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https://www.readbyqxmd.com/read/28073204/who-apparently-more-spends-in-reality-spends-less-spending-a-little-more-for-the-rental-of-the-extracorporeal-lithotripter-can-save-a-lot-about-the-days-of-hospitalization-for-urinary-stones
#1
Giuseppe Albino, Francesco Albergo
OBJECTIVE: The right to health (according to the Article 32 of the Italian Republic Constitution) is financially conditioned; for this reason the National Health System (NHS) has the objective of rationalize health expenditure according to the criteria of efficiency, effectiveness and economy. This paper is an example of rationalization concerning the extracorporeal shock wave lithotripsy (ESWL). MATERIALS AND METHODS: Hospital admissions for urinary stones were taken into account...
December 30, 2016: Archivio Italiano di Urologia, Andrologia
https://www.readbyqxmd.com/read/28068364/meta-analysis-of-stenting-versus-non-stenting-for-the-treatment-of-ureteral-stones
#2
Hai Wang, Libo Man, Guizhong Li, Guanglin Huang, Ning Liu, Jianwei Wang
BACKGROUND AND AIM: Ureteroscopic lithotripsy (URL) and extracorporeal shock wave lithotripsy (ESWL) are two widely used methods for the treatment of ureteral stones. The need for ureteral stenting during these procedures is controversial. In this meta-analysis, we evaluated the benefits and disadvantages of ureteral stents for the treatment of ureteral stones. METHODS: Databases including PubMed, Embase and Cochrane library were selected for systematic review of randomized controlled trials (RCTs) comparing outcomes with or without stenting during URL and ESWL...
2017: PloS One
https://www.readbyqxmd.com/read/28062312/incidence-and-risk-factors-for-post-ercp-pancreatitis-in-chronic-pancreatitis
#3
Zhen-Hua Zhao, Liang-Hao Hu, Hong-Bo Ren, An-Jing Zhao, Yang-Yang Qian, Xiao-Tian Sun, Song Su, Shu-Guang Zhu, Jin Yu, Wen-Bin Zou, Xiao-Rong Guo, Lei Wang, Zhao-Shen Li, Zhuan Liao
BACKGROUND AND AIMS: Almost all studies on post-ERCP pancreatitis (PEP) have mainly involved patients with biliary diseases, rather than chronic pancreatitis; and the concept that chronic pancreatitis (CP) seems to be a protective factor associated with PEP has not been studied in detail. The aim of this study was to determine the incidence of PEP in patients with CP at different clinical stages and to identify the predictive and protective factors of PEP in a large cohort. METHODS: This is an observational cohort study...
January 3, 2017: Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/27994511/autophagy-activation-protects-shock-wave-induced-renal-tubular-epithelial-cell-apoptosis-may-through-modulation-of-akt-gsk-3%C3%AE-pathway
#4
Qingzhi Long, Xiang Li, Hui He, Dalin He
PURPOSE: Extracorporeal shock wave lithotripsy (ESWL) is well documented to exert destructive effect to renal cells and its mechanism is not clear. Autophagy is one of cell basic response for stressful conditions and it is important to determine cell's fate. The aim of this study is to elucidate the role of autophagy in the process of shock wave-induced renal cells injury. METHODS: NRK-52E cell, a rat renal tubular epithelial cell, was exposed to shock wave at the voltage of 14KV...
2016: International Journal of Biological Sciences
https://www.readbyqxmd.com/read/27981926/stone-free-rate-after-extracorporeal-shockwave-lithotripsy-in-the-management-of-pediatric-renal-stones-in-lower-pole-and-other-locations-a-comparative-study
#5
Nadeem Iqbal, Shujah Muhammad, Warda Zafar, Ravale Tashfeen, Javaria Faiz, Aisha Hasan, Ijaz Hussain, Saeed Akhter
OBJECTIVE: To determine a difference in the stone-free-rate among different renal locations in children after extracorporeal shockwave lithotripsy (ESWL). STUDY DESIGN: A descriptive study. PLACE AND DURATION OF STUDY: Urology Department, Shifa International Hospital, Islamabad, Pakistan, from January 2007 to June 2015. METHODOLOGY: The study included children who underwent ESWL, divided into three groups based on location of stones in kidney as group A (lower pole stones), group B (upper and mid pole stones) and group C (renal pelvis stone), respectively...
