Database : MEDLINE Search on : Lithiasis [Words] References found : 5339 [refine] Displaying: 1 .. 10   in format [Detailed]

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[PMID]: 23375914 [Au] Autor: Arrabal-Polo MA; Arias-Santiago S; de Haro-Muñoz T; Lopez-Ruiz A; Orgaz-Molina J; Gonzalez-Torres S; Zuluaga-Gomez A; Arrabal-Martin M [Ad] Address: Department of Urology, San Cecilio University Hospital, Granada, Spain. arrabalp@ono.com [Ti] Title: Effects of aminobisphosphonates and thiazides in patients with osteopenia/osteoporosis, hypercalciuria, and recurring renal calcium lithiasis. [So] Source: Urology;81(4):731-7, 2013 Apr. [Is] ISSN: 1527-9995 [Cp] Country of publication: United States [La] Language: eng [Ab] Abstract: OBJECTIVE: To analyze the effects of aminobisphosphonates and thiazides on renal lithogenic activity and bone mineral density in patients with recurring renal calcium lithiasis. MATERIALS AND METHODS: A prospective cohort study with 3 years of clinical follow-up data was performed. The study included 2 groups of patients with recurring calcium lithiasis, hypercalciuria, and bone mineral density loss. Group 1 included 35 patients who underwent treatment with 70 mg/wk alendronate. Group 2 included 35 patients who underwent treatment with 50 mg/d hydrochlothiazide and 70 mg/wk alendronate. Biochemical analysis was performed at baseline, 6 months, and 2 years, bone densitometry at baseline and 2 years, and clinical follow-up during the 3 years of treatment. The biochemical variables from the blood and urine samples, recurrent lithiasis, and bone mineral density were analyzed. RESULTS: Age, sex, baseline biochemical markers, and bone density showed no differences between the 2 treatment groups at the onset of treatment. After 2 years of treatment, group 1 showed a significant decrease in bone turnover markers and calciuria and significant improvement in bone mineral density. After 2 years of treatment, group 2 showed a decrease in calciuria and bone markers. At 2 years, the decrease in calciuria and the improvement in bone mineral density were greater in group 2 than in group 1, and the difference was statistically significant. CONCLUSION: Aminobisphosphonates improve bone mineral density and slow lithogenic activity; however, administration of aminobisphosphonates in association with thiazides produced the same clinical effects and also reduced calciuria and improved bone mineral density. [Pt] Publication type: JOURNAL ARTICLE [Em] Entry month: 1303 [Js] Journal subset: IM [St] Status: In-Process

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[PMID]: 23058994 [Au] Autor: Morán E; Budía A; Broseta E; Boronat F [Ad] Address: Servicio de Urología, Hospital Universitario y Politécnico La Fe, Valencia, España. edumoran@comv.es [Ti] Title: Fitoterapia en Urología. Evidencia científica actual de su aplicación en urolitiasis, dolor pélvico crónico, disfunción eréctil e infecciones urinarias. [Phytotherapy in urology. Current scientific evidence of its application in urolithiasis, chronic pelvic pain, erectile dysfunction and urinary tract infections]. [So] Source: Actas Urol Esp;37(3):174-80, 2013 Mar. [Is] ISSN: 1699-7980 [Cp] Country of publication: Spain [La] Language: spa [Ab] Abstract: OBJECTIVE: To assess the usefulness of phytotherapy in urolitiasis, urinary tract infections, erectile dysfunction (ED) and chronic prostatitis/chronic pelvic pain (CP/CPP). ACQUISITION OF THE EVIDENCE: Systematic review of the evidence published until January 2011 using the following scientific terms:phytotherapy, urinary lithiasis, Chronic prostatitis, chronic pelvic pain, erectile dysfunction, urinary tract infection, cystitis and the scientific names of compounds following the rules of the International Code of Botanical Nomenclature. The databases used were Medline and The Cochrane Library.We included articles published until January 2011 written in English and Spanish. We included studies in Vitro/in vivo on animal models or human beings. Exclusion criteria were literature not in English and Spanish or articles with serious methodological flaws. SYNTHESIS OF THE EVIDENCE: We included 86 articles selecting 40 that met the inclusion criteria. In Urolitiasis there are few works in humans. The phytate has its main use as prevention and in reducing the growth of residual fragments after extracorporeal shock wave lithotripsy (ESWL). In CP/CPP the only compound that has shown effectiveness was the extract of pollen in a field of multimodal treatment. In DE ther is no evidence for the use of herbal medicine.Most of the works have limitations in the design or low sample size. In urinary tract infections most of the products are diuretics .There is only evidence for the cranberry as prevention in young or pregnant women. It must not be used as a treatment for urinary tract infections. CONCLUSIONS: Phytotherapy is usefull in repeat urinary tract infections and the CP/CPP. It has some role in the urolitiasis and lacks useful in the DE. [Pt] Publication type: ENGLISH ABSTRACT; JOURNAL ARTICLE [Em] Entry month: 1303 [Js] Journal subset: IM [St] Status: In-Process

