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array:23 [ "pii" => "S0210480606735197" "issn" => "02104806" "doi" => "10.1016/S0210-4806(06)73519-7" "estado" => "S300" "fechaPublicacion" => "2006-01-01" "aid" => "73519" "copyright" => "Asociación Española de Urología (AEU)" "copyrightAnyo" => "2006" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Actas Urol Esp. 2006;30:692-7" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1102 "formatos" => array:3 [ "EPUB" => 6 "HTML" => 649 "PDF" => 447 ] ] "itemSiguiente" => array:18 [ "pii" => "S0210480606735203" "issn" => "02104806" "doi" => "10.1016/S0210-4806(06)73520-3" "estado" => "S300" "fechaPublicacion" => "2006-01-01" "aid" => "73520" "copyright" => "Asociación Española de Urología (AEU)" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Actas Urol Esp. 2006;30:698-706" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1131 "formatos" => array:3 [ "EPUB" => 6 "HTML" => 686 "PDF" => 439 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Nefrectomía laparoscópica mano-asistida" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "698" "paginaFinal" => "706" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Hand-assisted laparoscopic nephrectomy" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "C. Gutiérrez Sanz-Gadea, A. Mus Malleu, G. Briones Mardones, F. Hidalgo Pardo, M. Rebassa Llull, G. Conde Santos" "autores" => array:6 [ 0 => array:2 [ "nombre" => "C." "apellidos" => "Gutiérrez Sanz-Gadea" ] 1 => array:2 [ "nombre" => "A." "apellidos" => "Mus Malleu" ] 2 => array:2 [ "nombre" => "G." "apellidos" => "Briones Mardones" ] 3 => array:2 [ "nombre" => "F." "apellidos" => "Hidalgo Pardo" ] 4 => array:2 [ "nombre" => "M." "apellidos" => "Rebassa Llull" ] 5 => array:2 [ "nombre" => "G." "apellidos" => "Conde Santos" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210480606735203?idApp=UINPBA00004N" "url" => "/02104806/0000003000000007/v1_201304251821/S0210480606735203/v1_201304251821/es/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S0210480606735185" "issn" => "02104806" "doi" => "10.1016/S0210-4806(06)73518-5" "estado" => "S300" "fechaPublicacion" => "2006-01-01" "aid" => "73518" "copyright" => "Asociación Española de Urología (AEU)" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Actas Urol Esp. 2006;30:684-91" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1448 "formatos" => array:3 [ "EPUB" => 8 "HTML" => 793 "PDF" => 647 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Síntomas del tracto urinario inferior en la mujer y afectación de la calidad de vida. Resultados de la aplicación del King’s Health Questionnaire" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "684" "paginaFinal" => "691" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Lower urinary tract symptoms in women and impact on quiality of life. results of the application of the king’s health questionnaire" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:2 [ 0 => array:2 [ "autoresLista" => "M. Espuña Pons" "autores" => array:1 [ 0 => array:2 [ "nombre" => "M." "apellidos" => "Espuña Pons" ] ] ] 1 => array:2 [ "autoresLista" => "M. Puig Clota" "autores" => array:1 [ 0 => array:2 [ "nombre" => "M." "apellidos" => "Puig Clota" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210480606735185?idApp=UINPBA00004N" "url" => "/02104806/0000003000000007/v1_201304251821/S0210480606735185/v1_201304251821/es/main.assets" ] "es" => array:13 [ "idiomaDefecto" => true "titulo" => "Eficacia a largo plazo del tratamiento endoscópico en el reflujo vesicoureteral de etiología secundaria con polidimetilsiloxano" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "692" "paginaFinal" => "697" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "A. Serrano Durbá, L. Gómez Pérez, J.F. Estornell Moragues, C. Domínguez Hinarejos, M. Martínez Verduch, F. García Ibarra" "autores" => array:6 [ 0 => array:4 [ "nombre" => "A." "apellidos" => "Serrano Durbá" "email" => array:1 [ 0 => "serrano_agu@gva.es" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "L." "apellidos" => "Gómez Pérez" ] 2 => array:2 [ "nombre" => "J.F." "apellidos" => "Estornell Moragues" ] 3 => array:2 [ "nombre" => "C." "apellidos" => "Domínguez Hinarejos" ] 4 => array:2 [ "nombre" => "M." "apellidos" => "Martínez Verduch" ] 5 => array:2 [ "nombre" => "F." "apellidos" => "García Ibarra" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Urología Infantil. Hospital Universitario La Fe. Valencia" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "1" "correspondencia" => "Dr. A. Serrano Durbá Burriana, 14 - 6º pta. 12 46005 Valencia" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Efficacy in endoscopic treatment of secondary vesicoureteral reflux with polydimethylsiloxane" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2006-11-23" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec87954" "palabras" => array:3 [ 0 => "Reflujo vesicoureteral" 1 => "Tratamiento endoscópico" 2 => "Pediatría" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec87953" "palabras" => array:3 [ 0 => "Vesicoureteral reflux" 1 => "Endoscopic treatment" 2 => "Pediatric" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Valorar la eficacia del tratamiento endoscópico del reflujo vesicoureteral (RVU) de etiología secundaria con polidimetilsiloxano.