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Verfasst von:Zirngibl, Matthias [VerfasserIn]   i
 Weitz, Marcus [VerfasserIn]   i
 Luithle, Tobias [VerfasserIn]   i
 Tönshoff, Burkhard [VerfasserIn]   i
 Nadalin, Silvio [VerfasserIn]   i
 Buder, Kathrin [VerfasserIn]   i
Titel:Current management of symptomatic vesicoureteral reflux in pediatric kidney transplantation - a European survey among surgical transplant professionals
Verf.angabe:Matthias Zirngibl, Marcus Weitz, Tobias Luithle, Burkhard Tönshoff, Silvio Nadalin, Kathrin Buder, Collaborators
Jahr:2023
Umfang:14 S.
Illustrationen:Illustrationen
Fussnoten:Online veröffentlicht: 13. Oktober 2023 ; Gesehen am 03.01.2024
Titel Quelle:Enthalten in: Pediatric transplantation
Ort Quelle:Oxford [u.a.] : Wiley-Blackwell, 1999
Jahr Quelle:2023
Band/Heft Quelle:(2023), online ahead of print
ISSN Quelle:1399-3046
Abstract:Background Vesicoureteral reflux (VUR) is common in children and adolescents undergoing kidney transplantation (KTx) and may adversely affect allograft kidney function. Methods To explore the current management of symptomatic native and allograft VUR in pediatric KTx recipients, an online survey was distributed to European surgical transplant professionals. Results Surgeons from 40 pediatric KTx centers in 18 countries participated in this survey. Symptomatic native kidney VUR was treated before or during KTx by 68% of the centers (all/selected patients: 33%/67%; before/during KTx: 89%/11%), with a preference for endoscopic treatment (59%). At KTx, 90% favored an anti-reflux ureteral reimplantation procedure (extravesical/transvesical approach: 92%/8%; preferred extravesical technique: Lich-Gregoir [85%]). Management strategies for symptomatic allograft VUR included surgical repair (90%), continuous antibiotic prophylaxis (51%), bladder training (49%), or noninterventional surveillance (21%). Redo ureteral implantation and endoscopic intervention for allograft VUR were equally reported (51%/49%). Conclusions This survey shows uniformity in some surgical aspects of the pediatric KTx procedure. However, with regard to VUR, there is a significant variation in practice patterns that need to be addressed by future well-designed and prospective studies. In this way, more robust data could be translated into consensus guidelines for a more standardized and evidence-based management of this common condition in pediatric KTx.
DOI:doi:10.1111/petr.14621
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

kostenfrei: Volltext: https://doi.org/10.1111/petr.14621
 kostenfrei: Volltext: https://onlinelibrary.wiley.com/doi/abs/10.1111/petr.14621
 DOI: https://doi.org/10.1111/petr.14621
Datenträger:Online-Ressource
Sprache:eng
Sach-SW:management strategies
 online survey
 pediatric kidney transplantation
 vesicoureteral reflux
K10plus-PPN:1877134899
Verknüpfungen:→ Zeitschrift

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