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[PMID]: 23307087 [Au] Autor: Vargas C G [Ad] Address: Gastroenteróloga, Servicio de Gastroenterología del Hospital Arzobispo Loayza. glovarcar@yahoo.es [Ti] Title: PCRE: ampulotomia o fistulotomía suprapapilar con needle knife para acceder a la vía biliaren canulación dificil. [ERCP: ampulotomy or suprapapillary fistulotomy with needle knife to access bile ductin difficult cannulation]. [So] Source: Rev Gastroenterol Peru;32(4):371-80, 2012 Oct-Dec. [Is] ISSN: 1609-722X [Cp] Country of publication: Peru [La] Language: spa [Ab] Abstract: INTRODUCTION: Biliary conducts deep cannulation is a requirement for therapeutic Endoscopic Retrograde Cholangio-Pancreatography (ERCP). The pre-cut papillotomy is a technique for difficult cannulation cases. AIMS: Report cases of hard cannulation and suprapapilar fistulotomy as a method for selective common bile duct cannulation. Report efficacy, demographic and endoscopic findings and complications of this procedure. MATERIALS AND METHODS: Observational, descriptive and prospective study of cases. Sample of 93 patients who had a difficult cannulation ERCP, in which suprapapilar fistulotomy pre-cut type was done, in a private digestive endoscopic center between 2000 and 2010 in Lima, Peru. RESULTS: 1205 (100%) ERCP were made 1152 (96%) papillosphincterotomies. Fistulotomy was done in 93 cases (8%) of these papillosphincterotomies. The most prevalent age group was 61 to 70 years old, the female-male proportion was 2.4:1. The efficacy was 96%. The most prevalent endoscopy findings were odditis, gallstone impactation and ampulloma presence, final diagnosis were lithiasic disease (34%), Odditis with or without common bile duct lithiasis (29%). Therapeutic ERCP was done in 75% of the cases, 8.5% showed complications (pancreatitis and bleeding). No perforation or cholangitis were registered. CONCLUSIONS: In this case series, fistulotomy in difficult cannulation procedures had good efficacy. Is most prevalent in cases with odditis, gallstone impactation and ampulloma. Complications of the procedure are low. RECOMMENDATIONS: The fistulotomy type of pre-cut is leaded for patients who require therapeutic ERCP. The decision for doing the procedure must be precocious and informed consent is primordial. [Pt] Publication type: ENGLISH ABSTRACT; JOURNAL ARTICLE [Em] Entry month: 1301 [Js] Journal subset: IM [St] Status: In-Process

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[PMID]: 23462654 [Au] Autor: Martellucci S; Pagliuca G; de Vincentiis M; Greco A; Fusconi M; De Virgilio A; Gallipoli C; Gallo A [Ad] Address: Department of Surgical Biotechnologies and Science, ENT Section "Sapienza" University of Rome, Italy. [Ti] Title: Ho:Yag Laser for Sialolithiasis of Wharton's Duct. [So] Source: Otolaryngol Head Neck Surg;148(5):770-4, 2013 May. [Is] ISSN: 1097-6817 [Cp] Country of publication: England [La] Language: eng [Ab] Abstract: Objective To assess the feasibility of intracorporeal lithotripsy with holmium YAG laser under sialoendoscopic guidance for sialolithiasis of Wharton's duct. Study Design Case series with planned data collection. Setting Tertiary referral university hospital. Methods This study was conducted on 16 patients with sialolithiasis of Wharton's duct. Diagnosis was confirmed at ultrasound examination. Patients with stones ranging from 5 to 8 mm in diameter were enrolled in the study. The selected patients underwent intracorporeal lithotripsy with holmium Yag laser under endoscopic control. Debris was removed using sialoendoscopic forceps or a wire basket during the same procedure. After a 3-month follow-up, radiological tests were rerun. Results Stone fragmentation was possible in all cases. All patients experienced a regular postoperative course. Postoperative ultrasound examinations revealed residual stones in 3 patients, 1 of whom was asymptomatic. Three patients complained of residual symptoms after 3 months of follow-up. These patients were treated successfully during a second sialoendoscopic procedure. Conclusions In our experience, endoscopic laser lithotripsy was proved to be a feasible technique for Wharton's duct lithiasis in clinical practice. [Pt] Publication type: JOURNAL ARTICLE [Em] Entry month: 1305 [Js] Journal subset: IM [St] Status: In-Data-Review [do] DOI: 10.1177/0194599813479914

