Urolithiasis in childhood: Review Cocukluk Caǧinda Urolitiazis
Turkiye Klinikleri Pediatri, cilt.26, sa.2, ss.60-74, 2017 (Scopus)
- Yayın Türü: Makale / Derleme
- Cilt numarası: 26 Sayı: 2
- Basım Tarihi: 2017
- Doi Numarası: 10.5336/pediatr.2016-54185
- Dergi Adı: Turkiye Klinikleri Pediatri
- Derginin Tarandığı İndeksler: Scopus
- Sayfa Sayıları: ss.60-74
- Anahtar Kelimeler: Pediatrics, Therapy, Urolithiasis
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Renal stones are a major health problem all over the world and endemic in some parts of the world, including Turkey. As in adulthood, renal stone cases are increasing day by day in children today and about 1 in 5 of the stone cases in Turkey are pediatric cases. In this increase, changing food habits and sedanter lyfestyle seems to be responsible. The causes of stone cases in children has also shifted from infectious to metabolic in recent years. The most important metabolic causes are hypercalciuria and hypocitraturia. Anatomical and functional abnormalities of the urinary system causing stasis follows the metabolic causes. The clinical presentation in children is not typical renal colic except during adolescence. As in any disease, anamnesis and physical examination are important in the diagnosis of the cause of renal stone disease. Especially in pediatric cases, it is necessary to question the existence of prematurity, medications used during prematurity period, presence of urinary system abnormality, frequent urinary tract infection history, presence of intestinal malabsorbtion, presence of consanguineous marriage and family history of kidney stones and renal failure. In all renal stone cases, the basis of treatment is the increase in fluid consumption. Other treatment methods are pharmacological agents that can be used according to the type of renal stone. Therefore, the chemical analysis of the reduced or extracted stones are very important both in protecting from the stones and treatment in which pharmacological agents will be given. Here, we have made a brief overview of the causes and medical treatments of childhood renal stones including pathophysiology.