Pediatric Nephrolithiasis: Trend, Evaluation and Management: A Systematic Review

Context: Pediatric nephrolithiasis is a noticeable cause of morbidity among children. Although, nephrolithiasis is a common disease in adults, its incidence has had a rising trend in children. Objectives: Here in, we reviewed the current state regarding evaluation and management of children with nephrolithiasis in the last decade. Data Sources: The current literature regarding incidence and trend, along with diagnostic evaluation and management of children aged less than ۱۸ years old with nephrolithiasis was searched on MEDLINE and Google scholar from January ۲۰۰۵ to March ۲۰۱۶. Study Selection and Data Extraction: The search terms included, “kidney stone OR nephrolithiasis OR urolithiasis and Pediatric OR children”. English language and human studies were included. Expert opinions, editorials and case reports were excluded. Consequently, the authors independently reviewed the abstracts and the papers, which matched the inclusion criteria. Results: From a total of ۱۰۵۰ studies identified through the database search, ۷۱ articles were selected for the review. According to the results of this review, pediatric nephrolithiasis has an increasing rate worldwide. Recent studies in this regard indicated that the number of girls with nephrolithiasis has increased. The change of life style, diet, obesity and metabolic syndrome and popular imaging study along with referral of the patients to pediatric centers could be contributed to this trend. Conclusions: Evaluation of patients, particularly young children, includes metabolic assessment. Stone analysis and ۲۴-urine collection analysis are very helpful for determining underlying diseases. Medical as well as surgical approaches are used to prevent kidney injuries.

کلیدواژه ها:

Nephrolithiasis ، Children ، Incidence ، Management