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 ORIGINAL ARTICLE
Year : 2016  |  Volume : 26  |  Issue : 5  |  Page : 329-334

A prospective audit of complications in 100 consecutive pediatric percutaneous renal biopsies done under real-time ultrasound guidance


1 Division of Paediatric Nephrology, Institute of Child Health; Division of Paediatric Nephrology, Vision Care Hospital (AMRI Hospitals), Kolkata, West Bengal, India
2 Division of Paediatric Nephrology, Institute of Child Health, Vision Care Hospital (AMRI Hospitals), Kolkata, West Bengal, India
3 Paediatric Intensive Care, Vision Care Hospital (AMRI Hospitals), Kolkata, West Bengal, India

Correspondence Address:
R Sinha
37, G Bondel Road, Kolkata - 700 019, West Bengal
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-4065.171232

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Despite being a common procedure, percutaneous renal biopsy (PRB) carries the potential for complications. The British Association of Paediatric Nephrologist (BAPN) has published standards for pediatric PRB. As Indian data are scarce, we conducted a prospective audit of 100 consecutive pediatric renal biopsies (60% males) under real-time ultrasound guidance. Nephrotic syndrome was the most common indication for PRB (68%) with minimal change disease (30%) and focal segmental glomerulosclerosis (25%) being the most common histopathological lesions. Gross hematuria was observed in six cases. Major complications was noted in one case, who needed longer hospital stay. The result of the audit demonstrated achievability of BAPN standards. In addition, we also show the usefulness of 16 gauge biopsy needle over 18 gauge biopsy needles (median number of glomeruli 25, range 3-90 vs 13, range 6-46, P = 0.001) without any increase in complications. Being a single center study, we do hope that our results will encourage a wider survey on the current state of pediatric PRB.






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Indian Journal of Nephrology
Published by Wolters Kluwer - Medknow
Online since 20th Sept '07