scholarly journals Long term outcomes following pyeloplasty for unilateral pelviureteric junction obstruction in paediatric patients

2021 ◽  
Vol 8 (10) ◽  
pp. 3055
Author(s):  
Anusiri Inugala
Keyword(s):  
Renal Function ◽  
Pediatric Population ◽  
Symptomatic Relief ◽  
Long Term Outcomes ◽  
Pelviureteric Junction Obstruction ◽  
Split Renal Function ◽  
Operative Outcomes ◽  
Diuretic Renogram ◽  
A Prospective Study

Background: Pelviureteric junction obstruction (PUJO) is the most common cause of pediatric hydronephrosis. The gold standard treatment for PUJO is Anderson hynes (AH) dismembered pyeloplasty. The parameters to assess the post-operative outcomes of pyeloplasty include reduction in the AP diameter of the pelvis and increase in parenchymal thickness. The aim of the study was to find out the long-term outcomes following pyeloplasty for Ureteropelvic junction obstruction (UPJO) in paediatric patients.Methods: A prospective study was done from September, 2014 to January, 2019. All children above the age of 2 months who presented with unilateral PUJO were included in the study. All patients underwent ultrasound of the kidneys and diuretic renogram. All patients underwent AH dismembered pyeloplasty. Success was defined as both symptomatic relief and radiographic resolution of obstruction at the last follow-up visit.Results: 60 patients with unilateral intrinsic PUJO were included in this study. Post-operatively split renal function (SRF) improved in 42 patients, remained stable in 13, and deteriorated in 5 cases. Post-operative renal drainage improved in 40 patients, remained stable in 15 and deteriorated in 5.  The degree of hydronephrosis deteriorated in 5 cases but improved or was preserved in 55 cases. The renal parenchyma deteriorated in 7 cases. Overall success rate of AH dismembered pyeloplasty was 92%.Conclusions: Dismembered pyeloplasty is a safe and effective treatment of PUJO in the pediatric population. Majority of the patients had an improved split renal function, renal drainage, cortical thickness, and decreased degree of hydronephrosis.

Treatment response and long-term outcomes in biliary ascariasis: A prospective study

2021 ◽  
Author(s):  
Partha Sarathi Patra ◽  
Abhishek Das ◽  
S.K. Mahiuddin Ahmed ◽  
Souveek Mitra ◽  
Gopal Krishna Dhali
Keyword(s):  
Prospective Study ◽  
Treatment Response ◽  
Long Term Outcomes ◽  
Biliary Ascariasis ◽  
A Prospective Study

Long-term outcomes and predictors of chronic insomnia: A prospective study in Hong Kong Chinese adults

2012 ◽  
Vol 13 (5) ◽  
pp. 455-462 ◽  
Author(s):  
Jihui Zhang ◽  
S.P. Lam ◽  
S.X. Li ◽  
M.W.M. Yu ◽  
A.M. Li ◽  
...  
Keyword(s):  
Hong Kong ◽  
Prospective Study ◽  
Hong Kong Chinese ◽  
Chronic Insomnia ◽  
Long Term Outcomes ◽  
Chinese Adults ◽  
A Prospective Study

scholarly journals Clinical, Radiological, Pedobarographic, and Quality of Life Outcomes of the Ponseti Treatment for Clubfoot: A Prospective Study from Iran

2021 ◽  
Author(s):  
Kamyar Vahidi ◽  
Ahmad Shamabadi ◽  
Mohammad Hossein Nabian ◽  
Fardis Vosoughi ◽  
Ramin Zargarbashi ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Standard Treatment ◽  
Daily Activities ◽  
Life Outcomes ◽  
Long Term Outcomes ◽  
First Metatarsal ◽  
Talipes Equinovarus ◽  
A Prospective Study

