Abstract

VARGASROCHA, Vladimir E.; UZARES ENRIQUEZ, Daniela  and  INTURIAS ALVARADO, Wilder. Multidisciplinary metabolic management protocol of urinary lithiasis. Gac Med Bol [online]. 2023, vol.46, n.1, pp.99-107.  Epub June 01, 2023. ISSN 1012-2966.  https://doi.org/10.47993/gmb.v46i1.640.

Kidney stone disease is a common problem in health care. Among the factors that contribute to the prevalence of lithiasis are obesity, high environmental temperatures, and dry climates. The frequency of the different stone compositions is: Calcium Oxalate 70-80%, Calcium Phosphate -15% (Apatite is more common and Brushite is less common), Uric Acid 8%, Cystine - 1-2%, Struvite -1%, Various - <1%3. There are not many data on their recurrence, but it is known that the recurrence rate of urinary lithiasis is 10 to 30% at 5 years in patients with idiopathic calcium oxalate stones. It is proposed to develop a multidisciplinary metabolic management protocol for urinary lithiasis based on the current bibliography, taking the point of specialties dedicated to the management of patients with urinary lithiasis. Our goal is to establish a management protocol capable of identifying and establishing a therapy that can efficiently and economically prevent urinary stones, improving prognosis and minimizing complications.

Keywords : nephrolithiasis; urolithiasis; oxalates; clinical protocols.

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