[77] Adult urinary lithiasis and chronic renal insufficiency in 32 cases

Objective: To specify the clinical, metabolic and aetiological characteristics of stone diseases complicated by chronic renal failure. Renal lithiasis is a common, highly recurrent disease that can be complicated by chronic renal failure, which is usually prevented by early diagnosis and adequate me...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Hayet Kaaroud, Asma Bettaieb, Nutritioniste Hanene Kharroubi, Hiba Ghabi, Taieb Ben Abdallah, Athi Ben Hamida, Mna Talbi, Hanene Baccouche, Olfa Marrakchi, Kahna Bouzidi, Haroun Ayed, Mohamed Cherif, Mohamed Chebil
Formato:	article
Lenguaje:	EN
Publicado:	Taylor & Francis Group 2018
Materias:	Diseases of the genitourinary system. Urology RC870-923
Acceso en línea:	https://doaj.org/article/6f94ac9f987d4a92bc25ea83eec48acd
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:6f94ac9f987d4a92bc25ea83eec48acd
record_format	dspace
spelling	oai:doaj.org-article:6f94ac9f987d4a92bc25ea83eec48acd2021-12-02T10:12:19Z[77] Adult urinary lithiasis and chronic renal insufficiency in 32 cases2090-598X10.1016/j.aju.2018.10.030https://doaj.org/article/6f94ac9f987d4a92bc25ea83eec48acd2018-11-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2090598X18301244https://doaj.org/toc/2090-598XObjective: To specify the clinical, metabolic and aetiological characteristics of stone diseases complicated by chronic renal failure. Renal lithiasis is a common, highly recurrent disease that can be complicated by chronic renal failure, which is usually prevented by early diagnosis and adequate medical and surgical management. Methods: Over a 10-year period from 2008 to 2018, we collected 173 patients with a confirmed urolithiasis aetiology, amongst which 32 had chronic renal insufficiency with a creatinine clearance of <60 mL/min at the time of the diagnosis. Results: There were 19 men and 13 women (sex ratio 1.58) with a mean (range) age of 51.59 (32–72) years. The prevalence of renal failure was 18.47%. Two patients had end-stage renal disease. Lithiasis was bilateral in 24 cases and unilateral in eight. In all, 21 patients underwent surgery with nephrectomy in 10, 17 patients had extracorporeal lithotripsy, and four patients had a percutaneous nephrolithotomy. The average time between the onset of lithiasis disease and the aetiological diagnosis was 12 years. In regards to aetiologies we noted: hyperoxaluria in eight cases (primary: five cases, food: three cases), hyperparathyroidism in five cases, a metabolic syndrome in five cases, hyperuricuria in five cases, a lithiasis of infection in six cases (isolated: two cases, associated with a metabolic cause: four cases), cystinuria in two cases, and distal tubular acidosis in one case. Conclusion: The high percentage of chronic renal failure in our patients was the result of late aetiological diagnosis and management. The aggravating factors were infections and nephrectomies.Hayet KaaroudAsma BettaiebNutritioniste Hanene KharroubiHiba GhabiTaieb Ben AbdallahAthi Ben HamidaMna TalbiHanene BaccoucheOlfa MarrakchiKahna BouzidiHaroun AyedMohamed CherifMohamed ChebilTaylor & Francis GrouparticleDiseases of the genitourinary system. UrologyRC870-923ENArab Journal of Urology, Vol 16, Iss , Pp S36- (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	Diseases of the genitourinary system. Urology RC870-923
spellingShingle	Diseases of the genitourinary system. Urology RC870-923 Hayet Kaaroud Asma Bettaieb Nutritioniste Hanene Kharroubi Hiba Ghabi Taieb Ben Abdallah Athi Ben Hamida Mna Talbi Hanene Baccouche Olfa Marrakchi Kahna Bouzidi Haroun Ayed Mohamed Cherif Mohamed Chebil [77] Adult urinary lithiasis and chronic renal insufficiency in 32 cases
