Experiencia en la evaluación de pacientes con litiasis urinaria en Panamá.
[Experiencia en la evaluación de pacientes con litiasis urinaria en Panamá.]Khalil Hasan1
1. Centro Médico Paitilla y Consultorios Royal Center.
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Resumen
Resumen: Mediante un estudio retrospectivo, no randomizado, se evaluaron 23 pacientes tratados por litiasis urinaria siguiendo un protocolo de evaluación metabólica. A 22 de los 23 se les detectó por lo menos un factor de riesgo para producir litiasis; en 20 de los 23 se encontró más de un factor, siendo la hiperoxaluria y la hipocitraturia los más frecuentes. En el 56.5% era su primer episodio litiásico.
Este estudio preliminar nos sugiere que a todo paciente con litiasis urinaria en Panamá se le debe proponer una evaluación metabólica, ya que el tratamiento empírico no parece ser la primera opción debido al alto porcentaje multifactorial de la litiasis en Panamá. Creemos que el manejo multidisciplinario les daría a estos pacientes una mejor oportunidad de éxito en su tratamiento. Revista Médica de Panamá 2004, 29: (31-33).
Palabras claves: Litiasis urinaria, citrato oxalato.
SUMMARY: In a not randomized retrospective study of twenty three patients with urinary stones, we applied a protocol with a metabolic evaluation. In twenty two of the twenty three patients we found at least one risk factor for the production of stones, and in twenty we found more than one risk factor, and the most frequents were hiperoxaluria and hipocitraturia. In 56.5% of the patients it was their first episode. This preliminary study suggest than to all patients with urinary stones in Panama, a metabolic evaluation should be proposed, since the empiric treatment does not appear to be the first option due to the high percent of multifactorial causes. We believe that a multidisciplinary evaluation of patients with urinary stones is warranted, for a more successful treatment.
SUMMARY: In a not randomized retrospective study of twenty three patients with urinary stones, we applied a protocol with a metabolic evaluation. In twenty two of the twenty three patients we found at least one risk factor for the production of stones, and in twenty we found more than one risk factor, and the most frequents were hiperoxaluria and hipocitraturia. In 56.5% of the patients it was their first episode. This preliminary study suggest than to all patients with urinary stones in Panama, a metabolic evaluation should be proposed, since the empiric treatment does not appear to be the first option due to the high percent of multifactorial causes. We believe that a multidisciplinary evaluation of patients with urinary stones is warranted, for a more successful treatment.
Abstract
Resumen: Mediante un estudio retrospectivo, no randomizado, se evaluaron 23 pacientes tratados por litiasis urinaria siguiendo un protocolo de evaluación metabólica. A 22 de los 23 se les detectó por lo menos un factor de riesgo para producir litiasis; en 20 de los 23 se encontró más de un factor, siendo la hiperoxaluria y la hipocitraturia los más frecuentes. En el 56.5% era su primer episodio litiásico.
Este estudio preliminar nos sugiere que a todo paciente con litiasis urinaria en Panamá se le debe proponer una evaluación metabólica, ya que el tratamiento empírico no parece ser la primera opción debido al alto porcentaje multifactorial de la litiasis en Panamá. Creemos que el manejo multidisciplinario les daría a estos pacientes una mejor oportunidad de éxito en su tratamiento. Revista Médica de Panamá 2004, 29: (31-33).
Palabras claves: Litiasis urinaria, citrato oxalato.
SUMMARY: In a not randomized retrospective study of twenty three patients with urinary stones, we applied a protocol with a metabolic evaluation. In twenty two of the twenty three patients we found at least one risk factor for the production of stones, and in twenty we found more than one risk factor, and the most frequents were hiperoxaluria and hipocitraturia. In 56.5% of the patients it was their first episode. This preliminary study suggest than to all patients with urinary stones in Panama, a metabolic evaluation should be proposed, since the empiric treatment does not appear to be the first option due to the high percent of multifactorial causes. We believe that a multidisciplinary evaluation of patients with urinary stones is warranted, for a more successful treatment.
SUMMARY: In a not randomized retrospective study of twenty three patients with urinary stones, we applied a protocol with a metabolic evaluation. In twenty two of the twenty three patients we found at least one risk factor for the production of stones, and in twenty we found more than one risk factor, and the most frequents were hiperoxaluria and hipocitraturia. In 56.5% of the patients it was their first episode. This preliminary study suggest than to all patients with urinary stones in Panama, a metabolic evaluation should be proposed, since the empiric treatment does not appear to be the first option due to the high percent of multifactorial causes. We believe that a multidisciplinary evaluation of patients with urinary stones is warranted, for a more successful treatment.
Citas
[1] Resnick MI, Pak Ch. Introduction. en Urolithiasis:
[2] a Medical and Surgical Reference. Philadelphia,
[4] Takashi Y, Chandhoke P, Fan J: Comparison
[5] of comprehensive and limited metabolic evaluations
[6] in the treatment of patients with recurrent
[7] calcium urolithiasis. J Urol 1999; 161: 1449-
[9] Pack CH. General Guidelines in Medical Evaluation
[10] en Urolithiasis: a Medical and Surgical Reference ed for Resnick M I, Pak, Ch, Philadelphia,
[11] Saunders, 1990, pp 153-171.
[12] Levy FL, Adams –Huet B, Pack CH: Ambulatory
[13] Evaluation of Nephrolithiasis. An Update of a
[14] Protocol. Am J Med 1995; 98: 50-59.
[15] Preminger GM, Chandhoke P, Munch L, Stoller
[16] M: Stone Disease: Evaluation and Medical
[17] Management, Post-graduate course # h0221PG,
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