Stepping Stones In Prevention of Kidney Stone Disease In Pakistan
DOI:
https://doi.org/10.53778/pjkd82259Keywords:
Kidney Stones, prevention, hydration, pharmacotherapy, DietAbstract
The prevalence and incidence of kidney stone disease (KSD) has increased in Pakistan since last 5 decades, it is not only the cause of pain, hematuria and fever but is also an important cause of chronic kidney disease, Morbidity and mortality as well if left untreated. It is recurrent disease and can be manifestation of systemic diseases, (D.M, obesity, HTN) genetic and environmental factors play a role in etiology of disease. In spite of modern methods of surgical removal available in Pakistan there is constant increase in number of patients. Economic burden of disease is quite significant, so established metaphylaxsis program is essential part of management of this surgical and medical disease. Main therapies based on history, stone analysis, 24 hour urine metabolic study constitutes the basis of prevention. Increasing fluid intake dietary modification, Pharmacotherapy is the main stay of metaphylaxsis. Compliance of the patient and establishment of specialized stone clinics should be managed jointly by urologist, nephrologist, dietitians, metabolic laboratory expert and Medical Social officers. Prevention is possible in many cases if these patients are managed jointly by multidisciplinary team.
References
(1) Hussain M; Past Present and future of urology in Pakistan. J Pak Med Associates 2021; 71(10) 2407-2417
(2) Memon A,Anwar K ,Orakzi N and Athar MH ; Epidemiology of stone disease in Pakistan. In book: Urolithiasis: Basic science and clinical practice 2012, Editors Talati J etal. Publishers,London, Newyork.
(3) Saeed S; Ullah A; AhmedJ and Hamid S; The prevelance of incidently detected urolithiasis in subjects undergoing computrized tomography.CUREUS(2020);12(9)
(4) Hussain M,Abid S ; 4 decades of stone disease, what has changed in our practice . J Pak Med assoc. (2002) volume 72 issue 4 601-602.
(5) Hussain M,Rizvi SAH,Askari H, Sultan G etal, management of stone disease,17 years’ experience of a stone clinic in developing country,J.Pak med Asscoc,59 62009,843-846.
(6) Rizvi SAH,Hussain M,Askari S.H, Hashmi A, LaL M and Zafar MN; Surgical outcomes of percunatous nephrolithotomy in 30402 patients and results of stone analysis in 1559 patients BJU Int (2017) 120;702-709
(7) Pearle MS, Antonilli JA and Lotany, Renal lithiais epidimogy and Pathogensisis in book Cambell Urology (2020), Publisher: Elesevier 12 Edition, Editors Walsh Wein, Partin A W, Domochowaki R.R etal pwge 2005.
(8) Kareem S, Jamali A,Ali S , Arbab MU, Salman B and Imtiaz S; Epidemiology and risk factors of chronic kidney disease in rural areas (Badin) of Sindh Pakistan, J Pak med Assoc (2023) ,73,1399-1402.
(9) Lily white hurst, Jones P and Somani BK, Mortality from kidney stone disease as reported in the literature over the last 2 decades, A systemic review.World J. Urology(2019);37,759-776
(10) Shar AH, Kazi YF, Soomro IH,Zardari M,Bacteriological quality of drinking water of sukkur city ,Pakistan jounral of Medical Research (2009) 48(4); 88-90
(11) Mastoi G.M, Sayed G.S and Khuhawar M.Y, Assessment of water quality of Manchar lake in Sindh(Pakidtan), Environ Monti Assess (2008),141,284-296
(12) Rizvi SAH,NAQVI SAA,HUSSAIN Z ,HASHMI A ,HUSSAIN M and ZAFAR MN; The management of stone disease BJU INTER,89,62-68
(13) BORGHI L, Meschi T, Ameto F and Giamini A, Urinary volume water and recurrance in indiopathic calcium nephrolithiasis: 5 year randomizeed prospective study ,J Urol 155:839-843
(14) Rodgers AL, Effect of mineral water containing calcium and magnesiumon calcium oxalate urolithiasis risk factors,UROL INT 1997:58(2):93-9.
(15) Haleblian GE, Leitao VA, Pierrc SA etal, Assesment of citrate concentration in citrus fruit bases juices and bavarages ; Implications for management of Hypocitraturic nephrolithiasis, J Endourol 2008; 22:1359-1366.
(16) Penniston KL, Steel TH, Nokada SY, Lemonade therapy increases urinary citrate and urine volumes in patients with recurrent cacium oxalate stone formation. Urology 2007:70;856-860
(17) Barghouthy Y and Somani B.K , Role of citrus fruit juices in prevention of kidney stone disease (KSD): A narriative Review,- Nutrients 2021,13,4117-27
(18) Curhan GC, Willet WC, Eric B etal: A prospective study of dietary calcium and other nutrients and risk of symptomatic kidney stones, N Eng J Med (1993); 328: 833-838
(19) Gan Xi, Li UM, HE Pan Pan etal: Habitutal fish oil supplementation, genetic susceptibility of kidney stones and the risk of new onset of kidney stones. Journal of clinical Lipidology (2023) In press.
(20) Holmes Rp,Knight J and Assimos DG; Lowering urinary oxalate excretion to decrease calcium oxalate stone disease. Urolithiasis 2016;44(1);27-32
(21) Weigner P, Bijek M and Saluk Bijek J; Probiotics in the prevention of the calcium oxalate Urolithiasis.Cells 2022;11(2);284
(22) Zucker man JM, Assimos DG: Hypocitraturia ; Pathophysiology and medical management, Rev Urol (2009); 11,134-144
(23) Barcelp p, wuhl O, Servitage E, Rousad A and Pak CY ; Randomoized double blind study of potassium citrate in indiopathic hypocitraturic nephrolithiaisis. J Urol 1993;150(6),1761-1764.
(24) Krishna Reddy Sv, Shaik AB and Bakkisan AB: Effect of potassium magnesium citrate and vitamin B6 prophylaxsis for recuurent and mutiple calcium oxalate and phosphate urolithiasis. Korean J of urology 2014,55(6):411-416
(25) Ettinger B etal , Potassium magnesium citrate is an effective prophylaxis against recurrent calcium ocalate nephrolithiasis , J.Urol 1997;158,2069-73
(26) Pearle MS, Gold Farb DS,Assimos DG and Carhan G etal, Medical management of kidney stones ,AUA guidelines.J Urol (2014),192;316-24
(27) Iqbal MW, Youssef RF, Neisues e tal; Contemporary management of Struvite stones using combined endourological and medical treatment. Predictors of unfavorable clinical outcome.J.Endourol(2016),30(7);771-7
(28) Soliman NA and Rizvi SAH. Endemic bladder calculi in children. Pediatric nephrology 2017 32(9):1489-1499
(29) Naqvi R. Nephrolithiasis; what role a nephrologist can play in prevention and management. J pak Med asscoc 2021; 71(10)2296-2297.
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