Post A-H Pyeloplasty Analysis of Renal Function in Unilateral Hydronephrosis Due to Congenital Pelviureteric Junction Obstruction

Authors

  • Nandan Kumar Majumder Chittagong Shishu Hospital Chittagong
  • Md. Ruhul Amin Bangabandhu Sheikh Mujib Medical University Dhaka
  • Rajib Khastgir Chittagong Medical College Chittagong
  • Mizanur Rahman Chittagong Medical College Chittagong
  • Md. Abu Bakar Akan Upzilla Health Complex, Swarupkathi Pirojpur

DOI:

https://doi.org/10.3329/jpsb.v2i2.19543

Keywords:

Post A-H Pyeloplasty, Renal function

Abstract

Background: The objective of this study was to analyze the functional improvement of renal function in terms of split renal function (SRF) & glomerular filtration rate (GFR) by DTPA renogram in early post operative period who underwent A-H pyeloplasty for unilateral hydronephrosis due to congenital pelvi ureteric junction obstruction.


Methods: A prospective observational study was conducted to see the post operative renal function improvement in patient with unilateral hydronephrosis due to congenital pelvi ureteric junction obstruction in department of paediatric surgery, BSMMU from July 2007 to October 2008. All the patients were followed up at 4 weeks interval for 12 weeks.


Results: Total 13 Patients both male & female were observed with age ranging from 03 months to 15 years. Out of 13, eleven patients showed gradual improvement of renal function in terms of SRF & GFR in three successive DTPA renogram done at 4, 8 & 12 weeks post operatively but two patients showed deterioration of renal function in 1st two renogram but improved at 12th weeks period.


Conclusion: DTPA renogram is the best method to see the functional improvement of renal function after A-H pyeloplasty but should be done on 12th post operative day.

DOI: http://dx.doi.org/10.3329/jpsb.v2i2.19543

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Author Biographies

Nandan Kumar Majumder, Chittagong Shishu Hospital Chittagong

Department of Pediatric Surgery

Md. Ruhul Amin, Bangabandhu Sheikh Mujib Medical University Dhaka

Department of Pediatric Surgery

Rajib Khastgir, Chittagong Medical College Chittagong

Department of Anatomy

Mizanur Rahman, Chittagong Medical College Chittagong

Department of Anatomy

Md. Abu Bakar Akan, Upzilla Health Complex, Swarupkathi Pirojpur

Medical Officer

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Published

2014-07-15

How to Cite

Majumder, N. K., Amin, M. R., Khastgir, R., Rahman, M., & Akan, M. A. B. (2014). Post A-H Pyeloplasty Analysis of Renal Function in Unilateral Hydronephrosis Due to Congenital Pelviureteric Junction Obstruction. Journal of Paediatric Surgeons of Bangladesh, 2(2), 53–55. https://doi.org/10.3329/jpsb.v2i2.19543

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Original Articles