Please use this identifier to cite or link to this item: https://olympias.lib.uoi.gr/jspui/handle/123456789/20595
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dc.contributor.authorTilemis, S.en
dc.contributor.authorSavanelli, A.en
dc.contributor.authorBaltogiannis, D.en
dc.contributor.authorCigliano, B.en
dc.contributor.authorSettimi, A.en
dc.date.accessioned2015-11-24T19:08:48Z-
dc.date.available2015-11-24T19:08:48Z-
dc.identifier.issn0036-5599-
dc.identifier.urihttps://olympias.lib.uoi.gr/jspui/handle/123456789/20595-
dc.rightsDefault Licence-
dc.subjectChilden
dc.subjectChild, Preschoolen
dc.subjectDisease Progressionen
dc.subjectFemaleen
dc.subjectFollow-Up Studiesen
dc.subjectHumansen
dc.subjectHypertension, Renovascular/*etiologyen
dc.subjectInfanten
dc.subjectMaleen
dc.subjectMulticystic Dysplastic Kidney/complications/*surgeryen
dc.subject*Nephrectomyen
dc.subjectRisk Factorsen
dc.subjectTreatment Outcomeen
dc.titleIs the risk of hypertension an indication for prophylactic nephrectomy in patients with unilateral multicystic dysplastic kidney?en
heal.typejournalArticle-
heal.type.enJournal articleen
heal.type.elΆρθρο Περιοδικούel
heal.identifier.primary10.1080/00365590310006282-
heal.identifier.secondaryhttp://www.ncbi.nlm.nih.gov/pubmed/14594694-
heal.languageen-
heal.accesscampus-
heal.recordProviderΠανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικήςel
heal.publicationDate2003-
heal.abstractOBJECTIVE: Surgery is still proposed by some as the treatment of choice for unilateral multicystic dysplastic kidney (UMCDK) because of the potential complications of hypertension, infection and malignant change. The purpose of this study is to demonstrate that the risk of hypertension does not justify routine nephrectomy. MATERIAL AND METHODS: We report 41 cases of UMCDK, treated between 1980 and 2001, 28 of whom were male (68%). Twenty-one patients were nephrectomized (51%). Twenty patients (49%) underwent clinical and ultrasound follow-up. Blood pressure was controlled every 3-4 months (over a period ranging from 9 months to 6 years) and an ultrasound scan was performed every 6 months during the first 2 years, and annually thereafter. RESULTS: In the patients treated non-operatively we observed a progressive spontaneous involution of their multicystic dysplastic kidneys and the total absence of complications such as hypertension or malignancy. CONCLUSION: It is reasonable to conservatively manage patients with UMCDK by means of repeated ultrasound examinations and blood pressure control.en
heal.journalNameScand J Urol Nephrolen
heal.journalTypepeer-reviewed-
heal.fullTextAvailabilityTRUE-
Appears in Collections:Άρθρα σε επιστημονικά περιοδικά ( Ανοικτά) - ΙΑΤ

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