November 2016: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
https://www.readbyqxmd.com/read/27928813/urinary-beta-2microglobulin-an-indicator-of-renal-tubular-damage-after-extracorporeal-shock-wave-lithotripsy
#6
Hamidreza Nasseh, Sepideh Abdi, Ali Roshani, Ehsan Kazemnezhad
PURPOSE: This study aims to determine extracorporeal shock wave lithotripsy (ESWL)-induced renal tubular damageand the affecting factors by measuring urinary beta2microglobulin (β2M) excretion. MATERIALS AND METHODS: This is a cross-sectional study conducted on 91 patients with renal stones who underwentESWL during 2012. Urinary beta2microglobulin was measured immediately before and after the procedure foreach patient and analyzed based on different variables to evaluate factors affecting ESWL-induced renal tubularinjury...
8, 2016: Urology Journal
https://www.readbyqxmd.com/read/27919137/-a-case-of-endoscopic-combined-intrarenal-surgery-for-multiple-encrusted-stones-on-a-forgotten-ureteral-stent-left-for-4-years
#7
Kimitsugu Usui, Takuo Asai, Tadashi Tabei, Hiroki Ito, Mitsuru Komeya, Atsushi Fujikawa, Junichi Matsuzaki
A 43-year-old man underwent extracorporeal shock wave lithotripsy (ESWL) for a left ureteral stone and implantation of a loop stent for the treatment of stone pain in February 2011. However, he was lost to follow-up before the complete removal of the stones and stent. He presented to our hospital with left back pain in March 2015. An abdominal radiograph and a noncontrast computed tomography showed extensive stone formation throughout the stent. A single cystolithotripsy and a double endoscopic combined intrarenal surgery (ECIRS)were performed...
November 2016: Hinyokika Kiyo. Acta Urologica Japonica
https://www.readbyqxmd.com/read/27911457/what-is-the-impact-of-extracorporeal-shock-wave-lithotripsy-on-semen-parameters-a-systematic-review-and-meta-analysis
#8
Mohammad H Radfar, Nasser Simforoosh, Mehdi Sotoudeh, Mehdi H Ramezani, Mohammad J Mollakoochakian, Maryam Nikravesh, Hamidreza Shemshaki
BACKGROUND: Extracorporeal shock wave lithotripsy (ESWL) is an important tool for the management of urolithiasis. The effects of shockwaves on tissues are established. The aim of this meta-analysis is to evaluate the microscopic semen characteristics of young men before and after ESWL treatment for lower ureteral calculi. METHODS: Literature searches were performed following the Cochrane guidelines. We conducted a systematic review and meta-analysis that included six trials that investigated the effects of ESWL on semen parameters, including sperm concentration, motility, and hematospermia...
December 2, 2016: Urologia
https://www.readbyqxmd.com/read/27890653/recent-advances-in-lithotripsy-technology-and-treatment-strategies-a-systematic-review-update
#9
H E Elmansy, J E Lingeman
INTRODUCTION: Shock wave lithotripsy (SWL) is a well - established treatment option for urolithiasis. The technology of SWL has undergone significant changes in an attempt to better optimize the results while reducing failure rates. There are some important limitations that restrict the use of SWL. In this review, we aim to place these advantages and limitations in perspective, assess the current role of SWL, and discuss recent advances in lithotripsy technology and treatment strategies...
December 2016: International Journal of Surgery
https://www.readbyqxmd.com/read/27878116/minijfil%C3%A2-a-new-safe-and-effective-stent-for-well-tolerated-repeated-extracorporeal-shockwave-lithotripsy-or-ureteroscopy-for-medium-to-large-kidney-stones
#10
Benoit Vogt, Francois-Noel Desfemmes, Arnaud Desgrippes, Yves Ponsot
BACKGROUND: Percutaneous nephrolithotomy (PCNL) is recommended for treating staghorn stones or stones measuring > 20 mm. Extracorporeal shockwave lithotripsy (ESWL) or flexible ureteroscopy (URS) may be used as a complement. However, PCNL can cause trauma to the kidney parenchyma, and patients may find a noninvasive procedure, such as ESWL, to be more attractive. OBJECTIVES: The aim of this study was to evaluate the clinical efficiency of MiniJFil® stenting associated with ESWL or second-line URS for the treatment of medium-to-large kidney stones...
