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Harntransportstörungen und Harnwegsinfektionen

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Nierenerkrankungen im Kindes- und Jugendalter

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Zusammenfassung

Die pädiatrische Nephrologie umspannt ein hochspezifisches medizinisches Gebiet mit zunehmend präventiver Bedeutung. Dazu tragen v. a. die vernetzenden Methoden der Früherkennung von Nieren- und Harnwegsfehlbildungen mittels intrauterinem und postnatalem Screening sowie neue funktionsdiagnostische Ansätze bei. Im Rahmen dieser Entwicklung hat sich in den letzten Jahren die Altersstruktur der kindernephrologischen Patienten gewandelt und die damit verbundenen Zugänge diagnostischer und therapeutischer Konzepte entwickelt. Dies gilt insbesondere für kongenitale Anomalien der Nieren und ableitenden Harnwege. Während Kinder mit einer angeborenen Harntransportstörung lange Zeit erst anhand von Komplikationen (Urosepsis, Hämaturie, Proteinurie oder Niereninsuffizienz) diagnostiziert werden konnten, gewinnt heute die Erkennung der angeborenen Anomalien durch die pränatale Diagnostik zunehmend an Bedeutung beim asymptomatischen Patienten, da die sich daraus ableitenden therapeutischen Konsequenzen und Möglichkeiten der prognostischen Einschätzung auf eine völlig neue Grundlage gestellt werden.

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  1. Klinik für Kinder- und Jugendmedizin Sektion Kindernephrologie und KfH-Kinderdialyse, Universitätsklinikum Jena, Kochstraße 18, 07743, Jena

    PD Dr. med. Ulrike John

  2. Institut für Diagnostische und Interventionelle Radiologie, Sektion Kinderradiologie, Universitätsklinikum Jena, Erlanger Allee 101, 07740, Jena

    Prof. Dr. med. Hans-Joachim Mentzel

  3. Klinik für Kinderchirurgie und Kinderurologie Cnopf´sche Kinderklinik, St.-Johannis-Mühlgasse 19, 90419, Nürnberg

    Prof. Dr. med. Maximilian Stehr

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  1. PD Dr. med. Ulrike John
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  1. Klinik und Poliklinik für Kinder- und Jugendmedizin, Universitätsklinikum Köln, Köln

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John, U., Mentzel, HJ., Stehr, M. (2017). Harntransportstörungen und Harnwegsinfektionen. In: Dötsch, J., Weber, L. (eds) Nierenerkrankungen im Kindes- und Jugendalter. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-48789-1_1

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