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ISSN 0185-6014 (Print)
Órgano oficial de difusión de la Federación Mexicana de Patología Clínica, AC y de la Asociación Latinoamericana de Patología Clínica/Medicina de Laboratorio

2007, Number 1

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Rev Mex Patol Clin Med Lab 2007; 54 (1)

Renal Biopsy:
Experience at a second-level hospital(Area General Hospital)

Radillo DP, Rodríguez MD

Language: Spanish
References: 6
Page: 15-20
PDF size: 56.05 Kb.


ABSTRACT

Kidney biopsy tends to be the final element in the analysis of alterations in renal function, due to its definitive nature. Its use has diagnostic and prognostic value, and is determinant in the evaluation and selection of therapeutic measures. Unfortunately, it is oftentimes limited to subespecialty referral hospitals, where it can occasionally be relegated due to diverse factors inherent to our health system; this in turn leads to detention in acquisition of diagnosis, with a potential adverse effect on the patient’s prognosis. The following article presents our recent experience with percutaneous kidney biopsies in a General Hospital, where, in spite of several obstacles, we have managed to do the procedure with a practically nil index of complications, a faster diagnostic acquisition and an adequate therapeutic response in a number of patients. The object of the article is to demonstrate that the development of a percutaneous kidney biopsy program in a General Hospital is not impossible if there is adequate medical, technical and operational support.


REFERENCES

  1. Ruiz OS, Jao W. Practical Approach to the Interpretation of Renal Biopsies. Kidney 2000; 9: 231-235.

  2. Ponticelli C, Mihatsch MJ, Imbasciati E. Renal biopsy: indications for and interpretation. In: Davison AM, Cameron JS, Grünfeld JP, Ponticelli C, Ritz E, Winearls CG, van Ypersele C, editors. Oxford Textbook of Clinical Nephrology. 3rd edition. Oxford University Press, 2005: 169-182.

  3. Boulton-Jones M. Renal Biopsy. In: Johnson RJ, Feehally J, editors. Comprehensive Clinical Nephrology. 2nd edition. Elsevier limited, 2003: 63-69.

  4. Hergesell O, Felten H, Andrassy K, Kühn K, Ritz E. Safety of ultrasound-guided percutaneous renal biopsy - retrospective analysis of 1,090 consecutive cases. Nephrol Dial Transplant 1998; 13: 975-977.

  5. Parrish AE. Complications of percutaneous renal biopsy: a review of 37 years’ experience. Clin Nephrol 1992; 38: 135-141.

  6. Richards NT, Darby S, Howie AJ, Adu D, Michael J. Knowledge of renal histology alters patient management in over 40% of cases. Nephrol Dial Transplant 1994; 9: 1255-1259.




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