Grados de reflujo vesicoureteral en pacientes pediátricos Hospital de Niños Dr. Roberto Gilbert Elizalde período 2015
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Fecha
2016
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Medicina
Resumen
ANTECEDENTES
El reflujo vesicoureteral es una de las patologías más comunes diagnosticadas en urología pediátrica. Presentándose con cuadros recurrentes de infección de vías urinarias que podrían conllevar a repercusiones en la estructura y función renal a largo plazo. Diagnosticar el reflujo vesicoureteral y clasificarlo al grado que pertenece, nos guiará en la decisión del tratamiento más adecuado según cada caso, de manera temprana, para evitar las complicaciones como la insuficiencia renal, que compromete el desarrollo de nuestros pacientes pediátricos.
OBJETIVO
Determinar los distintos grados de reflujo vesicoureteral y el porcentaje de presentación de cada uno de ellos en nuestro universo de estudio, con un total de 123 pacientes pediátricos atendidos en el año 2015.
MÉTODOS
La información fue recolectada de la base de datos del hospital de niños “Dr. Roberto Gilbert Elizalde”, incluyendo a todos los niños con diagnóstico de reflujo vesicoureteral en el periodo 2015. Se revisó los resultados de los exámenes realizados, las evoluciones clínicas y las notas médicas de cada uno de los pacientes con el diagnóstico antes mencionado.
RESULTADOS
Se clasifica a los grados de reflujo vesicoureteral según los hallazgos encontrados a través del CUMS, divididos en grado I – V. En nuestro estudio se determinó que el grado mayormente encontrado fue el grado III con un 29%, seguido del grado IV con un 19%, el grado II con un 14%, el grado I con un 12% y el grado V con un 11%. Destacaremos que existe un grupo de pacientes conformado por el 15% del total que presentó reflujo vesicoureteral bilateral con distintos grados de reflujo en cada lado, con predominio en uno de ellos del grado III.
BACKGROUND Vesicoureteral reflux is one of the most common disorders diagnosed in pediatric urology. Appearing like recurrent episodes of urinary tract infection that could lead to long-term repercussions on the structure and renal function. The diagnosis of vesicoureteral reflux and the classification in grades which it belongs, help us decide the most appropriate treatment according to each case, early, to avoid complications such as kidney failure, which compromise the development of our pediatric patients. OBJECTIVE To determine the different grades of vesicoureteral reflux and the percentage of presentation of each one in our universe of study, in a total of 123 pediatrics patients were seen in 2015. METHODS The information was collected from the database of Children's Hospital "Dr. Roberto Gilbert Elizalde" including all children diagnosed with vesicoureteral reflux in the period 2015. Checking the results of different lab test, clinical developments and clinical notes of each patient with the diagnosis mentioned before. RESULTS The clasification to the grades of vesicoureteral reflux is accorded to the findings through the VCUG, divided into grade I - V. In our study, we determined that the grade III is the mostly found with 29%, followed by grade IV with 19 %, grade II 14%, grade I with 12% and V grade with 11%. It´s important to mention that there is a group of patients constitute by the 15% of total, who presented bilateral vesicoureteral reflux with different grades of reflux on each side, with a predominance of grade III in one of this sides.
BACKGROUND Vesicoureteral reflux is one of the most common disorders diagnosed in pediatric urology. Appearing like recurrent episodes of urinary tract infection that could lead to long-term repercussions on the structure and renal function. The diagnosis of vesicoureteral reflux and the classification in grades which it belongs, help us decide the most appropriate treatment according to each case, early, to avoid complications such as kidney failure, which compromise the development of our pediatric patients. OBJECTIVE To determine the different grades of vesicoureteral reflux and the percentage of presentation of each one in our universe of study, in a total of 123 pediatrics patients were seen in 2015. METHODS The information was collected from the database of Children's Hospital "Dr. Roberto Gilbert Elizalde" including all children diagnosed with vesicoureteral reflux in the period 2015. Checking the results of different lab test, clinical developments and clinical notes of each patient with the diagnosis mentioned before. RESULTS The clasification to the grades of vesicoureteral reflux is accorded to the findings through the VCUG, divided into grade I - V. In our study, we determined that the grade III is the mostly found with 29%, followed by grade IV with 19 %, grade II 14%, grade I with 12% and V grade with 11%. It´s important to mention that there is a group of patients constitute by the 15% of total, who presented bilateral vesicoureteral reflux with different grades of reflux on each side, with a predominance of grade III in one of this sides.
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REFLUJO VESICOURETENAL, PEDIATRIA, HOSPITAL DE NIÑOS DR. ROBERTO GILBERT ELIZALDE, CANTON GUAYAQUIL, ECUADOR