Ureteropelvic junction obstruction: Difference between revisions

Jump to navigation Jump to search
VisualWikitext
m (Robot: Automated text replacement (-{{SIB}} +, -{{EH}} +, -{{EJ}} +, -{{Editor Help}} +, -{{Editor Join}} +))
No edit summary
 
(7 intermediate revisions by the same user not shown)
Line 1: Line 1:
__NOTOC__
{{Infobox_Disease |
{{Infobox_Disease |
   Name          = {{PAGENAME}} |
   Name          = {{PAGENAME}} |
Line 13: Line 14:
   MeshID        = |
   MeshID        = |
}}
}}
{{SI}}
'''For patient information, click [[Jaundice (patient information)|here]]'''
{{CMG}}


'''Contributors:'''  [[User:zorkun|Cafer Zorkun]] M.D., PhD.
{{Ureteropelvic junction obstruction}}
{{CMG}} {{AE}} [[User:zorkun|Cafer Zorkun]] M.D., PhD.


{{SK}} UPJ obstruction; UP junction obstruction; obstruction of the ureteropelvic junction


==[[Ureteropelvic junction obstruction overview|Overview]]==


==Overview==
==[[Ureteropelvic junction obstruction historical perspective|Historical Perspective]]==


'''Ureteropelvic junction obstruction''' (UPJO) is defined as functional or anatomic obstruction to urine flow from the renal pelvis into the ureter at their anatomic junction. <ref>Leo P. Lawler, Thomas W. Jarret, Frank M. Corl, and Elliot K. Fishman. [http://radiographics.rsnajnls.org/cgi/content/abstract/25/1/121 Adult Ureteropelvic Junction Obstruction: Insights with Three-dimensional Multi–Detector Row CT.] RadioGraphics 2005 25: 121-134.</ref>
==[[Ureteropelvic junction obstruction classification|Classification]]==


If left untreated, results in symptoms, renal damage, or both.
==[[Ureteropelvic junction obstruction pathophysiology|Pathophysiology]]==


UPJO generally implies a congenital partial proximal ureteric obstruction detected in utero or in later life.
==[[Ureteropelvic junction obstruction causes|Causes]]==


*The ureterovascular tangle is a term that embraces the renal pelvis, ureter, and adjacent vessels (both arterial and venous), all of which alone or in combination have been implicated as potential causes of UPJO.
==[[Ureteropelvic junction obstruction differential diagnosis|Differentiating Ureteropelvic junction obstruction from other Diseases]]==
**The Vasculature: In the context of UPJO, "crossing vessels" are those renal arteries or veins found in the region of the ureteric transition point.
**The Ureter: The normal ureter inserts at the inferior aspect of the renal pelvis at an oblique angle and with gradual taper. It has been noted that in the setting of UPJO, the ureter tends to have a more cephalad or acute insertion.


*Therapy: Characteristic symptoms with morphologic evidence of UPJO may indicate a need for therapy.
==[[Ureteropelvic junction obstruction epidemiology and demographics|Epidemiology and Demographics]]==
*Such symptoms include intermittent pain after drinking large volumes of fluid or fluids with a diuretic effect.
*Asymptomatic UPJO may be treated if there is evidence of asymmetric function or deterioration in renal function or [[hydronephrosis]].


==Diagnosis==
==[[Ureteropelvic junction obstruction risk factors|Risk Factors]]==


[[Hydronephrosis]] to the level of the ureteropelvic junction.
==[[Ureteropelvic junction obstruction natural history, complications and prognosis|Natural History, Complications and Prognosis]]==
 
===Diagnostic Findings===


[http://www.radswiki.net Images courtesy of RadsWiki]
==Diagnosis==
 
[[Ureteropelvic junction obstruction history and symptoms|History and Symptoms]] | [[Ureteropelvic junction obstruction physical examination|Physical Examination]] | [[Ureteropelvic junction obstruction laboratory findings|Laboratory Findings]] | [[Ureteropelvic junction obstruction x ray|X Ray]] | [[Ureteropelvic junction obstruction CT|CT]] | [[Ureteropelvic junction obstruction MRI|MRI]] | [[Ureteropelvic junction obstruction echocardiography or ultrasound|Echocardiography or Ultrasound]] | [[Ureteropelvic junction obstruction other imaging findings|Other Imaging Findings]] | [[Ureteropelvic junction obstruction other diagnostic studies|Other Diagnostic Studies]]
<gallery>
==Treatment==
Image:UPJ-Obstruction-001.jpg|CT image demonstrates left UPJ obstruction
[[Ureteropelvic junction obstruction medical therapy|Medical Therapy]] | [[Ureteropelvic junction obstruction surgery|Surgery]] | [[Ureteropelvic junction obstruction cost-effectiveness of therapy|Cost-Effectiveness of Therapy]] | [[Ureteropelvic junction obstruction future or investigational therapies|Future or Investigational Therapies]]
Image:UPJ-Obstruction-002.jpg|CT image demonstrates left UPJ obstruction
==Case Studies==
Image:UPJ-Obstruction-003.jpg|CT image demonstrates left UPJ obstruction
[[Ureteropelvic junction obstruction case study one|Case #1]]
Image:UPJ-Obstruction-004.jpg|CT image demonstrates left UPJ obstruction
</gallery>
 
==References==
{{Reflist|2}}


==External Links==
==External Links==
*[http://goldminer.arrs.org/search.php?query=ureteropelvic%20junction%20obstruction Goldminer: Ureteropelvic junction obstruction]
*[http://goldminer.arrs.org/search.php?query=ureteropelvic%20junction%20obstruction Goldminer: Ureteropelvic junction obstruction]


 
[[Category:Disease]]
   
 
[[Category:Nephrology]]
[[Category:Nephrology]]


{{WikiDoc Help Menu}}
{{WikiDoc Help Menu}}
{{WikiDoc Sources}}
{{WikiDoc Sources}}

Latest revision as of 13:09, 28 September 2012

Ureteropelvic junction obstruction

For patient information, click here

Ureteropelvic junction obstruction Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Ureteropelvic junction obstruction from other Diseases

Epidemiology and Demographics

Risk Factors

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms

Physical Examination

Laboratory Findings

X Ray

CT

MRI

Echocardiography or Ultrasound

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Ureteropelvic junction obstruction On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Ureteropelvic junction obstruction

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Ureteropelvic junction obstruction

CDC on Ureteropelvic junction obstruction

Ureteropelvic junction obstruction in the news

Blogs on Ureteropelvic junction obstruction

Directions to Hospitals Treating Ureteropelvic junction obstruction

Risk calculators and risk factors for Ureteropelvic junction obstruction

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Cafer Zorkun M.D., PhD.

Synonyms and keywords: UPJ obstruction; UP junction obstruction; obstruction of the ureteropelvic junction

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Ureteropelvic junction obstruction from other Diseases

Epidemiology and Demographics

Risk Factors

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms | Physical Examination | Laboratory Findings | X Ray | CT | MRI | Echocardiography or Ultrasound | Other Imaging Findings | Other Diagnostic Studies

Treatment

Medical Therapy | Surgery | Cost-Effectiveness of Therapy | Future or Investigational Therapies

Case Studies

Case #1

External Links


Template:WikiDoc Sources

Retrieved from "https://www.wikidoc.org/index.php?title=Ureteropelvic_junction_obstruction&oldid=760037"