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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
12
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pubmed:dateCreated |
1993-1-11
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pubmed:abstractText |
Controversy surrounds the role of 99mTc-diethylenetriamine pentaacetic acid renography in suspected uretero-pelvic junction obstruction in early life. Accordingly, we retrospectively reviewed 18 patients (28 hydronephrotic kidneys) with a mean age of 2 mo (range: 1 wk-6 mo) who underwent a total of 36 scans using intravenous volume expansion (10 ml/kg) and furosemide diuresis (1 mg/kg). Initial scans were classified as obstructed, not obstructed or indeterminate using differential renal function, furosemide washout T 1/2 and visual assessment of tracer clearance. Those initially classified as obstructed (n = 8) have been surgically confirmed. In the indeterminate (n = 6) and nonobstructed (n = 14) groups, three and two kidneys, respectively, developed obstruction on progress scans. Mean follow-up in the nonsurgical patients was approximately 9 mo (range: 4-17 mo). A total of 13 kidneys had developed obstruction by renographic criteria, and to date 12 have surgical confirmation. Our data indicate that: (1) scans classified as obstructed correlate well with surgery; (2) an initial classification of indeterminate or nonobstructed does not exclude later development of obstruction; and (3) serial scans correctly stratify children with possible uretero-pelvic junction obstruction.
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pubmed:commentsCorrections | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Dec
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pubmed:issn |
0161-5505
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
33
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
2094-8
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:1460498-Female,
pubmed-meshheading:1460498-Furosemide,
pubmed-meshheading:1460498-Humans,
pubmed-meshheading:1460498-Hydronephrosis,
pubmed-meshheading:1460498-Infant,
pubmed-meshheading:1460498-Infant, Newborn,
pubmed-meshheading:1460498-Kidney Pelvis,
pubmed-meshheading:1460498-Male,
pubmed-meshheading:1460498-Radioisotope Renography,
pubmed-meshheading:1460498-Retrospective Studies,
pubmed-meshheading:1460498-Ureteral Obstruction
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pubmed:year |
1992
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pubmed:articleTitle |
Volume expanded diuretic renography in the postnatal assessment of suspected uretero-pelvic junction obstruction.
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pubmed:affiliation |
Department of Nuclear Medicine, Westmead Hospital, Sydney, Australia.
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pubmed:publicationType |
Journal Article
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