Clinical Outcome of Ureteropelvic Junction Obstruction in the Pediatric and Adult Population / 영남의대학술지
Yeungnam University Journal of Medicine
;
: 67-73, 2004.
Article
in Korean
| WPRIM
| ID: wpr-190032
ABSTRACT
BACKGROUND:
A ureteropelvic junction (UPJ) obstruction is a congenital anomaly commonly afflicting the pediatric population. However, it occurs more frequently in adults than is generally appreciated. To assess their characteristics, we have here compared and analyzed the clinical manifestations, causes, and outcomes of UPJ obstruction found in children and adults. MATERIALS ANDMETHODS:
102 patients (118 renal units) out of 182 patients (218 renal units), with diagnosed UPJ obstruction, were available for follow up. The follow-ups were retrospectively reviewed to determine the presenting symptoms, treatments, and clinical outcomes. Patients who were younger than 18 years of age were assigned to the pediatric group (44 patients), others the adult group (58 patents).RESULTS:
The majority of the patients presented with flank pain (pediatric group 68%, adult group 76%). The majority of patients underwent a pyeloplasty (pediatric group 50.9%, adult group 62.3%). And the major cause of the UPJ obstruction was an intrinsic stenosis (pediatric group 53%, adult group 56%).CONCLUSION:
The prevalence of bilateral UPJ obstruction in adults is evidently less prevalent than in pediatrics, and despite the late diagnosis, the surgical outcome is similar. A further investigation of UPJ obstruction will lead us to a more comprehensive understanding of the disease.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pediatrics
/
Prevalence
/
Retrospective Studies
/
Follow-Up Studies
/
Constriction, Pathologic
/
Flank Pain
/
Delayed Diagnosis
Type of study:
Diagnostic study
/
Observational study
/
Prevalence study
/
Prognostic study
/
Risk factors
Limits:
Adult
/
Child
/
Humans
Language:
Korean
Journal:
Yeungnam University Journal of Medicine
Year:
2004
Type:
Article
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