JaypeeDigital

Speciality

TESTIMONIALS

NEWSLETTERS

Subscribe to be the first to know about Best Deals and Exclusive Offers!

EXPORT CITATION

Chapter-59 Long-term Outcome in Posterior Urethral Valve and its Management

BOOK TITLE: Principles and Practice of Pediatric Nephrology

Author
1. Vijayakumar M
2. Nammalwar BR
3. Vishwanath S
4. Vasanthi T
ISBN
9788180613043
DOI
10.5005/jp/books/11074_59
Edition
1/e
Publishing Year
2004
Pages
6
Author Affiliations
1. Kanchi Kamakoti CHILDS Trust Hospital, Chennai, Tamil Nadu, India, Government Medical College, Manjeri, Kerala, India, Pediatric Kidney Foundation, Chennai, Dr Mehta’s Hospitals Pvt Ltd., Chennai, Government Medical College, Kozhikode, Kerala, India, Mehta Children’s Hospital, Chetpet, Chennai, Tamil Nadu, India, Government Medical College, Kozhikode, Kerela, India, Mehta Children’s Hospital, Chennai, Tamil Nadu, Mehta’s Children Hospital, Chennai, Tamil Nadu, India, Dr. Mehta’s Hospital; Chennai Pediatric Kidney Foundation, Chennai, India, Chennai Pediatric Kidney Foundation, Dr Mehta’s Hospitals Pvt. Ltd, Chennai, National Botanical Research Institute, Lucknow-226 001, India, Medical College, Alappey, Kerala, Manipal Institute of Nephrology and Urology, Manipal Hospital, Bangalore, Karnataka, India, Kanchi Kamakoti, Childs Trust Hospital, Chennai, Mehta Children’s Hospital, Chennai, Tamil Nadu, India
2. Kanchi Kamakoti CHILDS, Trust Hospital, Chennai, Institute of Child Health, Hospital for Children and Dr Mehta’s Children’s Hospital, Chennai, Tamil Nadu, Mehta's Multispeciality Hospital, Chennai, Tamil Nadu, India, Kanchi Kamakoti CHILDS Trust Hospital, Chennai, Mehta Children’s Hospital, Chennai, Tamil Nadu, India, Institute of Child Health, Hospital for Children; Mehta Children Hospital, Chennai, Tamil Nadu, Kanchi Kamakoti CHILDS Trust Hospital, Chennai, India, Kanchi Kamakoti CHILDS Trust Hospital, Chennai, Tamil Nadu, India
4. Kanchi Kamakoti CHILDS Trust Hospital, Chennai, Tamil Nadu, India
Chapter keywords

Abstract

The long-term goal in the management of posterior urethral valve (PUV) is to maximise and maintain optimum renal function. Adequate renal function is necessary to provide adequate metabolic environment to allow the child to grow. For this the kidneys must be able to grow along with the child to keep up with increased metabolic demands. PUV patients constitute significant number of all patients to undergo renal transplantation. The delayed renal insufficiency is caused by several factors. End-stage renal disease (ESRD) needing dialysis or transplant occurs in 25 to 51% of valve patients, and the onset falls into two age groups. One-third of patients will need dialysis in the first few months of life, and the other two-thirds will reach ESRD in teen years. Retrospective study of these children shows subtle expression of renal functional disabilities in the form of polyuria, nocturia, low urine osmolality, episodes of rapid dehydration, hyponatremia and hyperkalemic metabolic acidosis.

Related Books

4070 eBooks
12063 Videos
80650 MCQs
108 eJournals

© 2019 Jaypee Brothers Medical Publishers (P) LTD.   |   All Rights Reserved