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Year : 2000  |  Volume : 16  |  Issue : 2  |  Page : 106-110

Renal growth in children with vesicoureteral reflux

Department of Paediatric Surgery and Radiodiagnosis, All India Institute of Medical Sciences, New Delhi, India

Correspondence Address:
Veereshwar Bhatnagar
Department of Paediatric Surgery, All India Institute of Medical Sciences, Ansari Nagar, New Delhi - 110 029
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Source of Support: None, Conflict of Interest: None

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Antireflux surgery (ARS) was performed on 45 renal units during 1991-96. Pre-operative renal length meas­urements were available in 20 renal units and 23 renal units were evaluated for renal length postoperatively. Pre­and post-ARS renal length measurements were available in 15 renal units. Renal length measurements were made by real time B mode ultrasonography. The post-ARS renal growth was accelerated in 69.5% units, normal in 13% units and impaired in 17.3% units. Accelerated renal growth occurred mainly in the first year after ARS but continued up to 2 years. Pre-existing renal scars, hyper­tension, poor renal function and post-operative urinary tract infection did not affect post-ARS renal growth. Fail­ure of ARS resulted in renal growth retardation.

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