Medical management of renal stones

@article{Morgan2016MedicalMO,
  title={Medical management of renal stones},
  author={Monica S. C. Morgan and Margaret Sue Pearle},
  journal={BMJ : British Medical Journal},
  year={2016},
  volume={352}
}
The prevalence of kidney stones is increasing in industrialized nations, resulting in a corresponding rise in economic burden. Nephrolithiasis is now recognized as both a chronic and systemic condition, which further underscores the impact of the disease. Diet and environment play an important role in stone disease, presumably by modulating urine composition. Dietary modification as a preventive treatment to decrease lithogenic risk factors and prevent stone recurrence has gained interest… 
View on BMJ
ncbi.nlm.nih.gov
82 Citations
Highly Influential Citations
3
Background Citations
21
Methods Citations
3
Results Citations
1

82 Citations

Citation Type

Citation Type

Diet and stone formation: a brief review of the literature
TLDR
Modifying diet to prevent stones could help many people who suffer from lithiasis to avoid recurrence and the consequences and the cost for diagnosis and treatment could be significantly reduced.
Metabolic Work-up of Patients with Urolithiasis: Indications and Diagnostic Algorithm.
Interpretación del estudio metabólico en la litiasis renal y su tratamiento
Medical therapy for nephrolithiasis: State of the art
Uric acid stones, clinical manifestations and therapeutic considerations
TLDR
Assessment of potential pathophysiologic defects by pharmacotherapy and dietary modification is strongly recommended for the prevention of uric stone recurrence.
Administration of calcium and vitamin D supplementation in kidney stone formers
TLDR
Patients who are taking calcium and vitamin D supplements should be advised to consider the foregoing predisposing factors of stone formation as well as approaches for managing these conditions.
The impact of potassium citrate therapy in the natural course of Medullary Sponge Kidney with associated nephrolithiasis.
TLDR
Alkali citrate may promote calcium stone dissolution by oral administration in Medullary Sponge Kidney patients also in the absence of distal tubular acidosis, and this effect was observed also in MSK patients without metabolic anomalies.
Determining the true burden of kidney stone disease
TLDR
The need for a classification system to facilitate use of consistent terminology and enable meaningful comparisons of the burden of kidney stone disease across different populations is described.
Medical Treatment and Prevention of Urinary Stone Disease.
Kidney stone disease
TLDR
In the last century, as technology has continued to advance at a more rapid pace, the ability to treat nephrolithiasis has paralleled these developments.
...
1
2
3
4
5
...

References

SHOWING 1-10 OF 122 REFERENCES
The role of calcium in the prevention of kidney stones.
  • H. J. Heller
  • Medicine
    Journal of the American College of Nutrition
  • 1999
TLDR
Dietary calcium should be gradually increased in stone-formers as guided by the urinary calcium, and hypocalciuric agents should be added as necessary, but future prospective studies should be designed to probe the effect of specific interventions with calcium on urinary parameters and stone formation.
The first kidney stone.
TLDR
It is concluded that use of specific drug therapy, namely thiazides or allopurinol, is not warranted in patients with a first kidney stone and, therefore, that extensive metabolic evaluation is unnecessary.
Hypocitraturia: pathophysiology and medical management.
TLDR
Hypocitraturia should be managed through a combination of dietary modifications, oral alkali, and possibly lemonade or other citrus juice-based therapy.
The stone clinic effect in patients with idiopathic calcium urolithiasis.
Changing gender prevalence of stone disease.
Thiazides in the prophylactic treatment of recurrent idiopathic kidney stones
TLDR
A clear tendency to reduced stone formation is found in the group treated with the active drug (P<0.1), and calcium excretion was reduced by 25–50% in 7 of 12 patients treated with thiazide.
DO THIAZIDES PREVENT RECURRENT IDIOPATHIC RENAL CALCIUM STONES
Contemporary management of cystinuria.
TLDR
The application of safe and efficacious minimally invasive modalities, including advancements in shockwave lithotripsy, ureteroscopic lithotRIpsy, and percutaneous nephrolithotomy, have obviated open operative intervention in nearly all cases.
Urine Volume: Stone Risk Factor and Preventive Measure
TLDR
A high intake of fluids, especially water, is still the most powerful and certainly the most economical means of prevention of nephrolithiasis, and it is often not used to advantage by stone formers.
Kidney Stones 2012 : Pathogenesis , Diagnosis , and Management
TLDR
Nephrolithiasis is considered a systemic disorder associated with chronic kidney disease, bone loss and fractures, increased risk of coronary artery disease, hypertension, type 2 diabetes mellitus, and the metabolic syndrome, which remains a major economic and health burden worldwide.
...
1
2
3
4
5
...