Avtor/Urednik     Grmek, M; Fettich, J
Naslov     The importance of follow-up of children with vesicoureteral reflux grade 1
Tip     članek
Vir     Acta Paediatr
Vol. in št.     Letnik 92
Leto izdaje     2003
Obseg     str. 435-8
Jezik     eng
Abstrakt     Aim: The objectives of this study were, first, to determine the probability of detecting vesicoureteral reflux (VUR) into the renal collecting system (VUR grade 2 or higher) by follow-up cyclic radionuclide cystography (CRC) in children with VUR 1 on initial examination, and in children without VUR and with the same clinical history; and secondly, to find out whether dividing VUR 1 into three subclasses, including possible reflux into the ureter, reflux into tlte lower ureter, and reflux into the whole length of the ureter, enhances detection of higher grade reflux in these children. Methods: 275 children with VUR 1 found on initial CRC, and 31 children without reftux and with the same clinical history were studied. In total, 414 renal units with VUR 1 of different subclasses and 198 renal units without reflux were evaluated. Results: Follow-up CRC disclosed reflux into the .renal collecting system in 20% of children with VUR 1 on initial investigation, and in 23% of children with no reflux at the time of initial investigation. The probability that follow-up examination would disclose VUR 2 in 3 in renal units with different subclasses of grade 1 reflux was 8-16%, and did not differ significantly from the probability for detecting reflux in kidneys with no reftux on initial examination.
Deskriptorji     VESICO-URETERAL REFLUX
BLADDER
CHILD