description	Objective: To specify the clinical, metabolic and aetiological characteristics of stone diseases complicated by chronic renal failure. Renal lithiasis is a common, highly recurrent disease that can be complicated by chronic renal failure, which is usually prevented by early diagnosis and adequate medical and surgical management. Methods: Over a 10-year period from 2008 to 2018, we collected 173 patients with a confirmed urolithiasis aetiology, amongst which 32 had chronic renal insufficiency with a creatinine clearance of <60 mL/min at the time of the diagnosis. Results: There were 19 men and 13 women (sex ratio 1.58) with a mean (range) age of 51.59 (32–72) years. The prevalence of renal failure was 18.47%. Two patients had end-stage renal disease. Lithiasis was bilateral in 24 cases and unilateral in eight. In all, 21 patients underwent surgery with nephrectomy in 10, 17 patients had extracorporeal lithotripsy, and four patients had a percutaneous nephrolithotomy. The average time between the onset of lithiasis disease and the aetiological diagnosis was 12 years. In regards to aetiologies we noted: hyperoxaluria in eight cases (primary: five cases, food: three cases), hyperparathyroidism in five cases, a metabolic syndrome in five cases, hyperuricuria in five cases, a lithiasis of infection in six cases (isolated: two cases, associated with a metabolic cause: four cases), cystinuria in two cases, and distal tubular acidosis in one case. Conclusion: The high percentage of chronic renal failure in our patients was the result of late aetiological diagnosis and management. The aggravating factors were infections and nephrectomies.
format	article
author	Hayet Kaaroud Asma Bettaieb Nutritioniste Hanene Kharroubi Hiba Ghabi Taieb Ben Abdallah Athi Ben Hamida Mna Talbi Hanene Baccouche Olfa Marrakchi Kahna Bouzidi Haroun Ayed Mohamed Cherif Mohamed Chebil
author_facet	Hayet Kaaroud Asma Bettaieb Nutritioniste Hanene Kharroubi Hiba Ghabi Taieb Ben Abdallah Athi Ben Hamida Mna Talbi Hanene Baccouche Olfa Marrakchi Kahna Bouzidi Haroun Ayed Mohamed Cherif Mohamed Chebil
author_sort	Hayet Kaaroud
title	[77] Adult urinary lithiasis and chronic renal insufficiency in 32 cases
title_short	[77] Adult urinary lithiasis and chronic renal insufficiency in 32 cases
title_full	[77] Adult urinary lithiasis and chronic renal insufficiency in 32 cases
title_fullStr	[77] Adult urinary lithiasis and chronic renal insufficiency in 32 cases
title_full_unstemmed	[77] Adult urinary lithiasis and chronic renal insufficiency in 32 cases
title_sort	[77] adult urinary lithiasis and chronic renal insufficiency in 32 cases
publisher	Taylor & Francis Group
publishDate	2018
url	https://doaj.org/article/6f94ac9f987d4a92bc25ea83eec48acd
work_keys_str_mv	AT hayetkaaroud 77adulturinarylithiasisandchronicrenalinsufficiencyin32cases AT asmabettaieb 77adulturinarylithiasisandchronicrenalinsufficiencyin32cases AT nutritionistehanenekharroubi 77adulturinarylithiasisandchronicrenalinsufficiencyin32cases AT hibaghabi 77adulturinarylithiasisandchronicrenalinsufficiencyin32cases AT taiebbenabdallah 77adulturinarylithiasisandchronicrenalinsufficiencyin32cases AT athibenhamida 77adulturinarylithiasisandchronicrenalinsufficiencyin32cases AT mnatalbi 77adulturinarylithiasisandchronicrenalinsufficiencyin32cases AT hanenebaccouche 77adulturinarylithiasisandchronicrenalinsufficiencyin32cases AT olfamarrakchi 77adulturinarylithiasisandchronicrenalinsufficiencyin32cases AT kahnabouzidi 77adulturinarylithiasisandchronicrenalinsufficiencyin32cases AT harounayed 77adulturinarylithiasisandchronicrenalinsufficiencyin32cases AT mohamedcherif 77adulturinarylithiasisandchronicrenalinsufficiencyin32cases AT mohamedchebil 77adulturinarylithiasisandchronicrenalinsufficiencyin32cases
_version_	1718397523800883200

[77] Adult urinary lithiasis and chronic renal insufficiency in 32 cases

Ejemplares similares