Hidronefrosis (HN) neonatal en niños con hidronefrosis diagnosticada prenatalmente: ¿cirugía o tratamiento médico?
Postnatally hydronephrosis (hn) in children with antenatally diagnosed hydronephrosis: surgery or medical treatment?
A. Gugliota1
, L.O. Reis, C. Alpendre, O. Ikari, U. Ferreira
Autor para correspondencia
reisleo@unicamp.br
Correspondencia autor: Dr. L. Oliveira Reis Servicio de Urología Universidad Estatal de Campinas UNICAMP Campinas, São Paulo, Brazil.
Correspondencia autor: Dr. L. Oliveira Reis Servicio de Urología Universidad Estatal de Campinas UNICAMP Campinas, São Paulo, Brazil.
Servicio de Urología, Universidad Estatal de Campinas UNICAMP, Campinas, São Paulo, Brazil.
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Medina Polo, A. Tejido Sánchez, F. de la Rosa Kehrmann, N. Felip Santamaría, M. Blanco Álvarez, O. Leiva Galvis" "autores" => array:6 [ 0 => array:2 [ "nombre" => "J." "apellidos" => "Medina Polo" ] 1 => array:2 [ "nombre" => "A." "apellidos" => "Tejido Sánchez" ] 2 => array:2 [ "nombre" => "F." "apellidos" => "de la Rosa Kehrmann" ] 3 => array:2 [ "nombre" => "N." "apellidos" => "Felip Santamaría" ] 4 => array:2 [ "nombre" => "M." "apellidos" => "Blanco Álvarez" ] 5 => array:2 [ "nombre" => "O." "apellidos" => "Leiva Galvis" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210480608739822?idApp=UINPBA00004N" "url" => "/02104806/0000003200000010/v1_201304251917/S0210480608739822/v1_201304251917/es/main.assets" ] "es" => array:14 [ "idiomaDefecto" => true "titulo" => "Hidronefrosis (HN) neonatal en niños con hidronefrosis diagnosticada prenatalmente: ¿cirugía o tratamiento médico?" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "1031" "paginaFinal" => "1034" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "A. Gugliota, L.O. Reis, C. Alpendre, O. Ikari, U. Ferreira" "autores" => array:5 [ 0 => array:4 [ "nombre" => "A." "apellidos" => "Gugliota" "email" => array:1 [ 0 => "reisleo@unicamp.br" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "L.O." "apellidos" => "Reis" ] 2 => array:2 [ "nombre" => "C." "apellidos" => "Alpendre" ] 3 => array:2 [ "nombre" => "O." "apellidos" => "Ikari" ] 4 => array:2 [ "nombre" => "U." "apellidos" => "Ferreira" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Urología, Universidad Estatal de Campinas UNICAMP, Campinas, São Paulo, Brazil." ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "1" "correspondencia" => "Correspondencia autor: Dr. L. Oliveira Reis Servicio de Urología Universidad Estatal de Campinas UNICAMP Campinas, São Paulo, Brazil." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Postnatally hydronephrosis (hn) in children with antenatally diagnosed hydronephrosis: surgery or medical treatment?" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2008-04-01" "fechaAceptado" => "2008-07-01" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras Clave" "identificador" => "xpalclavsec88736" "palabras" => array:5 [ 0 => "Prenatal" 1 => "Hidronefrosis" 2 => "Cirugía" 3 => "Tratamiento médico" 4 => "Fetal" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key Words" "identificador" => "xpalclavsec88735" "palabras" => array:4 [ 0 => "Antenatally hydronephrosis" 1 => "Surgery" 2 => "Medical treatment" 3 => "Fetal" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Objetivos</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">No existen ni acuerdos ni criterios formales utilizados para establecer un tratamiento estándar en niños con diagnóstico de HN prenatal.