</p> <span class="elsevierStyleSectionTitle">Pacientes y método</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Hemos realizado un estudio prospectivo de los pacientes diagnosticados de RVU y tratados en nuestro servicio por vía endoscópica con polidimetilsiloxano, desde enero de 1999 a diciembre de 2001, analizando los resultados tras un seguimiento medio de 30 meses. Tratamos 144 pacientes, 92 niñas y 52 niños, con 213 reflujos ureterales (124 primarios y 89 de etiología secundaria). La eficacia inicial del tratamiento fue definida como la ausencia completa de RVU en la cistografía isotópica realizada un los tres meses tras la punción.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">La eficacia del global tratamiento endoscópico en reflujos de etiología secundaria fue inferior al alcanzado en el tratamiento del RVU primario (el 77,7 % vs. 86,2 %) sin alcanzar estas diferencias la significación estadística (p=0,226). Tampoco encontramos diferencias significativas al comparar el volumen inyectado y la tasa de resolución del reflujo entre las diferentes etiologías de RVU (p=0,361). Únicamente se objetivó recurrencia del RVU en pacientes con reflujo secundario a disfunción neurogénica o por disfunción de vaciado (4,34 %).</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">El tratamiento endoscópico del RVU de etiología secundaria es un procedimiento mínimamente invasivo, presenta escasa morbilidad y es eficaz en el RVU de etiología secundaria en pacientes seleccionados. El riesgo de recurrencia a largo plazo es mayor en el reflujo secundario a alteraciones funcionales (vejiga neurógena e inestabilidad funcional), por lo que el seguimiento debería establecerse según la patología de base.</p>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">To value the efficacy in endoscopic treatment of the vesicoureteral reflux (VUR).</p> <span class="elsevierStyleSectionTitle">Material and method</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">We have realized a prospective study in patients with RVU treated with endoscopic polydimethylsiloxane, from January 1999 until December 2001, analyzing the results after an average pursuit of 30 months. We included 144 patients, 92 girls and 52 children, with 213 VUR (124 primary ones and 89 of secondary etiology). The initial efficacy of the treatment was defined as the finished absence of RVU in the isotopic cystography, realized three months after the puncture.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">The global efficacy of the endoscopic treatment in secondary etiology reflux was lower than the reached one in the treatment of the primary RVU (77.7 % against 86.2 %) but the differences did not reach statistical significance (p=0,226). We do not also find significant differences on having compared the injected volume and the valuation of resolution of the ebb between the different causes of secondary RVU (p=0.361). We found recurrence in patients with RVU due to lower urinary tract dysfunction (4.34 %).</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Endoscopic treatment of the secondary VUR is a minimally invasive skill, presents scarce morbidity and it is effective in chosen patients. The risk of a long term recurrence is grater in VUR secondary to functional alterations (neurogenic bladder and functional instability), for what, pursuit has to be established according to the base pathology.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Referencias" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:21 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." 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Garcia-Ibarra" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Urol Integr Invest" "fecha" => "2002" "volumen" => "7" "paginaInicial" => "490" "paginaFinal" => "493" ] ] ] ] ] ] 8 => array:3 [ "identificador" => "bib0045" "etiqueta" => "9." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Long-term efficacy of subureteral collagen injection for endoscopic treatment of vesicoureteral reflux in neurogenic bladder cases" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "A. Haferkamp" 1 => "K. Mohring" 2 => "G. Staehler" 3 => "H.J. Gerner" 4 => "J. 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Stenberg" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1097/01.ju.0000084672.98131.f7" "Revista" => array:7 [ "tituloSerie" => "J Urol" "fecha" => "2003" "volumen" => "170" "numero" => "4 Pt2" "paginaInicial" => "1551" "paginaFinal" => "1555" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/14501658" "web" => "Medline" ] ] ] ] ] ] ] ] 10 => array:3 [ "identificador" => "bib0055" "etiqueta" => "11." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Endoscopic treatment with dextranomer/ hyaluronic acid for complex cases of vesicoureteral reflux" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "M. Perez-Brayfield" 1 => "A.J. Kirsch" 2 => "T.W. Hensle" 3 => "M.A. Koyle" 4 => "P. Furness" 5 => "H.C. 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