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Reflujo vesicoureterico en niños.
1Department of Nephrology, Great Ormond Street Hospital for Children, London, UK.
Lancet (London, England)
|August 29, 2014
Resumen
El reflujo vesicoureterico (VUR), el flujo hacia atrás de la orina a los riñones, afecta a muchos bebés. Este seminario revisa las estrategias de gestión actuales para el VUR pediátrico, haciendo hincapié en las directrices actualizadas y recomendaciones controvertidas.
Área de la Ciencia:
- Nefrología Pediátrica.
- Urología Urología Urología.
Sus antecedentes:
- El reflujo vesicoureterico (VUR) implica que la orina fluya hacia atrás desde la vejiga hasta los uréteres y los riñones, afectando principalmente a los bebés.
- La ERV grave puede conducir a la dilatación de la pelvis ureteral y renal.
- Estudios recientes indican una mayor prevalencia de ERV en niños (25-40%) de lo que se creía anteriormente.
Objetivo del estudio:
- Presentar datos sobre el manejo del reflujo vesicouréterico pediátrico.
- Ofrecer orientación para navegar las recomendaciones actuales, a menudo controvertidas, para el manejo de VUR en niños.
Principales métodos:
- Revisión de la literatura actual y los datos clínicos sobre el reflujo vesicouréterico pediátrico.
- Análisis de las directrices existentes con respecto a la investigación y el tratamiento de VUR.
Principales resultados:
- Las opiniones tradicionales sobre la prevalencia de ERV pueden estar subestimadas; las estimaciones actuales sugieren que el 25-40% de los niños afectados.
- Las directrices recomiendan reducir las investigaciones para VUR después de infecciones febriles del tracto urinario.
- Los antibióticos profilácticos y la cirugía no se recomiendan para los casos pediátricos de ERV no graves.
Conclusiones:
- Se debaten las directrices actuales de manejo para el VUR pediátrico.
- Una revisión crítica de las estrategias de manejo de VUR es necesaria para una atención óptima al paciente.
- Este seminario tiene como objetivo proporcionar claridad y sugerencias para el manejo de los niños con VUR.
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