Noninvasive Tx common for stone disease.
SAN FRANCISCO -- Children with pediatric stone disease require invasive procedures infrequently and have metabolic abnormalities a minority of the time, Kevan M. Sternberg, M.D., reported in a poster presentation at the annual meeting of the American Academy of Pediatrics.
In a study of 123 children with 158 stones, Dr. Sternberg of the Women and Children's Hospital of Buffalo (N.Y.), reported that 46% passed their stones spontaneously and 28% underwent extracorporeal shock-wave lithotripsy.
Only 8% of the children had ureteroscopy, 3% had percutaneous nephrostolithotomy, and 3% had open surgery.
The investigators found hypercalciuria in 12% of the children, hyperoxaluria in 2%, and cystinuria in 2%.
Of the 59 stones whose composition was analyzed, 52 (88%) were calcium based, 4 (7%) were struvite, and 3 (5%) were cysteine.
Fully 41% of the children presented in the fall, while only 21% presented in the summer, 22% in the spring, and 13% in the winter. The investigators suggested that the predominance of fall presentations may have been caused by relative dehydration during the preceding summer.
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|Title Annotation:||Clinical Rounds|
|Article Type:||Brief Article|
|Date:||Dec 1, 2004|
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