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Antegrade balloon dilation of postoperative ureterovesical junction obstruction in children.
Angel, C A; Kocurek, J N; Walser, E M; Wittich, G R; Warren, M M; Swischuk, L E.
Afiliación
  • Angel CA; Department of Surgery, Division of Pediatric Surgery, The University of Texas Medical Branch, 77555-0353, Galveston, Texas, USA.
Pediatr Surg Int ; 11(8): 562-5, 1996 Oct.
Article en En | MEDLINE | ID: mdl-24057850
Obstruction of the ureterovesical junction is an uncommon but well-recognized complication of ureteral reimplantation that traditionally has been treated by surgical correction [1, 5-9]. We report our experience with antegrade balloon dilation (ABD) of these strictures in two children. Obstruction was confirmed by diuretic renogram and pressure perfusion studies prior to ABD. Clinical follow-up was done at 3 months and 14 months, and ultrasonographic studies revealed resolution of the hydronephrosis. In addition, diuretic renograms showed complete washout of radiotracer. Morbidity was limited to episodes of pyelonephritis that readily responded to medical management. ABD of ureteral strictures is a relatively simple procedure with a potential for a high success rate and low morbidity. This modality should be considered as the first line of treatment in patients with distal ureteral obstruction after reimplantation.

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Pediatr Surg Int Asunto de la revista: PEDIATRIA Año: 1996 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Alemania

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Pediatr Surg Int Asunto de la revista: PEDIATRIA Año: 1996 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Alemania