دورية أكاديمية
Current management of symptomatic vesicoureteral reflux in pediatric kidney transplantation-A European survey among surgical transplant professionals.
| العنوان: | Current management of symptomatic vesicoureteral reflux in pediatric kidney transplantation-A European survey among surgical transplant professionals. |
|---|---|
| المؤلفون: | Zirngibl, Matthias, Weitz, Marcus, Luithle, Tobias, Tönshoff, Burkhard, Nadalin, Silvio, Buder, Kathrin, Collaborators |
| المساهمون: | Detry, Olivier |
| المصدر: | Pediatric Transplantation, 28 (1), e14621 (2024-02) |
| بيانات النشر: | John Wiley and Sons Inc, 2024. |
| سنة النشر: | 2024 |
| مصطلحات موضوعية: | management strategies, online survey, pediatric kidney transplantation, vesicoureteral reflux, Pediatrics, Perinatology and Child Health, Transplantation, Human health sciences, Surgery, Sciences de la santé humaine, Chirurgie |
| الوصف: | [en] BACKGROUND: Vesicoureteral reflux (VUR) is common in children and adolescents undergoing kidney transplantation (KTx) and may adversely affect allograft kidney function.METHODS: To explore the current management of symptomatic native and allograft VUR in pediatric KTx recipients, an online survey was distributed to European surgical transplant professionals.RESULTS: Surgeons from 40 pediatric KTx centers in 18 countries participated in this survey. Symptomatic native kidney VUR was treated before or during KTx by 68% of the centers (all/selected patients: 33%/67%; before/during KTx: 89%/11%), with a preference for endoscopic treatment (59%). At KTx, 90% favored an anti-reflux ureteral reimplantation procedure (extravesical/transvesical approach: 92%/8%; preferred extravesical technique: Lich-Gregoir [85%]). Management strategies for symptomatic allograft VUR included surgical repair (90%), continuous antibiotic prophylaxis (51%), bladder training (49%), or noninterventional surveillance (21%). Redo ureteral implantation and endoscopic intervention for allograft VUR were equally reported (51%/49%).CONCLUSIONS: This survey shows uniformity in some surgical aspects of the pediatric KTx procedure. However, with regard to VUR, there is a significant variation in practice patterns that need to be addressed by future well-designed and prospective studies. In this way, more robust data could be translated into consensus guidelines for a more standardized and evidence-based management of this common condition in pediatric KTx. |
| نوع الوثيقة: | journal article http://purl.org/coar/resource_type/c_6501 article peer reviewed |
| اللغة: | English |
| Relation: | https://onlinelibrary.wiley.com/doi/pdf/10.1111/petr.14621; urn:issn:1397-3142; urn:issn:1399-3046 |
| DOI: | 10.1111/petr.14621 |
| URL الوصول: | https://orbi.uliege.be/handle/2268/316468 |
| حقوق: | open access http://purl.org/coar/access_right/c_abf2 info:eu-repo/semantics/openAccess |
| رقم الأكسشن: | edsorb.316468 |
| قاعدة البيانات: | ORBi |
| DOI: | 10.1111/petr.14621 |
|---|