Document Detail


Endobrst: simple and safe is best.
MedLine Citation:
PMID:  9847063     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
N Oakley; A Raza; A U Haq; K Hastie
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Publication Detail:
Type:  Clinical Trial; Comparative Study; Journal Article    
Journal Detail:
Title:  Journal of endourology / Endourological Society     Volume:  12     ISSN:  0892-7790     ISO Abbreviation:  J. Endourol.     Publication Date:  1998 Oct 
Date Detail:
Created Date:  1999-02-17     Completed Date:  1999-02-17     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8807503     Medline TA:  J Endourol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  423-8     Citation Subset:  IM    
Affiliation:
Royal Hallamshire Hospital, Sheffield, UK.
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MeSH Terms
Descriptor/Qualifier:
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:
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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