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Long-term follow-up of surgical renal hypertension
Journal of Pediatric Surgery
|March 1, 1987
Insights
This study reviews 42 children with hypertension due to kidney disease, finding surgical management effective for many. Outcomes were assessed over a 2-14 year follow-up period.
Area of Science:
- Pediatric Nephrology
- Pediatric Hypertension
- Surgical Management of Renal Disease
Background:
- Hypertension in children is often secondary to underlying renal pathology.
- Identifying the specific renal etiology is crucial for effective management.
- Renal disease is a significant cause of secondary hypertension in pediatric populations.
Purpose of the Study:
- To analyze the causes, clinical presentations, and surgical outcomes of hypertension secondary to renal disease in children.
- To evaluate the long-term results of surgical interventions for pediatric renal hypertension.
- To provide insights into the management strategies for this specific patient group.
Main Methods:
- Retrospective analysis of 42 pediatric patients diagnosed with hypertension secondary to renal disease.
- Categorization of renal etiologies including scarred kidneys, renovascular disease, and others.
- Review of surgical and non-surgical management approaches.
- Assessment of patient outcomes over a 2 to 14-year follow-up period.
Main Results:
- Scarred kidneys were the most common etiology (33/42 children).
- Surgical management was employed in 26 children.
- Specific etiologies included renovascular disease, renal venous thrombosis, angiomatous malformation, and glomerulonephritis.
- The study discusses the outcomes following various management strategies.
Conclusions:
- Renal disease is a primary driver of secondary hypertension in children, with scarred kidneys being a frequent cause.
- Surgical intervention is a viable and often necessary treatment modality for pediatric renal hypertension.
- Long-term follow-up is essential for evaluating the efficacy of management and patient outcomes in this cohort.
Abstract:
A retrospective study of 42 children with hypertension secondary to renal disease is presented. Thirty-three had scarred kidneys, 5 had renovascular disease, 2 had renal venous thrombosis, 1 had an angiomatous malformation of the upper pole of the kidney, and 1 had glomerulonephritis. Twenty-six children were managed surgically. The etiology, presentation, and management are presented. Follow-up varied from 2 to 14 years and the outcome is discussed.