| Endobrst: simple and safe is best. | |
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MedLine Citation:
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PMID: 9847063 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Minimal-access treatment for ureteropelvic junction (UPJ) obstruction is becoming increasingly complex. Is there still a place for the simple procedure of balloon dilatation? To examine the symptomatic and renographic results of patients at least 6 months after balloon disruption of an obstructed UPJ, we carried out a prospective audit of outcome as judged by DTPA renograms and clinical follow-up. The procedure has been performed on a total of 21 renal units (20 patients) with follow-up of 6 to 30 months (mean 22 months). Of these, 18 (86%) were asymptomatic at 3 months, although this success rate dropped to 17 (81%) by 6 months. Renographic split function improved in 11 renal units, and excretion improve in 14. Perioperative complications were few and associated with stent insertion. Three of the patients in whom the procedure failed went on to nephrectomy (14%); all had poor renal function (split <20%) at presentation. Although the quoted success rates are lower for endoluminal balloon rupture of stenosis treatment than open pyeloplasty, the former technique has significantly less morbidity. Our nephrectomy rate reflects our less than ideal early patient selection, and our balloon dilation technique is not recommended as a salvage procedure for patients in whom nephrectomy is inevitable. The learning curve is quick to climb, and this is a fundamentally simple procedure with medium-term results that remain encouraging. |
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Authors:
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N Oakley; A Raza; A U Haq; K Hastie |
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Publication Detail:
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Type: Clinical Trial; Comparative Study; Journal Article |
Journal Detail:
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Title: Journal of endourology / Endourological Society Volume: 12 ISSN: 0892-7790 ISO Abbreviation: J. Endourol. Publication Date: 1998 Oct |
Date Detail:
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Created Date: 1999-02-17 Completed Date: 1999-02-17 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 8807503 Medline TA: J Endourol Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 423-8 Citation Subset: IM |
Affiliation:
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Royal Hallamshire Hospital, Sheffield, UK. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Balloon Dilatation* / instrumentation, standards Follow-Up Studies Humans Iron Chelating Agents / diagnostic use Middle Aged Pentetic Acid / diagnostic use Prospective Studies Recurrence Safety Surgical Procedures, Minimally Invasive Treatment Outcome Ureteral Obstruction / radiography, therapy* Urography |
| Chemical | |
Reg. No./Substance:
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0/Iron Chelating Agents; 67-43-6/Pentetic Acid |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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