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Defining metabolic activity of nephrolithiasis--Appropriate evaluation and follow-up of stone formers

Asian Journal of Urology 2018年第4期5卷 235-242页

作者： Daniel A.Wollin Adam G.Kaplan Glenn M.Preminger Pietro Manuel Ferraro Antonio Nouvenne Andrea Tasca emanuele croppi Giovanni Gambaro Ita P.Heilberg Duke Comprehensive Kidney Stone Center Division of Urologic SurgeryDuke University Medical CenterDurhamNCUSA Columbus-Gemelli University Hospital Division of NephrologyDepartment of Medical SciencesRomeItaly University of Parma Department of Clinical and Experimental MedicineParmaItaly S.Bortolo Hospital Department of UrologyVicenzaItaly Universidade Federal de Sao Paulo Nephrology DivisionSao PauloBrazil

Considering the variation in metabolic evaluation and medical management of kidney stone disease,this consensus review was created to discuss the metabolic activity of nephrolithiasis,define the difference between single and recurrent stone formers,and develop a schema for metabolic and radiologic follow-up.A systematic review of the literature was performed to identify studies of metabolic evaluation and follow-up of patients with *** single and recurrent stone formers share many similarities in metabolic *** study group determined that based on an assessment of risk for stone recurrence and metabolic activity,single and recurrent stone formers should be evaluated comprehensively,including two 24 h urine studies on a random *** medication and dietary recommendations are effective for many patients in reducing the risk of stone ***-up of those with stone disease should be obtained depending on the level of metabolic activity of the patient,the risk of chronic kidney disease and the risk of osteoporosis/osteopenia.A standard scheme includes a baseline metabolic profile,a repeat study 3e6 months after initiation of treatment,and then yearly when stable,with abdominal imaging obtained every 1-2 years.

关键词： Follow-up Medical management Metabolic evaluation Urolithiasis

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