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Management of pediatric patients with the diagnosis of ureteropelvic junction obstruction (UPO) is controversial and varies according to centers. In this study, it was aimed to evaluate the admission and follow-up findings of the patients followed up with the diagnosis of UPO in Pamukkale University Pediatric Nephrology Clinic. The data of pediatric patients who were followed-up with the diagnosis of UPO in Pamukkale University Pediatric Nephrology Clinic between January 2014 and August 2021 were evaluated retrospectively. Demographic and clinical characteristics of the patients, urinary system USG findings at admission, at the first year of follow-up, and at the last follow-up, and Mercaptoacetyltriglycine (MAG3) scintigraphy findings at admission and at the first-year follow-up were analyzed. Thirty-one (70.5%) of the patients were male and 13 (29.5%) were female. The mean follow-up period of the patients was 47.4 ± 31.1 (24-120 months) months. Eighteen of the patients (˜41%) had renal anomaly accompanying UPO. Nineteen patients underwent pyeloplasty operation. First admission USG findings and 1st year USG findings of patients who underwent pyeloplasty were evaluated. It was determined that there was an improvement in the findings of thinning of the parenchyma and the width of the anterior-posterior diameter of the pelvis. Among the patients who did not undergo pyeloplasty, the USG findings of 3 patients deteriorated. When the data were re-examined, it was determined that these three patients were children of families who did not accept the operation. There was no significant difference between the MAG-3 scintigraphy findings at the first admission and the first year in the patients who underwent pyelopiplasty and those who did not. In this study, it was determined that the USG and MAG3 scintigraphy findings of the patients followed up with both surgical and conservative approaches remained stable or improved. It is important to evaluate USG and MAG3 scintigraphy results together in the management of this patient group. In particular, it should be taken into account whether families can adapt to follow-up plans when deciding on the conservative approach.
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Primary Language | Turkish |
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Subjects | Health Care Administration |
Journal Section | ORİJİNAL MAKALE |
Authors | |
Project Number | yok |
Publication Date | July 19, 2022 |
Published in Issue | Year 2022 |