Endoscopic injection of bulking agents in pediatric vesicoureteral reflux: a narrative review of the literature - Archive ouverte HAL Accéder directement au contenu
Article Dans Une Revue Pediatric Surgery International Année : 2023

Endoscopic injection of bulking agents in pediatric vesicoureteral reflux: a narrative review of the literature

Résumé

In the last 20 years, endoscopic injection (EI) has affirmed as a valid alternative to open surgery for management of pediatric vesicoureteral reflux (VUR). This study aimed to investigate and discuss some debated aspects such as indications, bulking agents and comparison, techniques of injection and comparison, predictive factors of success, use in specific situations. EI is minimally invasive, well accepted by patients and families, with short learning curve and low-morbidity profile. It provides reflux resolution rates approaching those of open reimplantation, ranging from 69 to 100%. Obviously, the success rate may be influenced by several factors. Recently, it is adopted as first-line therapy also in high grade reflux or complex anatomy such as duplex, bladder diverticula, ectopic ureters. The two most used materials for injection are Deflux and Vantris. The first is absorbable, easier to inject, has lower risk of obstruction, but can lose efficacy over time. The second is non-absorbable, more difficult to inject, has higher risk of obstruction, but it is potentially more durable. The two main techniques are STING and HIT. To date, the ideal material and technique of injection has not yet clearly established, but the choice remains dependent on surgeon's preference and experience.
Fichier principal
Vignette du fichier
PMID 36806763.pdf (816 Ko) Télécharger le fichier
Origine Fichiers éditeurs autorisés sur une archive ouverte

Dates et versions

hal-04172179 , version 1 (27-07-2023)

Identifiants

Citer

Maria Escolino, Nicolas Kalfa, Marco Castagnetti, Paolo Caione, Giovanni Esposito, et al.. Endoscopic injection of bulking agents in pediatric vesicoureteral reflux: a narrative review of the literature. Pediatric Surgery International, 2023, 39, pp.133. ⟨10.1007/s00383-023-05426-w⟩. ⟨hal-04172179⟩

Collections

UNIV-MONTPELLIER
7 Consultations
14 Téléchargements

Altmetric

Partager

Gmail Mastodon Facebook X LinkedIn More