medigraphic.com
ISSN 2305-7939 (Electronic)

2021, Number 2

<< Back Next >>

RCU 2021; 10 (2)

Extracorporeal lithotripsy for the treatment of urinary lithiasis in pediatric patients

Rodríguez GY, Mercantete MA, Cordíes JE, Labrada RMV, Castillo RM, Borrero BLL

Language: Spanish
References: 15
Page: 1-14
PDF size: 603.09 Kb.


ABSTRACT

Introduction: In recent years, an increase in urinary lithiasis has been observed in all ages. Extracorporeal shock wave lithotripsy is the first line treatment in children.
Objectives: To describe the results for the treatment of urinary lithiasis in pediatric patients.
Methods: A retrospective, descriptive and longitudinal study was conducted in 37 patients of the Hospital Pediátrico Docente Centro Habana with diagnosis of urinary lithiasis treated by extracorporeal lithotripsy from January 2016 to December 2019.
Results: Male sex was predominant. The mean age was 14.08 years (range 3-19 years). They had a history of 17 previous surgeries for lithiasis and endourological procedures predominated (41.2%). Lithiasis of 10 to 20 mm (86.5%), renal location (54.1%) and lithiasis with a density of less than 400 HU (48.6 %) were more common. Previous urinary diversion (JJ catheter in 27.0%) was required in 37.8% of the patients. 32.4% presented complications, the most frequent being the lithiasic street (21.6%). Additional interventions were required in 16.2%. Retreatment was necessary in 8.1% of the cases. The 70.3% were free of lithiasis at one month, with a success rate at three months of 91.9%.Complications predominated, Grade III-b (50.0%), according to Clavien-Dindo.
Conclusions: The application of extracorporeal lithotripsy has had satisfactory results in the Pediatric Teaching Hospital Centro Habana. It is effective, safe and should be considered as the first treatment alternative in pediatric patients.


REFERENCES

  1. Bjazevic J, Razvi H. Stones in pregnancy and pediatrics. Asian J Urol. 2018 [acceso 21/01/2019];5(4):223-234. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6197562/

  2. Pietropaolo A, Proietti S, Jones P, Rangarajan K, Aboumarzouk O, Giusti G, et al. Trends of intervention for paediatric stone disease over the last two decades (2000-2015): A systematic review of literature. Arab J Urol [Internet]. 2017 [acceso 21/01/2019];15(4):306-311. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/PMC5717467/

  3. Samotyjek J, Jurkiewicz B, Krupa A. Surgical treatment methods of urolithiasis in the pediatric population. Dev Period Med. 2018 [acceso 02/06/2019];22(1):88-93.

  4. Gunduz M, Sekmenli T, Ciftci I, Elmaci AM. Do JJ Stents Increase the effectiveness of Extracorporeal Shock Wave Lithotripsy for Pediatric Renal Stones? Urol Int. 2017 [acceso 21/01/2019];98(4):425-8. DOI: https://doi.org/10.1159/000452451

  5. Jee JY, Kim SD, Cho WY. Efficacy of extracorporeal shock wave lithotripsy in pediatric and adolescent urolithiasis. Korean J Urol. 2013 [acceso 21/01/2019];54(12):865-9. DOI: https://doi.org/10.4111/kju.2013.54.12.865

  6. Aydogdu O, Karakose A, Celik O, Atesci YZ. Recent management of urinary stone disease in a pediatric population. World J Clin Pediatr. 2014 [acceso 21/01/2019];3(1):1-5. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4145644/

  7. Lu J, Sun X, He L, Wang Y. Efficacy of extracorporeal shock wave lithotripsy for ureteral stones in children. Pediatr Surg Int. 2009 [acceso 21/01/2019];25(12):1109-1112. DOI: https://doi.org/10.1007/s00383-009-2489-5

  8. Iqbal N, Assad S, Rahat Aleman Bhatti J, Hasan A, Shabbir MU, Akhter S. Comparison of Extracorporeal Shock Wave Lithotripsy for Urolithiasis Between Children and Adults: A Single Centre Study. Cureus. 2016 [acceso 21/01/2019];8(9):e810. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5085830/

  9. Alsagheer G, Abdel-Kader MS, Hasan AM, Mahmoud O, Mohamed O, Fathi A, et al. Extracorporeal shock wave lithotripsy (ESWL) monotherapy in children: Predictors of successful outcome. J Pediatr Urol. 2017 [acceso 21/01/2019];13(5):515. DOI: https://doi.org/10.1016/j.jpurol.2017.03.029

  10. Labrada Rodríguez MV, Larrea Masvidal E, Castillo Rodríguez M, Borrero Barriento L, Valdés Gómez A. Experiencia en Cuba del tratamiento de la litiasis renoureteral con litotricia extracorpórea por ondas de choque en niños. Rev Cubana Pediatr. 2012 [acceso 21/01/2019];84(2):126-136. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034-75312012000200002

  11. Jeong US, Lee S, Kang J, Han DH, Park KH, Baek M. Factors affecting the outcome of extracorporeal shock wave lithotripsy for unilateral urinary stones in children: a 17-year single-institute experience. Korean J Urol. 2013 [acceso 21/01/2019];54(7):460-466. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3715710/

  12. Asi T, Dogan HS, Altan M, Bozaci AC, Ceylan T, Asci A, et al. Shockwave lithotripsy for kidney stones as a first-line therapy in children younger than 2 years. J Pediatr Urol. 2020 [acceso 24/05/2020];16(2):193.e1-e6. DOI: https://doi.org/10.1016/j.jpurol.2020.01.001

  13. Özgür BC, Irkilata L, Ekici M, Hoscan MB, Sarici H, Yuceturk CN, et al. Pediatric extracorporeal shock wave lithotripsy: multi-institutional results. Urologia. 2016 [acceso 21/01/2019];83(2):83-86. Disponible en: https://journals.sagepub.com/doi/abs/10.5301/urologia.5000053

  14. Telli O, Gokce MI, Ozturk E, Suer E, Mermerkaya M, Afandiyev F, et al. What is the best option for 10-20mm renal pelvic stones undergoing ESWL in the pediatric population: stenting, alpha blockers or conservative follow-up? J Pediatr Surg. 2015 [acceso 21/01/2019];50(9):1532-1534. DOI: https://doi.org/10.1016/j.jpedsurg.2014.11.045

  15. Clavien PA, Barkun J, de Oliveira ML. The Clavien-Dindo classification of surgical complications: five-year experience. Ann Surg. 2009 [acceso 21/01/2019];250(2):187-196. DOI: https://doi.org/10.1097/sla.0b013e3181b13ca2




2020     |     www.medigraphic.com