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Enlace permanente de la investigaciónVesicoureteral reflux management with subureteral injection of polydimethylsiloxane in cases of recurrent pyelonephritis in transplanted kidneys / Arbey Aristizabal Álzate ; Carlos Enrique Yepes Delgado ; Lina Maria Serna Higuita ; John Fredy Nieto Ríos ; Catalina Ocampo Kohn ; Carlos Alberto Uribe Trujillo ; Gustavo Adolfo Zuluaga Valencia ; Matilde Henao Velásquez
Título : Vesicoureteral reflux management with subureteral injection of polydimethylsiloxane in cases of recurrent pyelonephritis in transplanted kidneys Tipo de documento : documento electrónico Autores : Arbey Aristizabal Álzate, ; Carlos Enrique Yepes Delgado, ; Lina Maria Serna Higuita, ; John Fredy Nieto Ríos, ; Catalina Ocampo Kohn, ; Carlos Alberto Uribe Trujillo, ; Gustavo Adolfo Zuluaga Valencia, ; Matilde Henao Velásquez, Fecha de publicación : 2016 Títulos uniformes : World Journal of Nephrology and Urology Idioma : Inglés (eng) Palabras clave : Renal transplantation Pyelonephritis Urinary tract infection Vesicoureteral reflux Endoscopic treatment Resumen : Background: Kidney graft pyelonephritis is a common complication after renal transplantation, often prompted by vesicoureteral reflux (VUR). An effective and minimally invasive strategy for managing reflux that allows a decrease in the risk of recurrent pyelonephritis is desirable. The aim of this study was to describe our experience with an endoscopic treatment with subureteral injection of polydimethylsiloxane for the treatment of recurrent pyelonephritis of renal grafts secondary to VUR. Methods: Between 2011 and 2016, 17 subureteral polydimethylsiloxane injection procedures were performed. Patient monitoring was done by outpatient consultation and medical record review. The number of pyelonephritis events before and after the procedure and its safety were compared. Results: Forty-six infection episodes occurred before the procedure (2.71 infections/patient/year) and 10 infection episodes occurred after the procedure (0.59 infections/patient/year), representing a 78.3% reduction of infections/patient/year. The procedure was well tolerated and safe, with no resultant obstructive complications or changes in renal function and no long-distance migration of the bulking agent detected by monitoring.Conclusion: Consistent endoscopic treatment with subureteral injection of the bulking agent polydimethylsiloxane to manage VUR in cases of recurrent pyelonephritis of kidney grafts is a non-invasive treatment option with a good success rate and safety profile. Mención de responsabilidad : Arbey Aristizabal-Alzate, Guillermo Salazar-Villa, Carlos Yepes-Delgado, Lina Maria Serna-Higuita, John Fredy Nieto-Rios, Catalina Ocampo-Kohn, Carlos Uribe-Trujillo, Matilde Henao-Velasquez, Gustavo Zuluaga-Valencia Referencia : World J Nephrol Urol. 2016;5(4):71-8. DOI (Digital Object Identifier) : 10.14740/wjnu296w Derechos de uso : CC BY-NC En línea : https://www.wjnu.org/index.php/WJNU/article/view/296 Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=4013 Vesicoureteral reflux management with subureteral injection of polydimethylsiloxane in cases of recurrent pyelonephritis in transplanted kidneys [documento electrónico] / Arbey Aristizabal Álzate, ; Carlos Enrique Yepes Delgado, ; Lina Maria Serna Higuita, ; John Fredy Nieto Ríos, ; Catalina Ocampo Kohn, ; Carlos Alberto Uribe Trujillo, ; Gustavo Adolfo Zuluaga Valencia, ; Matilde Henao Velásquez, . - 2016.
Obra : World Journal of Nephrology and Urology
Idioma : Inglés (eng)
Palabras clave : Renal transplantation Pyelonephritis Urinary tract infection Vesicoureteral reflux Endoscopic treatment Resumen : Background: Kidney graft pyelonephritis is a common complication after renal transplantation, often prompted by vesicoureteral reflux (VUR). An effective and minimally invasive strategy for managing reflux that allows a decrease in the risk of recurrent pyelonephritis is desirable. The aim of this study was to describe our experience with an endoscopic treatment with subureteral injection of polydimethylsiloxane for the treatment of recurrent pyelonephritis of renal grafts secondary to VUR. Methods: Between 2011 and 2016, 17 subureteral polydimethylsiloxane injection procedures were performed. Patient monitoring was done by outpatient consultation and medical record review. The number of pyelonephritis events before and after the procedure and its safety were compared. Results: Forty-six infection episodes occurred before the procedure (2.71 infections/patient/year) and 10 infection episodes occurred after the procedure (0.59 infections/patient/year), representing a 78.3% reduction of infections/patient/year. The procedure was well tolerated and safe, with no resultant obstructive complications or changes in renal function and no long-distance migration of the bulking agent detected by monitoring.Conclusion: Consistent endoscopic treatment with subureteral injection of the bulking agent polydimethylsiloxane to manage VUR in cases of recurrent pyelonephritis of kidney grafts is a non-invasive treatment option with a good success rate and safety profile. Mención de responsabilidad : Arbey Aristizabal-Alzate, Guillermo Salazar-Villa, Carlos Yepes-Delgado, Lina Maria Serna-Higuita, John Fredy Nieto-Rios, Catalina Ocampo-Kohn, Carlos Uribe-Trujillo, Matilde Henao-Velasquez, Gustavo Zuluaga-Valencia Referencia : World J Nephrol Urol. 2016;5(4):71-8. DOI (Digital Object Identifier) : 10.14740/wjnu296w Derechos de uso : CC BY-NC En línea : https://www.wjnu.org/index.php/WJNU/article/view/296 Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=4013 Reserva
