A one-center experience with pediatric percutaneous renal biopsy and histopathology in Ankara, Turkey
In this study we evaluated the indications, complications, and the spectrum of histopathological results of percutaneous renal needle biopsy (PRNB) performed in our clinic. Between June 1990 and December 2006, 679 PRNBs were performed on native kidneys of 614 children (304 boys, 310 girls) with a me...
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| Veröffentlicht in: | International urology and nephrology 2009-12, Vol.41 (4), p.933-939 |
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| creator | Demircin, Gülay Delibaş, Ali Bek, Kenan Erdoğan, Özlem Bülbül, Mehmet Baysun, Şahika Oksal, Ayşegül Memiş, Leyla Öner, Ayşe |
| description | In this study we evaluated the indications, complications, and the spectrum of histopathological results of percutaneous renal needle biopsy (PRNB) performed in our clinic. Between June 1990 and December 2006, 679 PRNBs were performed on native kidneys of 614 children (304 boys, 310 girls) with a mean age of 10.4 years. Most frequent indications for PRNB were nephrotic syndrome (47%), hematuria, and/or proteinuria (15.9%), acute renal failure (14.6%) and complex renal manifestations (18.9%). The overall complication rate was 15.2%. The most common complications were perirenal hematoma (12.4%) and macroscopic hematuria (2.6%). The most frequent histopathological group of diseases were glomerulopathies; these were diagnosed in 376 patients (61.2%) and included membranoproliferative glomerulonephritis (11.1%), mesangial proliferation (10.7%), diffuse proliferative glomerulonephritis (7.7%), and focal segmental glomerulosclerosis (7.3%) as the most frequent. The second most frequent group of histopathology was manifestations secondary to systemic diseases; these were shown in 195 patients (31.8%). Amyloidosis (11.4%) and Henoch–Schönlein nephritis (9.9%) made the majority of this group. In conclusion, our study demonstrated that PRNB is a safe procedure with usually transient complications showing the most frequent renal diseases that cause diagnostic and therapeutic difficulties for pediatric nephrologists. |
| doi_str_mv | 10.1007/s11255-008-9433-9 |
| format | Article |
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Between June 1990 and December 2006, 679 PRNBs were performed on native kidneys of 614 children (304 boys, 310 girls) with a mean age of 10.4 years. Most frequent indications for PRNB were nephrotic syndrome (47%), hematuria, and/or proteinuria (15.9%), acute renal failure (14.6%) and complex renal manifestations (18.9%). The overall complication rate was 15.2%. The most common complications were perirenal hematoma (12.4%) and macroscopic hematuria (2.6%). The most frequent histopathological group of diseases were glomerulopathies; these were diagnosed in 376 patients (61.2%) and included membranoproliferative glomerulonephritis (11.1%), mesangial proliferation (10.7%), diffuse proliferative glomerulonephritis (7.7%), and focal segmental glomerulosclerosis (7.3%) as the most frequent. The second most frequent group of histopathology was manifestations secondary to systemic diseases; these were shown in 195 patients (31.8%). Amyloidosis (11.4%) and Henoch–Schönlein nephritis (9.9%) made the majority of this group. In conclusion, our study demonstrated that PRNB is a safe procedure with usually transient complications showing the most frequent renal diseases that cause diagnostic and therapeutic difficulties for pediatric nephrologists.