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Factors affecting the course of body and kidney growth in infants with urolithiasis: A critical long-term evaluation

Kemal Sarica, Fatma Narter, Kubilay Sabuncu, Ahmet Akca, Utku Can, Ayse Buz, H. Nese Sarica, Bilal Eryildirim
  • Kemal Sarica
    Dr. Lutfi Kirdar Training and Research Hospital Urology Clinic, Istanbul, Turkey
  • Fatma Narter
    Dr. Lutfi Kirdar Training and Research Hospital Pediatric Clinic, Istanbul, Turkey
  • Kubilay Sabuncu
    Dr. Lutfi Kirdar Training and Research Hospital Urology Clinic, Istanbul, Turkey
  • Ahmet Akca
    Dr. Lutfi Kirdar Training and Research Hospital Radiology Clinic, Istanbul, Turkey
  • Utku Can
    Dr. Lutfi Kirdar Training and Research Hospital Urology Clinic, Istanbul, Turkey
  • Ayse Buz
    Dr. Lutfi Kirdar Training and Research Hospital Urology Clinic, Istanbul, Turkey
  • H. Nese Sarica
    Medistate Hospital, Istanbul, Turkey
  • Bilal Eryildirim
    Dr. Lutfi Kirdar Training and Research Hospital Urology Clinic, Istanbul, Turkey | bilaleryildirim@yahoo.com

Abstract

Objective: To investigate the possible effects of dietary, patient and stone related factors on the clinical course of the stone disease as well as the body and renal growth status of the infants. Patients and Methods: A total of 50 children with an history of stone disease during infancy period were studied. Patient (anatomical abnormalities, urinary tract infection - UTI, associated morbidities), stone (obstruction, UTI and required interventions) and lastly dietary (duration of sole breast feeding, formula feeding) related factors which may affect the clinical course of the disease were all evaluated for their effects on the body and renal growth during long-term follow-up. Results: Mean age of the children was 2.40 ± 2.65 years. Our findings demonstrated that infants receiving longer period of breast feeding without formula addition seemed to have a higher rate of normal growth percentile values when compared with the other children. Again, higher frequency of UTI and stone attacks affected the growth status of the infants in a remarkable manner than the other cases. Our findings also demonstrated that thorough a close follow-up and appropriately taken measures; the possible growth retardation as well as renal growth problems could be avoided in children beginning to suffer from stone disease during infancy period. Conclusions: Duration of breast feeding, frequency of UTI, number of stone attacks and stone removal procedures are crucial factors for the clinical course of stone disease in infants that may affect the body as well as kidney growth during long-term follow-up.

Keywords

Urinary calculi; Kidney; Stone related factors; Infant

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Submitted: 2016-06-07 17:48:16
Published: 2016-12-30 00:00:00
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Copyright (c) 2017 Kemal Sarica, Fatma Narter, Kubilay Sabuncu, Ahmet Akca, Utku Can, Ayse Buz, Bilal Eryildirim, Nese Sarica

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