CLINICOPATHOLOGICAL EVALUTION OF NATIVE KIDNEY BIOPSIES IN CHILDREN
Journal Title: Kocatepe Medical Journal - Year 2023, Vol 24, Issue 4
Abstract
OBJECTIVE: It is aimed to evaluate kidney biopsies, which is an important diagnostic method in the evaluation of renal parenchymal diseases. MATERIAL AND METHODS: In this study, native kidney biopsies performed on 333 pediatric cases were evaluated. Biopsies were performed using semiautomatic and fine (16-18 G) needles. RESULTS: The most common biopsy indication was proteinuria and hematuria, and the most common pathological diagnosis was normal biopsy results including minimal lesion disease. No complications were observed during or after the biopsy. The mean number of glomeruli was 27.1±17.8, the rate of detection of sufficient number of glomeruli was 81.4%, the rate of detection of borderline sufficient glomeruli was 8.4%, and the rate of detection of insufficient number of glomeruli was 10%. Compared to the biopsies performed without ultrasonography, the mean glomeruli count was higher and the rate of insufficient glomeruli was lower in 28.2% of the cases who underwent ultrasound-guided biopsy (31.5±18.1 vs 25.4±17.5 ; 2.1% vs 13.3%). CONCLUSIONS: Kidney biopsy is a diagnostic method that can be easily performed in children with or without USG, using automatic and fine needles, and has a low complication rate. The rate of obtaining sufficient glomeruli is higher in biopsies performed with ultrasonography, and biopsy should be performed with ultrasound guidance whenever possible.
Authors and Affiliations
Şükran KESKİN GÖZMEN Erkin SERDAROĞLU Nida DİNÇEL Pınar ERTURGUT Cemaliye BAŞARAN Fatma DEVRİM Özlem DUR Betül PEHLİVAN ZORLU Mehmet COSKUN Malik ERGİN
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- EP ID EP722686
- DOI https://doi.org/10.18229/kocatepetip.1089739
- Views 36
- Downloads 0
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