par Simon, Isabelle 
;Legrand, Fanny;Des Grottes, Jean-Marin ;Cotton, Frédéric ;Nortier, Joëlle ;Roumeguere, Thierry
Référence Revue médicale de Bruxelles, 38, 4, page (279-283)
Publication Publié, 2017-09
;Legrand, Fanny;Des Grottes, Jean-Marin ;Cotton, Frédéric ;Nortier, Joëlle ;Roumeguere, Thierry Référence Revue médicale de Bruxelles, 38, 4, page (279-283)
Publication Publié, 2017-09
Article révisé par les pairs
| Résumé : | Introduction: Despite fluctuations, the prevalence of nephrolithiasis has significantly increased during the last decades in industrialized nations worldwide (1 to 15 %), which has a significant impact on the cost of healthcare. This increased prevalence is mainly explained by diet modifications. Environ- mental, metabolic and genetic factors may also influence the formation of kidney stones. As a consequence, the medical management of this disease is preferentially multidisciplinary and involves urologists, nephrologists, radiologists, biologists and dietitians. Urological management : May be mandatory during any acute and/or remote phase of an episode of renal colic, in case of residual stones. Several techniques are available: Insertion of double J stent, extracorporeal shock wave lithotripsy, ureteroscopy (flexible or rigid), percutaneous nephrolithotomy and more occasionally, open surgery. Nephrological management: Is justified in the course of the acute episode and aims to identify the causal factor(s) of kidney stones formation. The diagnostic approach involves a thorough interroga- tion (personal medical and surgical history, details of the kidney stone disease and family medical history) as well as a metabolic assessment. Moreover, given the high rate of recurrence (about 50 % within 5 to 10 years), individualized secondary prevention measures are necessary. The recommen- dations should take into account the identified risk factors and any metabolic abnormalities. |