</p> <span class="elsevierStyleSectionTitle">Métodos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Se analizó nuestra propia experiencia, además de los protocolos concernientes a este tema. Veintiocho (28) niños con HN unilateral fueron evaluados desde octubre de 1999 a octubre de 2005 y se midió el diámetro antero posterior de la pelvis renal (APDP).</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Los pacientes fueron sometidos a vigilancia con ecografía y renograma isotópico en 3, 6, 12 y 24 meses. Los resultados del tratamiento se valoraron siguiendo la clasificación de la Sociedad de Urología Fetal: HN ligera (2 a 5 mm), moderada (6 a 10 mm) y grave (> 10-15 mm).</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Nuestras conclusiones son que la HN leve nunca debe ser intervenida quirúrgicamente, mientras que en la grave siempre debería realizarse cirugía. Por otra parte, la HN moderada, debe mantenerse bajo vigilancia con una ecografía y renograma isotópico durante dos años.</p>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Objectives</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">There is no formal agreement or criteria utilized to establish a standard of treatment in children with antenatally diagnosed HN.</p> <span class="elsevierStyleSectionTitle">Methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">We analyzed our own experience in addition to the protocols attending to this subject. Twenty eight (28) children with unilateral HN were assessed from October 1999 through October 2005 and the anteroposterior diameter of renal pelvis (APDP) was measured.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Patients underwent surveillance with US and cintilography in 3, 6, 12 and 24 months. The treatment results were reviewed following the classification of Society of Fetal Urology: slight (2 to 5 mm), moderate (6 to 10 mm) and severe (>10-15 mm).</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">We concluded that slight HN would never be operated on while the severe ones would always be. 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Frokier" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1097/01.ju.0000157384.32215.fe" "Revista" => array:7 [ "tituloSerie" => "J Urol" "fecha" => "2005" "volumen" => "173" "numero" => "5" "paginaInicial" => "1471" "paginaFinal" => "1476" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15821462" "web" => "Medline" ] ] ] ] ] ] ] ] 15 => array:3 [ "identificador" => "bib0080" "etiqueta" => "16." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The magnitude of fetal renal pelvic dilatation can identify obstructive postnatal hydronephrosis and direct postnatal evaluation and management" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "E. Coplen" 1 => "P.F. Austin" 2 => "Y.D. Yan" 3 => "M. Jeffrey" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.juro.2006.03.079" "Revista" => array:7 [ "tituloSerie" => "J Urol" "fecha" => "2006" "volumen" => "176" "numero" => "2" "paginaInicial" => "724" "paginaFinal" => "727" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16813930" "web" => "Medline" ] ] ] ] ] ] ] ] 16 => array:3 [ "identificador" => "bib0085" "etiqueta" => "17." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Conservative treatment of uretero-pelvic junction obstruction in children with antenatal diagnosis of hydronephrosis: Lessons learned after 16 years of follow-up" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "B. Chertin" 1 => "A. Pollak" 2 => "R. Rabinowitz" 3 => "D. Hain" 4 => "A. 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| año/Mes | Html | Total | |
|---|---|---|---|
| 2024 Noviembre | 0 | 1 | 1 |
| 2024 Octubre | 0 | 9 | 9 |
| 2024 Septiembre | 0 | 5 | 5 |
| 2024 Agosto | 0 | 5 | 5 |
| 2024 Julio | 0 | 16 | 16 |
| 2024 Junio | 0 | 12 | 12 |
| 2024 Mayo | 0 | 19 | 19 |
