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Radionuclide Determination of Individual Kidney Function in the Treatment of Chronic Renal Obstruction

1982; Lippincott Williams & Wilkins; Volume: 127; Issue: 4 Linguagem: Inglês

10.1016/s0022-5347(17)53968-3

1527-3792

John A. Belis, Theodore E. Belis, James C.W. Lai, Claudia A. Goodwin, Orlando F. Gabriele,

Renal and Vascular Pathologies

No AccessJournal of UrologyOriginal Articles1 Apr 1982Radionuclide Determination of Individual Kidney Function in the Treatment of Chronic Renal Obstruction John A. Belis, Theodore E. Belis, James C.W. Lai, Claudia A. Goodwin, and Orlando F. Gabriele John A. BelisJohn A. Belis More articles by this author , Theodore E. BelisTheodore E. Belis More articles by this author , James C.W. LaiJames C.W. Lai More articles by this author , Claudia A. GoodwinClaudia A. Goodwin More articles by this author , and Orlando F. GabrieleOrlando F. Gabriele More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(17)53968-3AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Differential radionuclide renal scans can be useful in the management of patients with chronic partial obstruction of 1 kidney. The 99mtechnetium diethylenetriaminepentaacetic acid perfusion scan can be used to assess glomerular blood flow. The 131iodine orthoiodohippurate renal scan provides qualitative functional information from scintigrams and quantitative evaluation of effective renal plasma flow to each kidney, as well as a total excretory index. Sequential 99mtechnetium diethylenetriaminepentaacetic acid and 131iodine orthoiodohippurate renal scans were used to assess individual renal function before and after surgical correction of unilateral chronic renal obstruction in 31 patients. The preservation of cortical perfusion on 99mtechnetium diethylenetriaminepentaacetic acid scans indicated that potential existed for partial recovery of renal function. Effective renal plasma flow and excretory index determined in conjunction with the 131iodine orthoiodohippurate scans provided a quantitative assessment of preoperative renal function, an evaluation of the effect of surgery and a sensitive method for long-term evaluation of differential renal function. Correction of ureteropelvic junction obstruction usually resulted in improvement in unilateral renal function. Neither nephrolithotomy nor extended pyelolithotomy diminished renal function in the kidney subjected to an operation and often improved it. Patients with long-standing distal ureteral obstruction had the least improvement in renal function postoperatively. © 1982 by The American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited byKumar A, Sharma S and Vaidyanathan S (2018) Results of Surgical Reconstruction in Patients with Renal Failure Owing to Ureteropelvic Junction ObstructionJournal of Urology, VOL. 140, NO. 3, (484-486), Online publication date: 1-Sep-1988.Claesson G, Josephson S and Robertson B (2018) Experimental Partial Ureteric Obstruction in Newborn Rats. VII. Are the Long Term Effects on Renal Morphology Avoided by Release of the Obstruction?Journal of Urology, VOL. 136, NO. 6, (1330-1334), Online publication date: 1-Dec-1986. Volume 127Issue 4April 1982Page: 636-641 Advertisement Copyright & Permissions© 1982 by The American Urological Association Education and Research, Inc.MetricsAuthor Information John A. Belis More articles by this author Theodore E. Belis More articles by this author James C.W. Lai More articles by this author Claudia A. Goodwin More articles by this author Orlando F. Gabriele More articles by this author Expand All Advertisement PDF downloadLoading ...