September 2016: Nephro-urology Monthly
https://www.readbyqxmd.com/read/27865972/paediatric-urolithiasis-in-emerging-economies
#11
REVIEW
S Adibul Hasan Rizvi, Sajid Sultan, Mirza Naqi Zafar, Bashir Ahmed, Sadaf Aba Umer, S A Anwar Naqvi
BACKGROUND: Paediatric urolithiasis remains endemic in low resource countries. This review highlights the epidemiology, causation and management of urolithiasis in an Asian country in the context of emerging economies. METHODS: A literature review of recent articles with key words paediatric urolithiasis, developing countries, endemic stone disease, stone composition, metabolic risk factors, management of paediatric urolithiasis was undertaken and 51 relevant articles were selected with the main focus on experience of this center in managing stone disease in the last two decades...
December 2016: International Journal of Surgery
https://www.readbyqxmd.com/read/27856357/clinical-effectiveness-in-the-diagnosis-and-acute-management-of-pediatric-nephrolithiasis
#12
REVIEW
Jason P Van Batavia, Gregory E Tasian
The incidence of pediatric nephrolithiasis has risen over the past few decades leading to a growing public health burden. Children and adolescents represent a unique patient population secondary to their higher risks from radiation exposure as compared to adults, high risk of recurrence, and longer follow up time given their longer life expectancies. Ultrasound imaging is the first-line modality for diagnosing suspected nephrolithiasis in children. Although data is limited, the best evidence based medicine supports the use of alpha-blockers as first-line MET in children, especially when stones are small and in a more distal ureteral location...
December 2016: International Journal of Surgery
https://www.readbyqxmd.com/read/27853528/recent-advances-in-understanding-and-managing-urolithiasis
#13
REVIEW
Walter L Strohmaier
During the last few years, there has been relevant progress in both understanding and managing urolithiasis. Our knowledge of stone formation has changed; although the importance of urine biochemistry was questioned by several investigators years ago, the decisive role of cellular processes (induced by oxidative stress) and the renal papilla has only recently been generally accepted as the most important step in stone formation. For calcium oxalate urolithiasis, the formation of papillary calcifications plays a key role and is of prognostic relevance...
2016: F1000Research
https://www.readbyqxmd.com/read/27824261/extracorporeal-shockwave-lithotripsy-versus-flexible-ureteroscopy-for-the-management-of-upper-tract-urinary-stones-in-children
#14
Lucas Freton, Benoit Peyronnet, Alexis Arnaud, Lauranne Tondut, Juliette Hascoet, Benjamin Pradère, Grégory Verhoest, Édouard Habonimana, Olivier Azzis, Benjamin Fremond, Karim Bensalah
OBJECTIVE: To compare the efficacy and morbidity of extracorporeal shockwave lithotripsy (SWL) and flexible ureteroscopy (F-URS) for the management of upper tract urinary stones in children. METHODS: All SWL and F-URS performed in children in a single institution between 2000 and 2014 were reviewed retrospectively. Only procedures performed to treat upper tract urinary stones (upper ureter or kidney) were included in this study. Preoperative and perioperative outcomes were compared between the SWL and F-URS groups...
January 2017: Journal of Endourology
https://www.readbyqxmd.com/read/27813386/retroperitoneoscopic-pyelolithotomy-a-good-alternative-treatment-for-renal-pelvic-calculi-in-children
#15
Bruno Nicolino Cezarino, Rubens Park, Paulo Renato Marcelo Moscardi, Roberto Iglesias Lopes, Francisco T Denes, Miguel Srougi
INTRODUCTION: Nephrolitiasis, once considered an adult disease, has become increasingly prevalent in children, with na increase from 6% to 10 % annually in past 25 years. Kidney stones in pediatric population can result from metabolic diseases in up to 50% of children affected. Other factors associated with litiasis are infection, dietary factors, and anatomic malformations of urinary tract. Standard treatment procedures for pediatric population are similar to adult population. Extracorporeal shock wave lithotripsy (ESWL), ureterorenoscopy (URS), percutaneous nepfrolithotomy (PCNL), as well as laparoscopic and retroperitoneoscopic approaches can be indicated in selected cases...