| 2024 Abril | 0 | 17 | 17 |
| 2024 Marzo | 0 | 27 | 27 |
| 2024 Febrero | 0 | 16 | 16 |
| 2024 Enero | 0 | 13 | 13 |
| 2023 Diciembre | 0 | 28 | 28 |
| 2023 Noviembre | 0 | 29 | 29 |
| 2023 Octubre | 0 | 19 | 19 |
| 2023 Septiembre | 0 | 18 | 18 |
| 2023 Agosto | 0 | 8 | 8 |
| 2023 Julio | 0 | 74 | 74 |
| 2023 Junio | 0 | 6 | 6 |
| 2023 Abril | 0 | 2 | 2 |
| 2023 Marzo | 0 | 5 | 5 |
| 2023 Febrero | 0 | 4 | 4 |
| 2023 Enero | 0 | 4 | 4 |
| 2022 Diciembre | 0 | 6 | 6 |
| 2022 Noviembre | 0 | 18 | 18 |
| 2022 Octubre | 0 | 9 | 9 |
| 2022 Septiembre | 0 | 5 | 5 |
| 2022 Agosto | 0 | 16 | 16 |
| 2022 Julio | 0 | 4 | 4 |
| 2022 Junio | 0 | 9 | 9 |
| 2022 Mayo | 0 | 5 | 5 |
| 2022 Abril | 0 | 7 | 7 |
| 2022 Marzo | 0 | 24 | 24 |
| 2022 Febrero | 0 | 20 | 20 |
| 2022 Enero | 0 | 26 | 26 |
| 2021 Diciembre | 0 | 20 | 20 |
| 2021 Noviembre | 0 | 16 | 16 |
| 2021 Octubre | 0 | 19 | 19 |
| 2021 Septiembre | 0 | 31 | 31 |
| 2021 Agosto | 0 | 23 | 23 |
| 2021 Julio | 0 | 21 | 21 |
| 2021 Junio | 0 | 14 | 14 |
| 2021 Mayo | 0 | 22 | 22 |
| 2021 Abril | 0 | 62 | 62 |
| 2021 Marzo | 0 | 32 | 32 |
| 2021 Febrero | 0 | 16 | 16 |
| 2021 Enero | 0 | 23 | 23 |
| 2020 Diciembre | 0 | 27 | 27 |
| 2020 Noviembre | 0 | 21 | 21 |
| 2020 Octubre | 0 | 20 | 20 |
| 2020 Septiembre | 0 | 9 | 9 |
| 2020 Agosto | 0 | 19 | 19 |
| 2020 Julio | 0 | 4 | 4 |
| 2020 Junio | 0 | 4 | 4 |
| 2020 Mayo | 0 | 8 | 8 |
| 2020 Abril | 0 | 8 | 8 |
| 2020 Marzo | 0 | 11 | 11 |
| 2020 Febrero | 0 | 5 | 5 |
| 2020 Enero | 0 | 23 | 23 |
| 2019 Diciembre | 1 | 38 | 39 |
| 2019 Noviembre | 0 | 18 | 18 |
| 2019 Octubre | 0 | 22 | 22 |
| 2019 Septiembre | 0 | 31 | 31 |
| 2019 Agosto | 0 | 23 | 23 |
| 2019 Julio | 0 | 29 | 29 |
| 2019 Junio | 0 | 22 | 22 |
| 2019 Mayo | 0 | 54 | 54 |
| 2019 Abril | 1 | 39 | 40 |
| 2019 Marzo | 0 | 2 | 2 |
| 2019 Febrero | 0 | 14 | 14 |
| 2018 Diciembre | 0 | 6 | 6 |
| 2018 Noviembre | 0 | 1 | 1 |
| 2018 Octubre | 0 | 18 | 18 |
| 2018 Febrero | 7 | 4 | 11 |
| 2018 Enero | 6 | 5 | 11 |
| 2017 Diciembre | 2 | 1 | 3 |
| 2017 Noviembre | 6 | 6 | 12 |
| 2017 Octubre | 6 | 1 | 7 |
| 2017 Septiembre | 1 | 8 | 9 |
| 2017 Agosto | 1 | 15 | 16 |
| 2017 Julio | 13 | 2 | 15 |
| 2017 Junio | 1 | 10 | 11 |
| 2017 Mayo | 4 | 4 | 8 |
| 2017 Abril | 7 | 13 | 20 |
| 2017 Marzo | 8 | 6 | 14 |
| 2017 Febrero | 9 | 10 | 19 |
| 2017 Enero | 7 | 2 | 9 |
| 2016 Diciembre | 13 | 13 | 26 |
| 2016 Noviembre | 20 | 8 | 28 |
| 2016 Octubre | 42 | 12 | 54 |
| 2016 Septiembre | 21 | 20 | 41 |
| 2016 Agosto | 9 | 5 | 14 |
| 2016 Julio | 11 | 1 | 12 |
| 2016 Junio | 18 | 14 | 32 |
| 2016 Mayo | 28 | 11 | 39 |
| 2016 Abril | 7 | 8 | 15 |
| 2016 Marzo | 10 | 12 | 22 |
| 2016 Febrero | 9 | 8 | 17 |
| 2016 Enero | 8 | 12 | 20 |
| 2015 Diciembre | 8 | 8 | 16 |
| 2015 Noviembre | 14 | 7 | 21 |
| 2015 Octubre | 10 | 5 | 15 |
| 2015 Septiembre | 9 | 7 | 16 |
| 2015 Agosto | 10 | 3 | 13 |
| 2015 Julio | 3 | 3 | 6 |
| 2015 Junio | 7 | 1 | 8 |
| 2015 Mayo | 8 | 4 | 12 |
| 2015 Abril | 8 | 12 | 20 |
| 2015 Marzo | 4 | 5 | 9 |
| 2015 Febrero | 4 | 2 | 6 |
| 2015 Enero | 10 | 3 | 13 |
| 2014 Diciembre | 18 | 7 | 25 |
| 2014 Noviembre | 15 | 2 | 17 |
| 2014 Octubre | 19 | 5 | 24 |
| 2014 Septiembre | 12 | 2 | 14 |
| 2014 Agosto | 8 | 1 | 9 |
| 2014 Julio | 15 | 2 | 17 |
| 2014 Junio | 15 | 3 | 18 |
| 2014 Mayo | 9 | 3 | 12 |
| 2014 Abril | 3 | 3 | 6 |
| 2014 Marzo | 9 | 2 | 11 |
| 2014 Febrero | 9 | 0 | 9 |
| 2014 Enero | 10 | 1 | 11 |
| 2013 Diciembre | 6 | 2 | 8 |
| 2013 Noviembre | 8 | 6 | 14 |
| 2013 Octubre | 5 | 10 | 15 |
| 2013 Septiembre | 6 | 7 | 13 |
| 2013 Agosto | 11 | 6 | 17 |
| 2013 Julio | 2 | 0 | 2 |
| 2008 Noviembre | 356 | 0 | 356 |
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