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[PMID]: 23328170 [Au] Autor: Miyazawa K; Morita N; Suga K; Moriyama MT; Suzuki K [Ad] Address: The Department of Urology, Kanazawa Medical University, Kanazawa, Japan. [Ti] Title: [Outlook for recurrence prevention from the viewpoint of the guidelines on urolithiasis]. [So] Source: Hinyokika Kiyo;58(12):707-11, 2012 Dec. [Is] ISSN: 0018-1994 [Cp] Country of publication: Japan [La] Language: jpn [Ab] Abstract: In Japan, the number of patients with urolithiasis has continued to increase at a faster rate, with a lifetime morbidity in 2005 of 15.1% for males and 6.8% for females, possibly due to : 1) westernization of dietary habits and lifestyle, 2) improvement of diagnostic technologies (CT and ultrasound examination), and 3) aging of the population. Additionally, this disease has a higher recurrence rate ; for example, approximately 50% for calcium-containing calculi. The guidelines on urolithiasis consist primarily of the guidelines for treatment and recurrence prevention, and the items concerning recurrence prevention were added in the 2007 updated Guidelines on Urolithiasis by the European Association of Urology (EAU) and the American Urological Association (AUA) (EAU/AUA guidelines). These facts reflect the importance of recurrence prevention. On the other hand, the Japanese guidelines on urolithiasis are now being revised and will adopt the form of "clinical questions". This paper provides an overview of the examination methods for recurrence, lifestyle guidance, and drug therapies based on the current guidelines for diagnosis and treatment of urolithiasis as well as the points for clinical questions to be included in the revised guidelines for a deeper understanding and, consequently, return to routine clinical practice. [Mh] MeSH terms primary: Practice Guidelines as Topic/standards Urolithiasis/prevention & control [Mh] MeSH terms secundary: Female Humans Male Recurrence/prevention & control Urolithiasis/therapy [Pt] Publication type: ENGLISH ABSTRACT; JOURNAL ARTICLE [Em] Entry month: 1304 [Js] Journal subset: IM [Da] Date of entry for processing: 130118 [St] Status: MEDLINE

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[PMID]: 23328169 [Au] Autor: Mugiya S [Ad] Address: The Department of Urology, Hamamatsu University School of Medicine, Hamamatsu, Japan. [Ti] Title: [Guidelines on urolithiasis: update of diagnosis and treatment]. [So] Source: Hinyokika Kiyo;58(12):703-6, 2012 Dec. [Is] ISSN: 0018-1994 [Cp] Country of publication: Japan [La] Language: jpn [Ab] Abstract: The Japanese urolithiasis clinical guideline was established in 2002. Since that time, the American Urological Associstion (AUA) and European Association of Urology (EAU) nephrolithiasis guideline panel has developed several guidelines on the management of urolithiasis. Recently, the joint AUA/EAU panel published a 2007 update of the original 1997 report on the management of ureteral calculi. The EAU panel yields the publication of guidelines on urolithiasis, with updates almost annually. These guidelines provide useful recommendations on the management of urolithiasis. Based on their findings, the most significant update of guideline concluded that both extracorporeal shockwave lithotripsy and ureteroscopy (URS) are acceptable first-line treatments for patients requiring ureteral stone removal. With the development of smaller caliber ureteroscopes and the introduction of improved instrumentation, including the holmium : yttrium aluminum garnet laser, URS has evolved into a safer and more efficacious modality for treatment of stones in all locations in the ureter during the last decade. The other change is the establishment of effective medical expulsive therapy to facilitate spontaneous stone passage. [Mh] MeSH terms primary: Practice Guidelines as Topic/standards Urolithiasis/diagnosis Urolithiasis/therapy [Mh] MeSH terms secundary: Humans [Pt] Publication type: ENGLISH ABSTRACT; JOURNAL ARTICLE [Em] Entry month: 1304 [Js] Journal subset: IM [Da] Date of entry for processing: 130118 [St] Status: MEDLINE

