ESPN 51th Annual Meeting

ESPN 2018


 
pediatrician
NEDIMA ATIć 1

1- UNIVERSITY CLINICAL CENTER TUZLA
 
Introduction:

Introduction: The kidney and urinary tract anomalies (AKUT) are found in 10% of newborns and account for 20-30% of all congenital abnormalities. They are the most common cause of progressive chronic kidney disease and cause 45% of all renal insufficiency. Most often, they are isolated and in 2/3 cases are associated with other anomalies

Material and methods:

 Materials and methods: In the period of two years at the Clinic for Childrens diseases UKC Tuzla were done 1,000 ultrasound examinations of the kidneys and urinary tract of infants who were aged from three days to six months. This included 577 males (57.7%) and 423 female (42.3%) infants.

Results:

 

Results: 60 infants (6%) of the 1000 unselected (40 male and 20 female) had ACUT and kidney anomalies. The most common anomaly was the pyeloureteral junction stenosis, which was found in 27 infants and hydronephrosis in 21 infants. Vesicoureteral reflux was found in 17 infants, and prevesical stenosis had 11. Four infants had unilateral renal agenesis, 2 unilateral renal hypoplasia. 38 infants had a combination of two anomalies, and 22 had anomalies on both sides. Twenty-one children were surgically treated, while others were treated conservatively.

Conclusions:

 

Conclusion: Postnatal UZ screening helps us in early detection of urinary tract and kidney anomalies, which directly affects timely diagnostics and reduces the morbidity of infants