Antegrade balloon dilation of postoperative ureterovesical junction obstruction in children

Carlos Angel, J. N. Kocurek, E. M. Walser, G. R. Wittich, M. M. Warren, L. E. Swischuk

Research output: Contribution to journalArticle

Abstract

Obstruction of the ureterovesical junction is an uncommon but well-recognized complication of ureteral reimplantation that traditionally has been treated by surgical correction [1, 5-9]. We report our experience with antegrade balloon dilation (ABD) of these strictures in two children. Obstruction was confirmed by diuretic renogram and pressure perfusion studies prior to ABD. Clinical follow-up was done at 3 months and 14 months, and ultrasonographic studies revealed resolution of the hydronephrosis. In addition, diuretic renograms showed complete washout of radiotracer. Morbidity was limited to episodes of pyelonephritis that readily responded to medical management. ABD of ureteral strictures is a relatively simple procedure with a potential for a high success rate and low morbidity. This modality should be considered as the first line of treatment in patients with distal ureteral obstruction after reimplantation.

Original languageEnglish (US)
Pages (from-to)562-565
Number of pages4
JournalPediatric Surgery International
Volume11
Issue number8
DOIs
StatePublished - Oct 1 1996
Externally publishedYes

Fingerprint

Dilatation
Replantation
Diuretics
Pathologic Constriction
Morbidity
Ureteral Obstruction
Hydronephrosis
Pyelonephritis
Perfusion
Pressure
Therapeutics

All Science Journal Classification (ASJC) codes

  • Pediatrics, Perinatology, and Child Health

Cite this

Angel, C., Kocurek, J. N., Walser, E. M., Wittich, G. R., Warren, M. M., & Swischuk, L. E. (1996). Antegrade balloon dilation of postoperative ureterovesical junction obstruction in children. Pediatric Surgery International, 11(8), 562-565. https://doi.org/10.1007/BF00626067

Antegrade balloon dilation of postoperative ureterovesical junction obstruction in children. / Angel, Carlos; Kocurek, J. N.; Walser, E. M.; Wittich, G. R.; Warren, M. M.; Swischuk, L. E.

In: Pediatric Surgery International, Vol. 11, No. 8, 01.10.1996, p. 562-565.

Research output: Contribution to journalArticle

Angel, Carlos ; Kocurek, J. N. ; Walser, E. M. ; Wittich, G. R. ; Warren, M. M. ; Swischuk, L. E. / Antegrade balloon dilation of postoperative ureterovesical junction obstruction in children. In: Pediatric Surgery International. 1996 ; Vol. 11, No. 8. pp. 562-565.
@article{c986315d48d84b64b4bde5b08e3e7857,
title = "Antegrade balloon dilation of postoperative ureterovesical junction obstruction in children",
abstract = "Obstruction of the ureterovesical junction is an uncommon but well-recognized complication of ureteral reimplantation that traditionally has been treated by surgical correction [1, 5-9]. We report our experience with antegrade balloon dilation (ABD) of these strictures in two children. Obstruction was confirmed by diuretic renogram and pressure perfusion studies prior to ABD. Clinical follow-up was done at 3 months and 14 months, and ultrasonographic studies revealed resolution of the hydronephrosis. In addition, diuretic renograms showed complete washout of radiotracer. Morbidity was limited to episodes of pyelonephritis that readily responded to medical management. ABD of ureteral strictures is a relatively simple procedure with a potential for a high success rate and low morbidity. This modality should be considered as the first line of treatment in patients with distal ureteral obstruction after reimplantation.",
author = "Carlos Angel and Kocurek, {J. N.} and Walser, {E. M.} and Wittich, {G. R.} and Warren, {M. M.} and Swischuk, {L. E.}",
year = "1996",
month = "10",
day = "1",
doi = "10.1007/BF00626067",
language = "English (US)",
volume = "11",
pages = "562--565",
journal = "Pediatric Surgery International",
issn = "0179-0358",
publisher = "Springer Verlag",
number = "8",

}

TY - JOUR

T1 - Antegrade balloon dilation of postoperative ureterovesical junction obstruction in children

AU - Angel, Carlos

AU - Kocurek, J. N.

AU - Walser, E. M.

AU - Wittich, G. R.

AU - Warren, M. M.

AU - Swischuk, L. E.

PY - 1996/10/1

Y1 - 1996/10/1

N2 - Obstruction of the ureterovesical junction is an uncommon but well-recognized complication of ureteral reimplantation that traditionally has been treated by surgical correction [1, 5-9]. We report our experience with antegrade balloon dilation (ABD) of these strictures in two children. Obstruction was confirmed by diuretic renogram and pressure perfusion studies prior to ABD. Clinical follow-up was done at 3 months and 14 months, and ultrasonographic studies revealed resolution of the hydronephrosis. In addition, diuretic renograms showed complete washout of radiotracer. Morbidity was limited to episodes of pyelonephritis that readily responded to medical management. ABD of ureteral strictures is a relatively simple procedure with a potential for a high success rate and low morbidity. This modality should be considered as the first line of treatment in patients with distal ureteral obstruction after reimplantation.

AB - Obstruction of the ureterovesical junction is an uncommon but well-recognized complication of ureteral reimplantation that traditionally has been treated by surgical correction [1, 5-9]. We report our experience with antegrade balloon dilation (ABD) of these strictures in two children. Obstruction was confirmed by diuretic renogram and pressure perfusion studies prior to ABD. Clinical follow-up was done at 3 months and 14 months, and ultrasonographic studies revealed resolution of the hydronephrosis. In addition, diuretic renograms showed complete washout of radiotracer. Morbidity was limited to episodes of pyelonephritis that readily responded to medical management. ABD of ureteral strictures is a relatively simple procedure with a potential for a high success rate and low morbidity. This modality should be considered as the first line of treatment in patients with distal ureteral obstruction after reimplantation.

UR - http://www.scopus.com/inward/record.url?scp=0029982959&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0029982959&partnerID=8YFLogxK

U2 - 10.1007/BF00626067

DO - 10.1007/BF00626067

M3 - Article

VL - 11

SP - 562

EP - 565

JO - Pediatric Surgery International

JF - Pediatric Surgery International

SN - 0179-0358

IS - 8

ER -