</description><identifier>ISSN: 0301-1623</identifier><identifier>EISSN: 1573-2584</identifier><identifier>DOI: 10.1007/s11255-008-9433-9</identifier><identifier>PMID: 18696251</identifier><identifier>CODEN: IURNAE</identifier><language>eng</language><publisher>Dordrecht: Springer Netherlands</publisher><subject>Adolescent ; Age Factors ; Biopsy, Needle - adverse effects ; Biopsy, Needle - methods ; Child ; Child, Preschool ; Female ; Hospitals, Pediatric ; Humans ; Immunohistochemistry ; Infant ; Infant, Newborn ; Kidney Diseases - diagnosis ; Kidney Diseases - pathology ; Male ; Medicine ; Medicine & Public Health ; Nephrology ; Nephrology - Original Paper ; Risk Assessment ; Risk Management ; Sensitivity and Specificity ; Severity of Illness Index ; Sex Factors ; Turkey ; Urban Population ; Urology ; Young Adult</subject><ispartof>International urology and nephrology, 2009-12, Vol.41 (4), p.933-939</ispartof><rights>Springer Science+Business Media, B.V. 2008</rights><rights>Springer Science+Business Media, B.V. 2009</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c370t-357b435580d0cba9e12303d0f6b84ea0ce485be89a45c12065159ee86fa3d9783</citedby><cites>FETCH-LOGICAL-c370t-357b435580d0cba9e12303d0f6b84ea0ce485be89a45c12065159ee86fa3d9783</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11255-008-9433-9$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s11255-008-9433-9$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,777,781,27905,27906,41469,42538,51300</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18696251$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Demircin, Gülay</creatorcontrib><creatorcontrib>Delibaş, Ali</creatorcontrib><creatorcontrib>Bek, Kenan</creatorcontrib><creatorcontrib>Erdoğan, Özlem</creatorcontrib><creatorcontrib>Bülbül, Mehmet</creatorcontrib><creatorcontrib>Baysun, Şahika</creatorcontrib><creatorcontrib>Oksal, Ayşegül</creatorcontrib><creatorcontrib>Memiş, Leyla</creatorcontrib><creatorcontrib>Öner, Ayşe</creatorcontrib><title>A one-center experience with pediatric percutaneous renal biopsy and histopathology in Ankara, Turkey</title><title>International urology and nephrology</title><addtitle>Int Urol Nephrol</addtitle><addtitle>Int Urol Nephrol</addtitle><description>In this study we evaluated the indications, complications, and the spectrum of histopathological results of percutaneous renal needle biopsy (PRNB) performed in our clinic. Between June 1990 and December 2006, 679 PRNBs were performed on native kidneys of 614 children (304 boys, 310 girls) with a mean age of 10.4 years. Most frequent indications for PRNB were nephrotic syndrome (47%), hematuria, and/or proteinuria (15.9%), acute renal failure (14.6%) and complex renal manifestations (18.9%). The overall complication rate was 15.2%. The most common complications were perirenal hematoma (12.4%) and macroscopic hematuria (2.6%). The most frequent histopathological group of diseases were glomerulopathies; these were diagnosed in 376 patients (61.2%) and included membranoproliferative glomerulonephritis (11.1%), mesangial proliferation (10.7%), diffuse proliferative glomerulonephritis (7.7%), and focal segmental glomerulosclerosis (7.3%) as the most frequent. The second most frequent group of histopathology was manifestations secondary to systemic diseases; these were shown in 195 patients (31.8%). Amyloidosis (11.4%) and Henoch–Schönlein nephritis (9.9%) made the majority of this group. In conclusion, our study demonstrated that PRNB is a safe procedure with usually transient complications showing the most frequent renal diseases that cause diagnostic and therapeutic difficulties for pediatric nephrologists.