November 2016: International Braz J Urol: Official Journal of the Brazilian Society of Urology
https://www.readbyqxmd.com/read/27801492/predictive-factors-of-extracorporeal-shock-wave-lithotripsy-success-for-urinary-stones
#16
Badreddine Ben Khalifa, Sahbi Naouar, Wael Gazzah, Braiek Salem, Rafik El Kamel
Objective To review with our experience the predictors of stone-free status after extracorporeal shock wave lithotripsy (ESWL) on urinary stones. Methods The records of 68 consecutive patients with urinary stones treated with ESWL were reviewed. Patient age, sex, body mass index (BMI), stone dimension, stone Hounsfield density (HD) and stone composition determined by infrared spectroscopic analysis were studied as potential predictors. Results Stone Hounsfield density and stone composition were found to be the only predictors of treatment outcome...
May 2016: La Tunisie Médicale
https://www.readbyqxmd.com/read/27800291/comparison-of-extracorporeal-shock-wave-lithotripsy-for-urolithiasis-between-children-and-adults-a-single-centre-study
#17
Nadeem Iqbal, Salman Assad, Joshua Rahat Aleman Bhatti, Aisha Hasan, Muhammad Usman Shabbir, Saeed Akhter
OBJECTIVE: To retrospectively evaluate the effectiveness of extracorporeal shock wave lithotripsy (ESWL) for urolithiasis and compare the results between children and adults. MATERIALS AND METHODS: From January 2011 to January 2015 (four years), ESWL was performed in 104 children and 300 adults for urolithiasis. MODULITH(®) SLX-F2 lithotripter (Storz Medical AG, Tägerwilen, Switzerland) equipment was used for ESWL. The stone-free rates, the number of ESWL sessions required, complication rates and ancillary procedures used were evaluated in a comparative manner...
September 29, 2016: Curēus
https://www.readbyqxmd.com/read/27798945/comparison-of-yag-laser-lithotripsy-and-extracorporeal-shock-wave-lithotripsy-in-treatment-of-ureteral-calculi-a-meta-analysis
#18
Chao Yang, Shijun Li, Yingdong Cui
OBJECTIVE: To evaluate the clinical efficiency and safety of ureteroscopy lithotripsy (URSL) with holmium laser technology and extracorporeal shock wave lithotripsy (ESWL) on ureteral calculi using systematic reviews. METHODS: Randomized controlled trials and prospective controlled trials accorded with inclusion among PubMed Database, EmBase Database, Cochrane Library and China National Knowledge Infrastructure were collected. Review Manager 5.0 was adopted to estimate the effects of the results among selected articles...
November 1, 2016: Urologia Internationalis
https://www.readbyqxmd.com/read/27784844/management-of-pancreatic-calculi-an-update
#19
REVIEW
Manu Tandan, Rupjyoti Talukdar, Duvvur Nageshwar Reddy
Pancreatolithiasis, or pancreatic calculi (PC), is a sequel of chronic pancreatitis (CP) and may occur in the main ducts, side branches or parenchyma. Calculi are the end result, irrespective of the etiology of CP. PC contains an inner nidus surrounded by successive layers of calcium carbonate. These calculi obstruct the pancreatic ducts and produce ductal hypertension, which leads to pain, the cardinal feature of CP. Both endoscopic therapy and surgery aim to clear these calculi and decrease ductal hypertension...
November 15, 2016: Gut and Liver
https://www.readbyqxmd.com/read/27780167/do-jj-stents-increase-the-effectiveness-of-extracorporeal-shock-wave-lithotripsy-for-pediatric-renal-stones
#20
Metin Gündüz, Tamer Sekmenli, İlhan Ciftci, Ahmet Midhat Elmacı
PURPOSE: We aimed to evaluate the effects of preoperative urinary catheterization in nephrolithiasis treatment with extracorporeal shock wave lithotripsy (SWL). METHODS: Patients admitted to the Department of Pediatric Surgery for renal stones between June 2012 and June 2014 were evaluated retrospectively. Patients were divided into 2 groups based on JJ stent placements. Group 1 did not receive JJ stents, while group 2 did. The recorded demographic data for each group included age, gender, stone size, location, sessions, and complications...
October 26, 2016: Urologia Internationalis
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