. DOI: http://dx.doi.org/10.3329/jpsb.v2i1.15159 Journal of Paediatric Surgeons of Bangladesh (2011) Vol. 2 (1): 22-25

The Correlation between Serial Ultrasound and Diuretic Renography in Children with Severe Unilateral Hydronephrosis

2018 ◽  
Vol 200 (2) ◽  
pp. 440-447 ◽  
Author(s):  
Deborah L. Jacobson ◽  
Carl C. Flink ◽  
Emilie K. Johnson ◽  
Max Maizels ◽  
Elizabeth B. Yerkes ◽  
...  
Keyword(s):  
Diuretic Renography ◽  
Unilateral Hydronephrosis

Long Term Follow-Up of Renal Function in Rats with Unilateral Hydronephrosis

1990 ◽  
Vol 24 (2) ◽  
pp. 127-132 ◽  
Author(s):  
Abraham P. Provoost ◽  
Matthijs van Aken ◽  
Jan C. Molenaar
Keyword(s):  
Renal Function ◽  
Unilateral Hydronephrosis ◽  
Long Term Follow Up

scholarly journals Post A-H Pyeloplasty Analysis of Renal Function in Unilateral Hydronephrosis Due to Congenital Pelviureteric Junction Obstruction

2014 ◽  
Vol 2 (2) ◽  
pp. 53-55
Author(s):  
Nandan Kumar Majumder ◽  
Md. Ruhul Amin ◽  
Rajib Khastgir ◽  
Mizanur Rahman ◽  
Md. Abu Bakar Akan
Keyword(s):  
Renal Function ◽  
Glomerular Filtration Rate ◽  
Observational Study ◽  
Filtration Rate ◽  
Prospective Observational Study ◽  
Functional Improvement ◽  
Paediatric Surgery ◽  
Gradual Improvement ◽  
Post Operative Period ◽  
Unilateral Hydronephrosis

Background: The objective of this study was to analyze the functional improvement of renal function in terms of split renal function (SRF) & glomerular filtration rate (GFR) by DTPA renogram in early post operative period who underwent A-H pyeloplasty for unilateral hydronephrosis due to congenital pelvi ureteric junction obstruction.Methods: A prospective observational study was conducted to see the post operative renal function improvement in patient with unilateral hydronephrosis due to congenital pelvi ureteric junction obstruction in department of paediatric surgery, BSMMU from July 2007 to October 2008. All the patients were followed up at 4 weeks interval for 12 weeks.Results: Total 13 Patients both male & female were observed with age ranging from 03 months to 15 years. Out of 13, eleven patients showed gradual improvement of renal function in terms of SRF & GFR in three successive DTPA renogram done at 4, 8 & 12 weeks post operatively but two patients showed deterioration of renal function in 1st two renogram but improved at 12th weeks period.Conclusion: DTPA renogram is the best method to see the functional improvement of renal function after A-H pyeloplasty but should be done on 12th post operative day.DOI: http://dx.doi.org/10.3329/jpsb.v2i2.19543

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