Particularities in Urinary Tract Management before Pediatric Renal Transplantation in Small Children

Priscila Cardoso Braz Ascar; Jovelino Quintino de Souza Leão; Maria Fernanda Camargo de Carvalho; Paulo Cesar Koch Nogueira

Autores

Priscila Cardoso Braz Ascar Hospital Samaritano Higienópolis – São Paulo, São Paulo, Brasil | Universidade Federal de São Paulo - Escola Paulista de Medicina, Departamento de Pediatria – São Paulo, São Paulo, Brasil. https://orcid.org/0000-0003-3521-9849
Jovelino Quintino de Souza Leão Hospital Samaritano Higienópolis – São Paulo, São Paulo, Brasil https://orcid.org/0000-0002-0067-8052
Maria Fernanda Camargo de Carvalho Hospital Samaritano Higienópolis – São Paulo, São Paulo, Brasil. https://orcid.org/0000-0002-9705-3912
Paulo Cesar Koch Nogueira Hospital Samaritano Higienópolis – São Paulo, São Paulo, Brasil | Universidade Federal de São Paulo - Escola Paulista de Medicina, Departamento de Pediatria – São Paulo, São Paulo, Brasil. https://orcid.org/0000-0002-9536-9665

Palavras-chave:

Transplante de Rim, Lactentes, Baixo Peso, Doença Urológica

Resumo

O número de transplantes renais em crianças pequenas (bebês ou com menos de 15 kg) aumentou devido à melhoria do diagnóstico pré-natal, ao encaminhamento mais precoce para centros especializados e aos avanços no tratamento de pacientes com insuficiência renal. A maioria desses pacientes tem anomalias congênitas do rim e do trato urinário, que precisam ser corrigidas antes do transplante. Para enfrentar esse desafio, a presença de um urologista pediátrico trabalhando em conjunto com uma equipe multidisciplinar experiente é fundamental. Este estudo fornece uma revisão narrativa compilando detalhes sobre o manejo urológico do trato urinário de pacientes de baixo peso com doença renal crônica e anomalias congênitas do rim e do trato urinário (CAKUT) encaminhados para transplante renal (TR). Objetivos: Realizar uma revisão narrativa sobre a correção urológica em crianças pequenas antes do TR. Métodos: Foram revisados artigos publicados em língua inglesa nos últimos 20 anos. As palavras-chave consideradas para a pesquisa e seleção de artigos foram TR pediátrico ou transplante de rins e crianças, ou crianças pequenas, ou lactentes pequenos, ou crianças jovens, ou lactentes jovens e reconstrução do trato urinário e CAKUT. Alguns artigos referenciados para elucidar os aspectos urológicos da revisão também foram incluídos.

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