</description><subject>Adolescent</subject><subject>Age Factors</subject><subject>Biopsy, Needle - adverse effects</subject><subject>Biopsy, Needle - methods</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Female</subject><subject>Hospitals, Pediatric</subject><subject>Humans</subject><subject>Immunohistochemistry</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Kidney Diseases - diagnosis</subject><subject>Kidney Diseases - pathology</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Nephrology</subject><subject>Nephrology - Original Paper</subject><subject>Risk Assessment</subject><subject>Risk Management</subject><subject>Sensitivity and Specificity</subject><subject>Severity of Illness Index</subject><subject>Sex Factors</subject><subject>Turkey</subject><subject>Urban Population</subject><subject>Urology</subject><subject>Young Adult</subject><issn>0301-1623</issn><issn>1573-2584</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kU1P3DAQhq2qqCy0P6CXyuqlF0zHcezYxxUqtBISFzhbjjPLGrJ2sBPB_vuGZiUkpJ5mpHnmnY-XkK8czjlA87NwXknJADQztRDMfCArLhvBKqnrj2QFAjjjqhLH5KSUBwAwGuATOeZaGVVJviK4piki8xhHzBRfBswBo0f6HMYtHbALbszBz1n20-gipqnQjNH1tA1pKHvqYke3oYxpcOM29el-T0Ok6_josjujt1N-xP1ncrRxfcEvh3hK7i5_3V78Ztc3V38u1tfMiwZGJmTT1kJKDR341hnklQDRwUa1ukYHHmstW9TG1dLzCpTk0iBqtXGiM40Wp-THojvk9DRhGe0uFI99vyxuGyF0w0E1M_n9HfmQpjyfVWzFFTdK_IP4AvmcSsm4sUMOO5f3loN9dcAuDtjZAfvqgDVzz7eD8NTusHvrOLx8BqoFKHMp3mN-m_x_1b-CKZEO</recordid><startdate>20091201</startdate><enddate>20091201</enddate><creator>Demircin, Gülay</creator><creator>Delibaş, Ali</creator><creator>Bek, Kenan</creator><creator>Erdoğan, Özlem</creator><creator>Bülbül, Mehmet</creator><creator>Baysun, Şahika</creator><creator>Oksal, Ayşegül</creator><creator>Memiş, Leyla</creator><creator>Öner, Ayşe</creator><general>Springer Netherlands</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20091201</creationdate><title>A one-center experience with pediatric percutaneous renal biopsy and histopathology in Ankara, Turkey</title><author>Demircin, Gülay ; 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Between June 1990 and December 2006, 679 PRNBs were performed on native kidneys of 614 children (304 boys, 310 girls) with a mean age of 10.4 years. Most frequent indications for PRNB were nephrotic syndrome (47%), hematuria, and/or proteinuria (15.9%), acute renal failure (14.6%) and complex renal manifestations (18.9%). The overall complication rate was 15.2%. The most common complications were perirenal hematoma (12.4%) and macroscopic hematuria (2.6%). The most frequent histopathological group of diseases were glomerulopathies; these were diagnosed in 376 patients (61.2%) and included membranoproliferative glomerulonephritis (11.1%), mesangial proliferation (10.7%), diffuse proliferative glomerulonephritis (7.7%), and focal segmental glomerulosclerosis (7.3%) as the most frequent. The second most frequent group of histopathology was manifestations secondary to systemic diseases; these were shown in 195 patients (31.8%). Amyloidosis (11.4%) and Henoch–Schönlein nephritis (9.9%) made the majority of this group. In conclusion, our study demonstrated that PRNB is a safe procedure with usually transient complications showing the most frequent renal diseases that cause diagnostic and therapeutic difficulties for pediatric nephrologists.</abstract><cop>Dordrecht</cop><pub>Springer Netherlands</pub><pmid>18696251</pmid><doi>10.1007/s11255-008-9433-9</doi><tpages>7</tpages></addata></record> |
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| subjects | Adolescent Age Factors Biopsy, Needle - adverse effects Biopsy, Needle - methods Child Child, Preschool Female Hospitals, Pediatric Humans Immunohistochemistry Infant Infant, Newborn Kidney Diseases - diagnosis Kidney Diseases - pathology Male Medicine Medicine & Public Health Nephrology Nephrology - Original Paper Risk Assessment Risk Management Sensitivity and Specificity Severity of Illness Index Sex Factors Turkey Urban Population Urology Young Adult |
| title | A one-center experience with pediatric percutaneous renal biopsy and histopathology in Ankara, Turkey |
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