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Código de barras Número de Ubicación Tipo de medio Ubicación Sección Estado DD000608 AC-2016-083 Archivo digital Producción Científica Artículos científicos Disponible Documentos electrónicos
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Título : Laparoscopic extravesical ureteral reimplantation (LEVUR): a multicenter experience with 95 cases Tipo de documento : documento electrónico Autores : Francisco Javier Mejía Sarasti, Fecha de publicación : 2013 Títulos uniformes : European Journal of Pediatric Surgery Idioma : Inglés (eng) Palabras clave : vesicoureteral reflux recurrent urinary tract infections minimally invasive surgery laparoscopic extravesical ureteral reimplantation Lich-Gregoir Resumen : Introduction: Minimally invasive techniques have been used to treat vesicoureteral reflux (VUR) on pediatric patients. The aim of this study is to review the experience of the laparoscopic approach for VUR by the laparoscopic extravesical ureteral reimplantation (LEVUR) Lich-Gregoir technique. Materials and methods: We performed a multicentric retrospective study. From 2001 to 2009, 81 pediatric patients with VUR constituting 95 ureteral units underwent LEVUR. Reflux was grade II in 32%, grade III in 55%, and grade IV in 8%. Results: LEVUR was performed successfully on the 81 patients with 95 ureteral units. Mean operative time was 105 minutes for left-sided reimplants, 70 minutes for right sided, and 180 minutes for bilateral reimplants. Mean hospital stay was 1.6 days. Urinary catheter was kept in place for a mean time of 0.5 days. Follow-up was achieved for at least 1 year with regular clinic visits, urinalysis, ultrasound, and voiding cystourethrogram. Four patients (4.2%) had evidence of recurrent VUR in a follow-up of 6 to 36 months after antireflux surgery. Conclusions: Although new endoscopic techniques have been widely available for VUR, they have a lower success rate and might require multiple attempts before success. We report that LEVUR has an acceptable success rate (95.8%) and durability compared with open and endoscopic procedures. Mención de responsabilidad : Mario Riquelme, Manuel Lopez, Sergio Landa, Francisco Mejia, Arturo Aranda, Mario Rodarte-Shade, Jaime Rodriguez-Gomez, Jairo Torres-Riquelme Referencia : Eur J Pediatr Surg}. 2013 Apr;23(2):143-7. DOI (Digital Object Identifier) : 10.1055/s-0032-1329708 PMID : 23165518 En línea : https://www.thieme-connect.com/products/ejournals/abstract/10.1055/s-0032-132970 [...] Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=4947 Laparoscopic extravesical ureteral reimplantation (LEVUR): a multicenter experience with 95 cases [documento electrónico] / Francisco Javier Mejía Sarasti, . - 2013.
Obra : European Journal of Pediatric Surgery
Idioma : Inglés (eng)
Palabras clave : vesicoureteral reflux recurrent urinary tract infections minimally invasive surgery laparoscopic extravesical ureteral reimplantation Lich-Gregoir Resumen : Introduction: Minimally invasive techniques have been used to treat vesicoureteral reflux (VUR) on pediatric patients. The aim of this study is to review the experience of the laparoscopic approach for VUR by the laparoscopic extravesical ureteral reimplantation (LEVUR) Lich-Gregoir technique. Materials and methods: We performed a multicentric retrospective study. From 2001 to 2009, 81 pediatric patients with VUR constituting 95 ureteral units underwent LEVUR. Reflux was grade II in 32%, grade III in 55%, and grade IV in 8%. Results: LEVUR was performed successfully on the 81 patients with 95 ureteral units. Mean operative time was 105 minutes for left-sided reimplants, 70 minutes for right sided, and 180 minutes for bilateral reimplants. Mean hospital stay was 1.6 days. Urinary catheter was kept in place for a mean time of 0.5 days. Follow-up was achieved for at least 1 year with regular clinic visits, urinalysis, ultrasound, and voiding cystourethrogram. Four patients (4.2%) had evidence of recurrent VUR in a follow-up of 6 to 36 months after antireflux surgery. Conclusions: Although new endoscopic techniques have been widely available for VUR, they have a lower success rate and might require multiple attempts before success. We report that LEVUR has an acceptable success rate (95.8%) and durability compared with open and endoscopic procedures. Mención de responsabilidad : Mario Riquelme, Manuel Lopez, Sergio Landa, Francisco Mejia, Arturo Aranda, Mario Rodarte-Shade, Jaime Rodriguez-Gomez, Jairo Torres-Riquelme Referencia : Eur J Pediatr Surg}. 2013 Apr;23(2):143-7. DOI (Digital Object Identifier) : 10.1055/s-0032-1329708 PMID : 23165518 En línea : https://www.thieme-connect.com/products/ejournals/abstract/10.1055/s-0032-132970 [...] Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=4947 Reserva
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Código de barras Número de Ubicación Tipo de medio Ubicación Sección Estado DD001520 AC-2013-157 Archivo digital Producción Científica Artículos científicos Disponible
