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Renal function following extracorporeal lithotripsy in children
M T Corbally1, J Ryan, J FitzPatrick
1Our Lady's Hospital Crumlin, Dublin, Ireland.
Journal of Pediatric Surgery
|May 1, 1991
Summary
Extracorporeal shockwave lithotripsy (ESWL) may cause a slight, insignificant decrease in kidney function in children. Monitoring renal function before and after ESWL is recommended for all patients.
Area of Science:
- Pediatric Nephrology
- Urology
- Medical Technology Assessment
Background:
- Extracorporeal shockwave lithotripsy (ESWL) is a key treatment for urinary stones.
- Long-term impacts of ESWL on pediatric renal function remain unclear.
Purpose of the Study:
- To assess the short-term effects of ESWL on glomerular filtration rate (GFR) in children.
- To evaluate the safety and efficacy of ESWL in pediatric patients.
Main Methods:
- Study included 18 pediatric patients undergoing ESWL.
- Glomerular filtration rate was measured using diethylenetriaminepentaacetic acid (DTPA) scans before and after ESWL.
Main Results:
- A mild, statistically insignificant 15% decrease in DTPA-measured GFR was observed post-ESWL.
- No significant adverse effects on renal function were noted in the short term.
Conclusions:
- ESWL appears to have minimal short-term impact on pediatric renal function.
- Recommend pre- and post-therapy renal function assessment for all pediatric ESWL patients.
- Further long-term studies are needed to fully understand ESWL's effects on the developing kidney.