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artigo original 9
NASCER E CRESCER
revista do hospital de crianas maria pia
ano 2009, vol XVIII, n. 1
10 artigo original
NASCER E CRESCER
revista do hospital de crianas maria pia
ano 2009, vol XVIII, n. 1
artigo original 11
NASCER E CRESCER
revista do hospital de crianas maria pia
ano 2009, vol XVIII, n. 1
POSTNATAL OUTCOME OF ANTENA- course and dont need invasive diagnos- 5. Chaviano AH, Maizels M, Yerkes EB,
TAL HYDRONEPHROSIS: RETROS- tic procedures. Cheng EY, Hagerty J, Meyer T, Ka-
PECTIVE STUDY IN THE NORTH OF plan WE. Incidence based fetal uro-
PORTUGAL Keywords: antenatal hydronephrosis, logical counselling using the virtual
foetal pyelectasis, congenital uropathies. pediatric urology registry: importan-
ABSTRACT ce of insignicant fetal pyelectasis
Objective: To evaluate the outcome (sonographically evident renal pel-
of infants with antenatal hydronephrosis. Nascer e Crescer 2009; 18(1): 9-12 vis). J Urol 2007; 178:1781-5.
Methods: Retrospective assess- 6. Coelho GM, Bouzada MC, Pereira
ment of postnatal course of 1312 cases AK, Figueiredo BF, Leite MR, Oliveira
of antenatal hydronephrosis (AP diame- BIBLIOGRAFIA DS, et al. Outcome of isolated ante-
ter 5mm) in infants born from 2003 till natal hydronephrosis: a prospective
2005. 1. Lee RS, Cendron M, Kinnamon DD, cohort study. Pediatr Nephrol 2007;
Results: In 39% of the prenatally Nguyen HT. Antenatal hydronephro- 22: 1727-34.
reported cases the postnatal ultrasound sis as a predictor of postnatal out- 7. Marra G, Barbieri G, Moioli C, As-
did not conrm any nephrourologic dis- come: a meta-analysis. Pediatrics sael BM, Grumieri G, Caccamo ML.
turbance. Fifty percent of the postnatal 2006; 118: 586-93. Mild fetal hydronephrosis indicating
conrmed cases of hydronephrosis had 2. Lidefelt KJ, Ek S, Mihocsa L. Is vesicoureteric reux. Arch Dis Child
spontaneous resolution during the rst screening for vsico-ureteral reux 1994; 70: F147-F150.
year, which was associated with a low mandatory in infants with antenatal 8. Merlini L, Parvex P, Anooshiravani-
grade pyelectasis. Most cases with ne- renal pelvis dilatation? Acta Paediatr Dumont M, Girardin E, Hanquinet S.
phrourologic disease had moderate to 2006; 95: 1653-6. Postnatal management of isolated
severe grade pyelectasis, although a not 3. Alegria A, Lopes L, Costa T, Sarmen- mild pelvic dilatation detected in an-
negligible percentage had pyelectasis to AM, Arajo R, Pereira E. Dilata- tenatal period. Acta Paediatr 2007;
<7mm. None presented renal failure du- es pilicas e caliciais de diagnsti- 96: 1131-4.
ring the follow-up period. co pr-natal: evoluo de 2 a 5 anos. 9. Berrocal T, Pinilla I, Gutirrez J, Prie-
Conclusions: Prenatal suspicion of Acta Pediatr Port 2002; 33: 317-22. to C, de Pablo L, Del Hoyo ML. Mild
hydronephrosis allows the early identi- 4. Sidhu G, Beyene J, Rosenblum ND. Hydronephrosis in newborns and
cation of a few patients in which a careful Outcome of isolated antenatal hydro- infants: can ultrasound predict the
follow-up can prevent renal function com- nephrosis: a systematic review and presence of vesicoureteral reux.
promise. However, most cases of minor metaanalysis. Pediatr Nephrol 2006; Pediatr Nephrol 2007; 22: 91-6.
to moderate pyelectasis have a benign 21: 218-24.
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