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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
2 Pt 2
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pubmed:dateCreated |
1990-8-30
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pubmed:abstractText |
The records of 180 myelodysplasia patients followed from 3 to 18 years were reviewed. Studies included cystography to evaluate vesicoureteral reflux and dimercapto-succinic acid renal scintigraphy to identify acute inflammation and renal scarring. Scarring was noted in 28 of 180 patients (15.5%), of whom 68% were girls. Of the patients with renal scarring 75% had associated reflux and 40% over-all were identified as having reflux. Management of patients with vesicoureteral reflux included clean intermittent catheterization, antibiotic prophylaxis and anticholinergics when indicated. Only 17 of 72 patients (24%) had ureteral reimplantation. Surgical indications included persistent high grade reflux and/or progressive upper tract damage. Reflux resolved in 62% of those on medical management. Resolution was not dependent on grade of reflux (as compared to primary reflux). Twenty-one patients are stable and being followed with persistent reflux. In 7 patients new renal scars developed during aggressive medical management, 5 of whom underwent subsequent surgical correction.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Aug
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pubmed:issn |
0022-5347
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
144
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
541-4; discussion 545
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:2165187-Child,
pubmed-meshheading:2165187-Cicatrix,
pubmed-meshheading:2165187-Female,
pubmed-meshheading:2165187-Humans,
pubmed-meshheading:2165187-Kidney,
pubmed-meshheading:2165187-Male,
pubmed-meshheading:2165187-Neural Tube Defects,
pubmed-meshheading:2165187-Organotechnetium Compounds,
pubmed-meshheading:2165187-Succimer,
pubmed-meshheading:2165187-Technetium Tc 99m Dimercaptosuccinic Acid,
pubmed-meshheading:2165187-Vesico-Ureteral Reflux
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pubmed:year |
1990
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pubmed:articleTitle |
Renal scarring and vesicoureteral reflux in children with myelodysplasia.
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pubmed:affiliation |
Department of Urology, Children's Hospital, Washington, D.C. 20010.
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pubmed:publicationType |
Journal Article
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