Metabolic assessment in patients with urinary lithiasis

Página do item simplificado
dc.contributor.authorAmaro, Carmen R. [UNESP]
dc.contributor.authorGoldberg, José [UNESP]
dc.contributor.authorAmaro, João Luiz [UNESP]
dc.contributor.authorPadovani, Carlos Roberto [UNESP]
dc.contributor.institutionUniversidade Estadual Paulista (Unesp)
dc.contributor.institutionUniversidade de São Paulo (USP)
dc.date.accessioned2014-05-20T13:33:30Z
dc.date.available2014-05-20T13:33:30Z
dc.date.issued2005-02-01
dc.description.abstractINTRODUCTION: Metabolic investigation in patients with urinary lithiasis is very important for preventing recurrence of disease. The objective of this work was to diagnose and to determine the prevalence of metabolic disorders, to assess the quality of the water consumed and volume of diuresis as potential risk factors for this pathology. PATIENTS and METHODS: We studied 182 patients older than 12 years. We included patients with history and/or imaging tests confirming at least 2 stones, with creatinine clearance > 60 mL/min and negative urine culture. The protocol consisted in the collection of 2, 24-hour urine samples, for dosing Ca, P, uric acid, Na, K, Mg, Ox and Ci, glycemia and serum levels of Ca, P, Uric acid, Na, K, Cl, Mg, U and Cr, urinary pH and urinary acidification test. RESULTS: 158 patients fulfilled the inclusion criteria. Among these, 151 (95.5%) presented metabolic changes, with 94 (62.2%) presenting isolated metabolic change and 57 (37.8%) had mixed changes. The main disorders detected were hypercalciuria (74%), hypocitraturia (37.3%), hyperoxaluria (24.1%), hypomagnesuria (21%), hyperuricosuria (20.2%), primary hyperparathyroidism (1.8%) secondary hyperparathyroidism (0.6%) and renal tubular acidosis (0.6). CONCLUSION: Metabolic change was diagnosed in 95.5% of patients. These results warrant the metabolic study and follow-up in patients with recurrent lithiasis in order to decrease the recurrence rate through specific treatments, modification in alimentary and behavioral habits.en
dc.description.affiliationUNESP Botucatu Medical School General Hospital
dc.description.affiliationState University of São Paulo Institute of Biosciences of Botucatu
dc.description.affiliationUnespUNESP Botucatu Medical School General Hospital
dc.format.extent29-33
dc.identifierhttp://dx.doi.org/10.1590/S1677-55382005000100006
dc.identifier.citationInternational braz j urol. Sociedade Brasileira de Urologia, v. 31, n. 1, p. 29-33, 2005.
dc.identifier.doi10.1590/S1677-55382005000100006
dc.identifier.fileS1677-55382005000100006.pdf
dc.identifier.issn1677-5538
dc.identifier.lattes8727897080522289
dc.identifier.scieloS1677-55382005000100006
dc.identifier.urihttp://hdl.handle.net/11449/11481
dc.language.isoeng
dc.publisherSociedade Brasileira de Urologia
dc.relation.ispartofInternational Braz J Urol
dc.relation.ispartofjcr0.976
dc.relation.ispartofsjr0,367
dc.rights.accessRightsAcesso aberto
dc.sourceSciELO
dc.subjecturolithiasisen
dc.subjectrisk factorsen
dc.subjectsaltsen
dc.subjectmetabolic diseaseen
dc.subjectfollow-upen
dc.subjectstudiesen
dc.titleMetabolic assessment in patients with urinary lithiasisen
dc.typeArtigo
unesp.author.lattes8727897080522289[4]
unesp.author.orcid0000-0002-7719-9682[4]
unesp.campusUniversidade Estadual Paulista (Unesp), Instituto de Biociências, Botucatupt
unesp.campusUniversidade Estadual Paulista (Unesp), Faculdade de Medicina, Botucatupt

Arquivos

Pacote Original
Agora exibindo 1 - 1 de 1
Imagem de Miniatura
Nome:
S1677-55382005000100006.pdf
Tamanho:
26.7 KB
Formato:
Adobe Portable Document Format
Baixar
Licença do Pacote
Agora exibindo 1 - 2 de 2
Nenhuma Miniatura disponível
Nome:
license.txt
Tamanho:
1.71 KB
Formato:
Item-specific license agreed upon to submission
Descrição:
Nenhuma Miniatura disponível
Nome:
license.txt
Tamanho:
1.71 KB
Formato:
Item-specific license agreed upon to submission
Descrição:

Coleções

Artigos - Urologia - FMB
Artigos - Bioestatística - IBB