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Radioisotopic evaluation of the renal parenchymal function in children with ureteropelvic junction obstruction. A retrospective study
Authors:A. Piepsz  M. Hall  H. R. Ham  N. Perlmutter  F. Collier
Affiliation:(1) Departments of Radioisotopes and Pediatric Urology, Free University of Brussels, Brussels, Belgium
Abstract:Separate glomerular filtration rates were evaluated in 21 children with uni- or bilateral ureteropelvic junction stenosis, using the Tc-99m DTPA complex and the scintillation camera.The grade of alteration seen on urograms has influenced the surgeon in his decision to use a conservative or a surgical treatment, whereas the type of intervention (pyeloplasty or nephrectomy) was mainly based on the scintigraphic quantitation. The morphological data provided by an excretory urogram could not predict the degree of functional impairment.The scintigraphic evaluation of single kidney clearance was useful in the evaluation of the effects of medical and surgical treatment.Abbreviations PUJ Pelvi-ureteric junction obstruction - SGFR separate glomerular filtration rate - GFR glomerular filtration rateOffprint requests to: St Peter's Hospital, Dept. of Radioisotopes, Rue Haute 322, B-1000 Brussels, Belgium
Keywords:Renal obstruction  Child  Radioisotopes
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