Kidney Stones in the Pediatric Patient

Amy E. Bobrowski*, Craig B. Langman

*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

This chapter discusses predisposing conditions, clinical evaluation, and surgical and medical management of kidney stone disease or nephrolithiasis in pediatric patients. Kidney stone disease results from urinary crystal aggregation in a protein matrix within the urinary tract. Predisposing factors for nephrolithiasis can be determined in the majority of children affected. Less than 50% of young children with nephrolithiasis will present with abdominal, flank, or pelvic pain as seen in older children, adolescents, and adults with urinary tract stones. The goals of the surgical management of patients with kidney stones are to remove existing stones and prevent stone recurrence, with preservation of kidney function. Nonspecific management of urolithiasis includes an increase in fluid intake to increase urinary volume, urinary dilution, and inducing stone particle motion through the urinary tract. Pediatric patients with stone disease should be referred to a subspecialist for appropriate diagnosis, treatment, and long-term nephrology follow-up.

Original languageEnglish (US)
Title of host publicationPrimer on the Metabolic Bone Diseases and Disorders of Mineral Metabolism
Subtitle of host publicationEighth Edition
PublisherWiley-Blackwell
Pages869-877
Number of pages9
ISBN (Electronic)9781118453926
ISBN (Print)9781118453889
DOIs
StatePublished - Jul 19 2013

Keywords

  • Kidney stones
  • Metabolic abnormalities
  • Pediatric patient
  • Predisposing factors
  • Surgical treatment

ASJC Scopus subject areas

  • Biochemistry, Genetics and Molecular Biology(all)

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