Abstract Background: Talipes equinovarus, also known as clubfoot, is a congenital anomaly that affects one newborn per 1000 live births. Its standard treatment strategy is the Ponseti casting management. This study aims to report the long-term outcomes of the Ponseti treatment in Iran.Methods: A prospective cohort study was enrolled to evaluate clinical outcomes, radiological results, pedobarographic measurements, and quality of life after the Ponseti treatment in patients with clubfoot who were followed for at least five years.Results: In this study, 25 clubfeet of 18 patients were included. Significant reductions in Pirani, Dimeglio, and CAP scores, improved ankle dorsiflexion, and acceptable pedobarographic indices were observed in this study. From the radiological evaluation indices, the calcaneal pitch and lateral talus-first metatarsal angles were significantly reduced. The quality of life of patients after five years of treatment was favorable, which was better in females. This study showed that the results of the Ponseti treatment remained acceptable after five years.Conclusions: The Ponseti management for clubfoot in the long term appears to maintain significant improvements. However, the rate of recurrence – albeit without disruption to daily activities - cannot be ignored.

Long-Term Outcomes of Renal Function After Adult Intestinal Transplantation at a Single Small-Volume Center: 2 Cases of Renal Transplantation

2019 ◽  
Vol 51 (5) ◽  
pp. 1525-1530
Author(s):  
Kyung Jai Ko ◽  
Hye Kyung Chang ◽  
Su-Kyung Kwon ◽  
Young Hwa Kim ◽  
Mi-Hyeong Kim ◽  
...  
Keyword(s):  
Renal Function ◽  
Renal Transplantation ◽  
Small Volume ◽  
Intestinal Transplantation ◽  
Long Term Outcomes

scholarly journals RADIOISOTOPE SPLIT RENAL FUNCTION AND DIURETIC RENOGRAM IN THE SURGICAL MANAGEMENT OF PELVO-URETERAL JUNCTION

1984 ◽  
Vol 75 (4) ◽  
pp. 654-664
Author(s):  
Katsuya Nonomura ◽  
Kaori Imanaka ◽  
Masami Nantani ◽  
Tomohiko Koyanagi ◽  
Kazuo Ito
Keyword(s):  
Renal Function ◽  
Surgical Management ◽  
Split Renal Function ◽  
Diuretic Renogram

scholarly journals The Effects of Hypertension on Cognitive Function in Children and Adolescents

2012 ◽  
Vol 2012 ◽  
pp. 1-5 ◽  
Author(s):  
Stephen D. Cha ◽  
Hiren P. Patel ◽  
David S. Hains ◽  
John D. Mahan
Keyword(s):  
Children And Adolescents ◽  
Pediatric Population ◽  
Organ Damage ◽  
Future Research ◽  
Cognitive Effects ◽  
Long Term Outcomes ◽  
Future Studies ◽  
End Organ Damage ◽  
Anxiety Depression

Hypertension (HTN) is found in about 3-4% of the pediatric population with long-term risks of end organ damage if untreated or poorly controlled. Although children with HTN are being more frequently screened for end organ damage (i.e., LVH), the cognitive effects of HTN and methods to screen for cognitive dysfunction have not been extensively explored. In recent years, there have been a small number of studies that have provided important insights that can guide future research in this area. These studies show that HTN can be associated with headaches, restlessness, sleep disturbance, anxiety, depression, decreased attention, and also poor executive functioning. By increasing the utilization of cognitive tests in hypertensive children and adolescents, important cognitive defects secondary to HTN may be detected. More research is needed in the area, and the results of future studies could have far reaching implications for long-term outcomes in hypertensive children and adolescents.

Pylorus-Resecting Pancreaticoduodenectomy Offers Long-Term Outcomes Similar to Those of Pylorus-Preserving Pancreaticoduodenectomy: Results of a Prospective Study

2013 ◽  
Vol 38 (6) ◽  
pp. 1476-1483 ◽  
Author(s):  
Manabu Kawai ◽  
Masaji Tani ◽  
Seiko Hirono ◽  
Ken-ichi Okada ◽  
Motoki Miyazawa ◽  
...  
Keyword(s):  
Prospective Study ◽  
Long Term Outcomes ◽  
A Prospective Study
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