Ureteropelvic Junction Obstruction



A child with a ballotable kidney. Can you successfully manage this conundrum?

  1. Diuretic renography
  2. Grading hydronephrosis
  3. Hydronephrosis
  4. Magnetic Resonance Urography (MRU)
  5. Opioids in renal colic
  6. Surgical management of UPJ obstruction
  7. Ureteropelvic junction obstruction
  8. When to manage ureteropelvic junction obstruction?
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  2. ANTMAN EM, BENNETT JS, DAUGHERTY A, FURBERG C, ROBERTS H, TAUBERT KA, AMERICAN HEART ASSOCIATION.. Use of nonsteroidal antiinflammatory drugs: an update for clinicians: a scientific statement from the American Heart Association. Circulation [online] 2007 Mar 27, 115(12):1634-42 [viewed 16 February 2017] Available from: DOI: 10.1161/CIRCULATIONAHA.106.181424
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  4. ENGELER DS, SCHMID S, SCHMID HP. The ideal analgesic treatment for acute renal colic--theory and practice. Scand J Urol Nephrol [online] 2008, 42(2):137-42 [viewed 27 January 2017] Available from: http://www.ncbi.nlm.nih.gov/pubmed/17899475
  5. ESMAEILI M, ESMAEILI M, GHANE F, ALAMDARAN A. Comparison Between Diuretic Urography (IVP) and Diuretic Renography for Diagnosis of Ureteropelvic Junction Obstruction in Children Iran J Pediatr [online] 2016 Jan 30, 26(1):e4293 [viewed 27 January 2017] Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4733295
  6. ESPOSITO C, BLEVE C, ESCOLINO M, CAIONE P, GEROCARNI NAPPO S, FARINA A, CAPRIO MG, CERULO M, LA MANNA A, CHIARENZA SF. Laparoscopic transposition of lower pole crossing vessels (vascular hitch) in children with pelviureteric junction obstruction Transl Pediatr [online] 2016 Oct, 5(4):256-261 [viewed 11 May 2018] Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5107373
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  8. GASPARI RJ, HORST K. Emergency ultrasound and urinalysis in the evaluation of flank pain. Acad Emerg Med [online] 2005 Dec, 12(12):1180-4 [viewed 27 January 2017] Available from: http://www.ncbi.nlm.nih.gov/pubmed/16282510
  9. GLODNY B, RAPF K, UNTERHOLZNER V, REHDER P, HOFMANN KJ, STRASAK A, HERWIG R, PETERSEN J. Accessory or additional renal arteries show no relevant effects on the width of the upper urinary tract: a 64-slice multidetector CT study in 1072 patients with 2132 kidneys Br J Radiol [online] 2011 Feb, 84(998):145-152 [viewed 11 May 2018] Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3473859
  10. GOLDRAICH NP, GOLDRAICH IH. Update on dimercaptosuccinic acid renal scanning in children with urinary tract infection. Pediatr Nephrol [online] 1995 Apr, 9(2):221-6; discussion 227 [viewed 27 January 2017] Available from: http://www.ncbi.nlm.nih.gov/pubmed/7794724
  11. GOLZARI SE, SOLEIMANPOUR H, RAHMANI F, ZAMANI MEHR N, SAFARI S, HESHMAT Y, EBRAHIMI BAKHTAVAR H. Therapeutic Approaches for Renal Colic in the Emergency Department: A Review Article Anesth Pain Med [online] 2014 Feb 13, 4(1):e16222 [viewed 27 January 2017] Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3961032
  12. GRASSO M III, CARUSO RP, PHILLIPS CK. UPJ Obstruction in the Adult Population: Are Crossing Vessels Significant? Rev Urol [online] 2001 Winter, 3(1):42-51 [viewed 27 January 2017] Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1476031
  13. KIM J, HONG S, PARK CH, PARK H, KIM KS. Management of Severe Bilateral Ureteropelvic Junction Obstruction in Neonates with Prenatally Diagnosed Bilateral Hydronephrosis Korean J Urol [online] 2010 Sep 17, 51(9):653-656 [viewed 12 May 2018] Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2941816
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  18. RIVAS JG, GREGORIO SA, EASTMOND MP, GóMEZ AT, TOGORES LH, SEBASTIáN JD, BARTHEL JJ. Renal function recovery after laparosocopic pyeloplasty Cent European J Urol [online] 2014 Jun 23, 67(2):210-213 [viewed 12 May 2018] Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4132595
  19. RIVAS JG, GREGORIO SA, SáNCHEZ LC, PORTELLA PF, GóMEZ ÁT, LEDO JC, SEBASTIáN JD, BARTHEL JJ. Evolution in the treatment of the ureteropelvic junction obstruction syndrome. Laparoscopic versus open pyeloplasty Cent European J Urol [online] 2015 Sep 26, 68(3):384-388 [viewed 27 January 2017] Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4643695
  20. ROGERS A, HASAN T. Management of secondary pelviureteric junction obstruction Indian J Urol [online] 2013 Oct-Dec, 29(4):294-302 [viewed 12 May 2018] Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3822345
  21. Renal colic in adults: NSAIDs and morphine are effective for pain relief. Prescrire Int [online] 2009 Oct, 18(103):217-21 [viewed 27 January 2017] Available from: http://www.ncbi.nlm.nih.gov/pubmed/19882796
  22. SERINKEN M, EKEN C, TURKCUER I, ELICABUK H, UYANIK E, SCHULTZ CH. Intravenous paracetamol versus morphine for renal colic in the emergency department: a randomised double-blind controlled trial. Emerg Med J [online] 2012 Nov, 29(11):902-5 [viewed 17 February 2017] Available from: http://www.ncbi.nlm.nih.gov/pubmed/22186009
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  25. SYMONS SJ, PALIT V, BIYANI CS, CARTLEDGE JJ, BROWNING AJ, JOYCE AD. Minimally invasive surgical options for ureteropelvic junction obstruction: A significant step in the right direction Indian J Urol [online] 2009 Jan-Mar, 25(1):27-33 [viewed 27 January 2017] Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2684299
  26. TAYLOR AT, BLAUFOX MD, DE PALMA D, DUBOVSKY EV, ERBAş B, ESKILD-JENSEN A, FRøKIæR J, ISSA MM, PIEPSZ A, PRIGENT A. Guidance Document for Structured Reporting of Diuresis Renography Semin Nucl Med [online] 2012 Jan, 42(1):41-48 [viewed 12 May 2018] Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3226810
  27. TERMOS S, ALKABBANI M, ULINSKI T, SANJAD S, KOTOBI H, CHALARD F, AOUN B. Ureteropelvic Junction Obstruction and Parathyroid Adenoma: Coincidence or Link? Case Rep Nephrol [online] 2017 Oct 17:9852912 [viewed 11 May 2018] Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5664328
  28. VANDERVOORT K, LASKY S, SETHNA C, FRANK R, VENTO S, CHOI-ROSEN J, GOILAV B, TRACHTMAN H. Hydronephrosis in Infants and Children: Natural History and Risk Factors for Persistence in Children Followed by a Medical Service Clin Med Pediatr [online] 2009 Dec 16:63-70 [viewed 12 May 2018] Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3676294