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Article: Outcome and management of babies with prenatal ultrasonographic renal abnormalities

TitleOutcome and management of babies with prenatal ultrasonographic renal abnormalities
Authors
Issue Date1993
PublisherThieme Medical Publishers. The Journal's web site is located at www.thieme.com/ajp
Citation
American Journal Of Perinatology, 1993, v. 10 n. 4, p. 263-268 How to Cite?
AbstractBetween January 1987 and December 1990, 60 fetuses were found to have renal abnormalities on antenatal ultrasonography. Six fetuses were aborted because of major renal abnormalities with or without associated chromosomal aberrations. Twelve babies with major renal abnormalities died in the immediate neonatal period. Forty-two babies were studied after birth and followed up. Babies who were found to have mild dilation of the renal pelvis of 6 to 10 mm during fetal life revealed either normal renal findings in the postnatal period or complete resolution of the abnormalities within the first year. Significant pelvic dilation of more than 10 mm occurred in 32 babies. A significant proportion (34%) had transitional hydronephrosis that resolved spontaneously during the follow-up period (mean, 2 1/2 years; range, 1 1/2 to 4 1/2 years). Extrarenal pelvis, another benign condition, accounted for 15.6%. Most babies with pelviureteral junction obstruction (15%) and vesicoureteral junction obstruction (6.2%) required early neonatal surgery. The technetium- 99m diethylenetriamine renal scan with the diuretic renogram half-time was found to be a very useful tool to distinguish between obstructive and nonobstructive hydronephrosis. With early diagnosis and intervention, the prognosis for many of these renal abnormalities is much more favorable and such information is invaluable for antenatal counseling.
Persistent Identifierhttp://hdl.handle.net/10722/180621
ISSN
2015 Impact Factor: 1.677
2015 SCImago Journal Rankings: 0.864
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorLam, BCCen_US
dc.contributor.authorWong, SNen_US
dc.contributor.authorYeung, CYen_US
dc.contributor.authorTang, MHYen_US
dc.contributor.authorGhosh, Aen_US
dc.date.accessioned2013-01-28T01:40:42Z-
dc.date.available2013-01-28T01:40:42Z-
dc.date.issued1993en_US
dc.identifier.citationAmerican Journal Of Perinatology, 1993, v. 10 n. 4, p. 263-268en_US
dc.identifier.issn0735-1631en_US
dc.identifier.urihttp://hdl.handle.net/10722/180621-
dc.description.abstractBetween January 1987 and December 1990, 60 fetuses were found to have renal abnormalities on antenatal ultrasonography. Six fetuses were aborted because of major renal abnormalities with or without associated chromosomal aberrations. Twelve babies with major renal abnormalities died in the immediate neonatal period. Forty-two babies were studied after birth and followed up. Babies who were found to have mild dilation of the renal pelvis of 6 to 10 mm during fetal life revealed either normal renal findings in the postnatal period or complete resolution of the abnormalities within the first year. Significant pelvic dilation of more than 10 mm occurred in 32 babies. A significant proportion (34%) had transitional hydronephrosis that resolved spontaneously during the follow-up period (mean, 2 1/2 years; range, 1 1/2 to 4 1/2 years). Extrarenal pelvis, another benign condition, accounted for 15.6%. Most babies with pelviureteral junction obstruction (15%) and vesicoureteral junction obstruction (6.2%) required early neonatal surgery. The technetium- 99m diethylenetriamine renal scan with the diuretic renogram half-time was found to be a very useful tool to distinguish between obstructive and nonobstructive hydronephrosis. With early diagnosis and intervention, the prognosis for many of these renal abnormalities is much more favorable and such information is invaluable for antenatal counseling.en_US
dc.languageengen_US
dc.publisherThieme Medical Publishers. The Journal's web site is located at www.thieme.com/ajpen_US
dc.relation.ispartofAmerican Journal of Perinatologyen_US
dc.subject.meshFemaleen_US
dc.subject.meshFollow-Up Studiesen_US
dc.subject.meshHumansen_US
dc.subject.meshHydronephrosis - Congenital - Diagnosis - Epidemiologyen_US
dc.subject.meshInfant, Newbornen_US
dc.subject.meshKidney - Abnormalitiesen_US
dc.subject.meshMaleen_US
dc.subject.meshPregnancyen_US
dc.subject.meshPrognosisen_US
dc.subject.meshRadioisotope Renographyen_US
dc.subject.meshTime Factorsen_US
dc.subject.meshTreatment Outcomeen_US
dc.subject.meshUltrasonography, Prenatalen_US
dc.subject.meshUreteral Obstruction - Congenital - Diagnosis - Epidemiologyen_US
dc.titleOutcome and management of babies with prenatal ultrasonographic renal abnormalitiesen_US
dc.typeArticleen_US
dc.identifier.emailTang, MHY: mhytang@hkucc.hku.hken_US
dc.identifier.authorityTang, MHY=rp01701en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1055/s-2007-994736-
dc.identifier.pmid8397558-
dc.identifier.scopuseid_2-s2.0-0027165662en_US
dc.identifier.volume10en_US
dc.identifier.issue4en_US
dc.identifier.spage263en_US
dc.identifier.epage268en_US
dc.identifier.isiWOS:A1993LM82100001-
dc.publisher.placeUnited Statesen_US
dc.identifier.scopusauthoridLam, BCC=8553938300en_US
dc.identifier.scopusauthoridWong, SN=36882453700en_US
dc.identifier.scopusauthoridYeung, CY=7201354144en_US
dc.identifier.scopusauthoridTang, MHY=8943401300en_US
dc.identifier.scopusauthoridGhosh, A=7403963873en_US

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