ESPN 50th Annual Meeting

ESPN 2017


 
OUR EXPERIENCE IN KIDNEY BIOPSIES DONE BY PEDIATRIC NEPHROLOGIST WITH THE OWN ULTRASOUND GUIDENCE IN CHILDREN.
CENGIZ HAN ELMAS 1 ÖNDER YAVAŞCAN 2 SERDAR SARITAŞ 1 ELIF PERIHAN ÖNCEL 1 CANER ALPARSLAN 2 BELDE KASAP DEMIR 3 FATMA MUTLUBAŞ 2 DEMET ALAYGUT 2

1- IZMIR TEPECIK TRAINING AND RESEARCH HOSPITAL, PEDIATRICS
2- IZMIR TEPECIK TRAINING AND RESEARCH HOSPITAL, PEDIATRIC NEPHROLOGY
3- IZMIR KATIP ÇELEBI UNIVERSITY, PEDIATRIC NEPHROLOGY
 
Introduction:

Kidney biopsy (bx) has great impact on diagnosis and management of renal disease. Percutaneous kidney biopsy performed with ultrasound (US) is a safe and widely used tool for kidney bx even in children. In this study we aimed to evaluate effectiveness of our pediatric kidney bx results and complication rate related with procedure and also, compared our results with biopsy standards defined by the British Association of Pediatric Nephrology (BAPN).

Material and methods:

The kidney bx performed by nephrologists and nephrology fellows with percutaneous procedure under their own US guidance in Izmir Tepecik Training and Research Hospital between December 2013 and December 2015 were retrospectively evaluated. Age, gender, bx indications, bx type (native/transplant), number of needle penetrations, tissue adequacy, biopsy diagnoses, biopsy complications, first 24 hour follow-up were taken from medical records. The bx done by nephrologists and nephrology fellows were evaluated separately. Our results were compared with BAPN standarts

Results:

91 patients [48 male (52.8%)] were included in the study. The mean age of at the bx was 157.8±58.2months.132 bx were performed in 91 patients. 25 bx were made by specialists and 107 bx were made by fellows. The most common indication was the protocol bx of the transplanted kidney(51.5%). 92 (69.7%) biopsy procedures were done in first needle puncture.23 of the 25 bx made by the nephrologists and 104 of the 107 bx made by fellows were appropriate to the standards. There were no complication in 108(81.8%),minor complication in 23(17.4%) and only 1 major complication recorded.There was only significant difference seen in minor complications rate among practitioners(p<0.05).

Conclusions:

Percutaneous kidney bx technique with the guidence of US by pediatric nephrologist can be considered as an easy to perform and safe method for the diagnosis in most of the patients.