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Endoscopic treatment of vesicoureteral reflux in pediatric patients

Authors
Kim, J.W.Oh, M.M.
Issue Date
2013
Publisher
Korean Pediatric Society
Keywords
Endoscopy; Vesico-ureteral reflux
Citation
Korean Journal of Pediatrics, v.56, no.4, pp.145 - 150
Indexed
SCOPUS
KCI
Journal Title
Korean Journal of Pediatrics
Volume
56
Number
4
Start Page
145
End Page
150
URI
https://scholar.korea.ac.kr/handle/2021.sw.korea/105952
DOI
10.3345/kjp.2013.56.4.145
ISSN
1738-1061
Abstract
Endoscopic treatment is a minimally invasive treatment for managing patients with vesicoureteral reflux (VUR). Although several bulking agents have been used for endoscopic treatment, dextranomer/ hyaluronic acid is the only bulking agent currently approved by the Food and Drug Administration for treating VUR. Endoscopic treatment of VUR has gained great popularity owing to several obvious benefits, including short operative time, short hospital stay, minimal invasiveness, high efficacy, low complication rate, and reduced cost. Initially, the success rates of endoscopic treatment have been lower than that of open antireflux surgery. However, because injection techniques have been developed, a recent study showed higher success rates of endoscopic treatment than open surgery in the treatment of patients with intermediate- and high-grade VUR. Despite the controversy surrounding its effectiveness, endoscopic treatment is considered a valuable treatment option and viable alternative to long-term antibiotic prophylaxis. © 2013 by The Korean Pediatric Society.
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