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[PMID]: 23328168 [Au] Autor: Yasui T; Ando R; Okada A; Tozawa K; Iguchi M; Kohri K [Ad] Address: The Department of Nephro-urology, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan. [Ti] Title: [Epidemiology of urolithiasis for improving clinical practice]. [So] Source: Hinyokika Kiyo;58(12):697-701, 2012 Dec. [Is] ISSN: 0018-1994 [Cp] Country of publication: Japan [La] Language: jpn [Ab] Abstract: Urolithiasis is a common nephrologic disorder with an increasing prevalence, probably attributable to lifestyle factors such as diet and obesity. A nationwide survey of urolithiasis in Japan conducted in 2005 showed a steady increase in the number of urolithiasis cases, and the associated life-long risk was estimated to be 15.1% in men and 6.8% in women. Because urolithiasis is a complex disease, an understanding of the epidemiology, particularly of the interactions among different factors, may facilitate the development of measures to reduce the risk of stone formation. In this article, we describe the epidemiologic data and related topics from a nationwide survey in Japan and other studies. [Mh] MeSH terms primary: Urolithiasis/epidemiology [Mh] MeSH terms secundary: Adult Female Humans Japan/epidemiology Life Style Male Middle Aged Seasons [Pt] Publication type: ENGLISH ABSTRACT; JOURNAL ARTICLE [Em] Entry month: 1304 [Js] Journal subset: IM [Da] Date of entry for processing: 130118 [St] Status: MEDLINE

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[PMID]: 23328167 [Au] Autor: Kohri K; Suzuki K [Ad] Address: The Department of Urology, Nagoya City University Graduate School of Medical Sciences Medical School, Nagoya, Japan. [Ti] Title: [Guidelines on urolithiasis: an outline and effective use of the revised version]. [So] Source: Hinyokika Kiyo;58(12):695-6, 2012 Dec. [Is] ISSN: 0018-1994 [Cp] Country of publication: Japan [La] Language: jpn [Ab] Abstract: Progress has been made in the diagnosis and treatment of urolithiasis over the last 10 years, after the first version of the Guidelines on Urolithiasis was published in December 2002. Considering such a situation, the revised version is due for publication soon. At this symposium, 3 persons who were engaged in the revision of the guidelines presented its digest. The revised version is characterized by the adoption of a "Frequently asked questions style", aiming to facilitate its usage as a reference book or dictionary readers can refer to when a question is raised in practice. It may be possible to further promote the medical treatment of urolithiasis by effectively using this in combination with the relatively textbook-like first version. [Mh] MeSH terms primary: Practice Guidelines as Topic/standards Urolithiasis/therapy [Mh] MeSH terms secundary: Humans [Pt] Publication type: ENGLISH ABSTRACT; JOURNAL ARTICLE [Em] Entry month: 1304 [Js] Journal subset: IM [Da] Date of entry for processing: 130118 [St] Status: MEDLINE

