Paediatria Croatica, Vol. 63 No. 2, 2019.
Pregledni rad
https://doi.org/10.13112/PC.2019.12
Endoscopic treatment of primary vesicoureteral reflux at Zagreb Children’s Hospital
Nikica Lesjak
Ivan Petračić
Ana Birt
Diana Stipić
Tonko Čolić
Ivo Bastić
Fran Štampalija
Anto Pajić
Zoran Bahtijarević
Sažetak
Objective: The aim of this paper is to give a preview of primary vesicoureteral reflux (VUR) endoscopic treatment at Department ofPaediatric Surgery, Zagreb Children’s Hospital, in 2012 and 2013.Methods: Sixty-six patients having undergone endoscopic procedure for primary VUR were retrospectively analysed in this shortcross-sectional study. The outcome was deemed satisfactory in the absence of VUR as indicated by diagnostic methods or 2-yearpostprocedural relapse-free period.Results: Endoscopic procedure proved successful in 96.5% and unsuccessful in 3.5% of cases; 50.9% of all patients were successfullytreated in the first procedure, and this percentage increased to 75.4%,92.1% and 96.5% after the second, third and fourth procedurein selected patients, respectively; an open surgical procedure was required in 3.5% of cases. Our procedure of choice is Lich-Gregoirtechnique.Conclusion: Advantages of endoscopic treatment in comparison to other modalities are high-percentage success, faster recovery,and shorter hospital stay, therefore it has become the new gold standard of VUR treatment.
Ključne riječi
ENDOSCOPY; VESICO-URETERAL REFLUX; SURGICAL PROCEDURES, OPERATIVE
Hrčak ID:
235628
URI
Datum izdavanja:
20.6.2019.
Posjeta: 1.681 *