        TY  - JOUR
T1  - Comparision of efficacy and safety of double j stenting and percutaneous nephrostomy in patients with postrenal acute renal failure due to ureteral obstruction
TT  - Üreteral obstrüksiyona bağlı postrenal akut böbrek yetmezliği olan hastalarda double j stent ve perkütan nefrostominin etkinlik ve güvenlilik açısından karşılaştırılması
AU  - Şefik, Ertuğrul
AU  - Basmacı, İsmail
AU  - Aydoğdu, Özgü
AU  - Polat, Salih
AU  - Bozkurt, İbrahim Halil
AU  - Değirmenci, Tansu
AU  - Dinçel, Çetin
PY  - 2018
DA  - October
JF  - Yeni Üroloji Dergisi
JO  - New J Urol.
PB  - Ali İhsan TAŞÇI
WT  - DergiPark
SN  - 1305-2489
SP  - 6
EP  - 9
VL  - 13
IS  - 3
LA  - en
AB  - Aim: To compare of efficacy and safety bet-ween percutaneous nephrostomy and ureteraldouble J stenting in patients with post-renal acuterenal failure (ARF).Material and Methods: A total of 59 patientswho presented with post-renal ARF due to ureteral obstruction and who underwent percutaneousnephrostomy or ureteral double j stenting between January 2011 and April 2016 in our clinic wereincluded in this study. Patients were divided intotwo groups with ureteral double j stents (Group1) and the other with percutaneous nephrostomy(Group 2). These patients were then evaluated bydaily serum urea and creatinine. Patients werecompared in terms of creatinine reduction rate,total creatinine change and complications.Results: There were 40 patients in Group 1in which renal pelvis drainage performed withureteral double j stent and 19 patients in Group 2with percutaneous nephrostomy drainage. Meanfollow-up time was 6.8 ± 10.3 days and 7.6 ± 4.0days for Group 1 and Group 2, respectively. Descrease rate of creatinine was significantly higherin percutaneous nephrostomy group(p&amp;lt;0.001).Decrease of mean creatinine level by daily was0.31 ± 0.33 and 0.46 ± 0.35 in ureteral doublej stent and percutaneous nephrostomy group,respectively(p=0.103). Time to basal creatinine le-vel was similar in both groups. Patients in Group 2had higher hydronephrosis grades(0.036). Accor-ding to the Clavien-Dindo classification, the twogroups were similar in terms of complications.Conclusion: Double j stent or percutaneousnephrostomy insertion in patients presenting withpostrenal ARF due to ureteral obstruction was found to be similar in terms of efficacy and safety.
KW  - double j stent
KW  - percutaneous nephrostomy;
KW  - postrenal acute renal failure
N2  - Amaç: Postrenal akut böbrek yetmezliği(ABY) nedeniyle başvuran hastalarda üreteraldouble j stent (UDjS) takılması ve perkütan nefrostomi (PCN) takılmasının etkinlik ve güvenliliğini karşılaştırmakMateryal ve Metod: Kliniğimizde Ocak2011 ile Nisan 2016 tarihleri arasında üreteralobstrüksiyona bağlı postrenal ABY nedeniylebaşvuran ve acil olarak UDjS veya PCN takılan59 hasta çalışmaya dahil edildi. Hastalar UDjStakılanlar(Grup 1) ve PCN takılanlar(Grup 2)olmak üzere iki gruba ayrıldı. Hastalara işlemsonrası günlük üre ve kreatinin takibi yapıldı. İkigrup; kreatinin düşüş hızı, total kretinin değişimi, ve komplikasyonlar açısından karşılaştırıldı.Bulgular: Grup 1 de UDjS yardımıyla renal pelvis drenajı sağlanmış 40 hasta, grup 2de ise PCN ile drenajı yapılan 19 hasta vardı.Ortalama takip süresi Grup 1 ve Grup 2 içinsırasıyla 6.8±10.3 ve 7.6±4.0 gündü. PCN takılan grupta kreatinin düşüşü anlamlı olarakyüksekti(p&amp;lt;0.001). Ortalama günlük kreatinindüşüşü Grup 1 de 0,31± 0,33, Grup 2 de 0,46±0,35 mg/dl olarak bulundu(p=0.103). Bazal kre-atinin değerine ulaşma süresi açısından iki gruparasında fark izlenmedi. Grup 2 de hidronefrozderecesi anlamlı olarak daha yüksek bulundu.Clavien-Dindo komplikasyon sınıflamasına görekomplikasyonlar açısından iki grup benzer olarak bulundu.Sonuç: Üreteral obstrüksiyona bağlı postrenal ABY nedeniyle başvuran hastalarda UDjSveya PCN takılması etkinlik ve güvenlilik açısından benzerdir.
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UR  - https://dergipark.org.tr/en/pub/yud/issue//520882
L1  - https://dergipark.org.tr/en/download/article-file/639272
ER  -