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[PMID]: 23253797 [Au] Autor: Sugihara T; Yasunaga H; Horiguchi H; Nishimatsu H; Kume H; Ohe K; Matsuda S; Fushimi K; Homma Y [Ad] Address: Department of Urology, Shintoshi Hospital, Iwata, Japan. [Ti] Title: A nomogram predicting severe adverse events after ureteroscopic lithotripsy: 12 372 patients in a Japanese national series. [So] Source: BJU Int;111(3):459-66, 2013 Mar. [Is] ISSN: 1464-410X [Cp] Country of publication: England [La] Language: eng [Ab] Abstract: UNLABELLED: WHAT'S KNOWN ON THE SUBJECT? AND WHAT DOES THE STUDY ADD?: Ureteroscopic lithotripsy sometimes causes severe complications, e.g. septic shock, and the relationship between long operative duration and complication rate has been empirically recognised. But due to the rarity, evidence is limited. We analysed 12372 cases and showed that the complication rate increased according to operative duration, especially for operations taking >90 min. Also, we found that high-volume centres had lower complication rates. OBJECTIVE: To develop a nomogram to predict severe adverse events (AEs) after ureteroscopic lithotripsy (URSL) including the effects of operative duration and hospital volume. PATIENTS AND METHODS: We identified patients undergoing URSL from the Japanese Diagnosis Procedure Combination database between 2007 and 2010, and defined severe adverse events as (i) in-hospital mortality; (ii) postoperative medication including catecholamine, γ globulin, protease inhibitors, medications for disseminated intravascular coagulation and transfusion; and (iii) postoperative interventions including percutaneous nephrostomy, central vein catheterisation, intensive care unit, dialysis, mechanical cardiopulmonary support. Univariate and multivariate logistic regression models addressed the occurrence of severe AEs. RESULTS: Of 12 372 patients, 296 patients (2.39%) had severe AEs. Multivariate analysis showed a positive linear trend of operative duration and severe AEs (odds ratio [OR] 1.58 in 90-119 min to OR 4.28 in ≥210 min compared with ≤ 59 min; each P < 0.05) and an inverse relationship between hospital volume and severe AEs (OR 0.64 in ≥39 URSLs/year compared with ≤ 15 URSLs/year; P = 0.004) with adjustment for other significant factors including sex, age, Charlson comorbidity index, type of anaesthesia and type of admission. A nomogram and a calibration plot based on these results were well-fitted to predict a probability between 0.01 and 0.10 (concordance index 0.677). CONCLUSION: Severe AEs after URSL were associated with longer operative duration and lower hospital volume, and were accurately predicted using the present nomogram. [Mh] MeSH terms primary: Lithotripsy/adverse effects Nomograms Postoperative Complications/epidemiology Ureteroscopy/adverse effects Urolithiasis/therapy [Mh] MeSH terms secundary: Aged Aged, 80 and over Female Humans Male Middle Aged Risk Factors Time Factors Treatment Outcome [Pt] Publication type: JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T [Em] Entry month: 1304 [Js] Journal subset: IM [Da] Date of entry for processing: 130228 [St] Status: MEDLINE [do] DOI: 10.1111/j.1464-410X.2012.11594.x

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[PMID]: 23497010 [Au] Autor: Grases F; Costa-Bauzá A; Prieto RM; Conte A; Servera A [Ad] Address: Laboratory of Renal Lithiasis Research, Faculty of Sciences, Universitary Institute of Health Sciences Research (IUNICS), University of Balearic Islands, Palma de Mallorca, 07122, Spain. fgrases@uib.es [Ti] Title: Renal papillary calcification and the development of calcium oxalate monohydrate papillary renal calculi: a case series study. [So] Source: BMC Urol;13:14, 2013. [Is] ISSN: 1471-2490 [Cp] Country of publication: England [La] Language: eng [Ab] Abstract: BACKGROUND: The objective of this study is to determine in a case series (four patients) how calcified deposits in renal papillae are associated with the development of calcium oxalate monohydrate (COM) papillary calculi. METHODS: From the recently collected papillary calculi, we evaluated retrospectively patients, subjected to retrograde ureteroscopy, with COM papillary lithiasis. RESULTS: The COM papillary calculi were found to result from subepithelial injury. Many of these lesions underwent calcification by hydroxyapatite (HAP), with calculus morphology and the amount of HAP in the concave zone dependent on the location of the calcified injury. Most of these HAP deposits grew, eroding the epithelium covering the renal papillae, coming into contact with urine and starting the development of COM calculi. Subepithelial HAP plaques may alter the epithelium covering the papillae, resulting in the deposit of COM crystals directly onto the epithelium. Tissue calcification depends on a pre-existing injury, the continuation of this process is due to modulators and/or crystallization inhibitors deficiency. CONCLUSIONS: Since calculus morphology and the amount of detected HAP are dependent on the location and widespread of calcified injury, all types of papillary COM calculi can be found in the same patient. All patients had subepithelial calcifications, with fewer papillary calculi, demonstrating that some subepithelial calcifications did not further evolve and were reabsorbed. A high number of subepithelial calcifications increases the likelihood that some will be transformed into COM papillary calculi. [Pt] Publication type: JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T [Em] Entry month: 1303 [Js] Journal subset: IM [St] Status: In-Process [do] DOI: 10.1186/1471-2490-13-14

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