This handbook to assist physicians in the diagnosis, treatment and prevention of stone disease has been developed by its three editors, each of whom has contributed significantly to our basic understanding of stone disease.
Renal stone disease is a most ancient and common affliction of man. Over a seventy-year life span, it is estimated that as many as 15% of some populations will develop renal stones. No age is spared and no country or ethnic group protected from this common clinical problem. Most, but not all, patients who develop a stone will eventually form others. Although very few individuals die as a direct result of stone disease, it does lead to substantial morbidity from pain, urinary tract infections and obstructive uropathy.
In the past few decades, substantial progress has been made in understanding the basic pathophysiologic mechanisms of stone disease, which has subsequently led to rational and effective programs for both its treatment and prevention of recurrence. Diagnostic study protocols to identify underlying mechanisms have now become available in most countries, thereby allowing for an accurate categorization of patients with renal stone disease.
This handbook is oriented toward clinicians and health care professionals to help them quickly and effectively study and treat patients with stone disease and assist them in developing effective approaches to the prevention of further stone development. In addition, it is written in a manner that could make it very useful in explaining to patients the more important aspects of their disease. It is very well organized, making it simple to use as a reference work and its utility is strengthened by an outline format, which facilitates understanding of diagnostic studies and treatment plans. All of the major stone types are discussed in detail, including sections on the less frequent stones, such as those composed of xanthine and 2,8-dihydroxyadenine. Of particular value is the discussion of diagnostic studies to be performed in those patients for whom a stone is not available for analysis, an increasingly common event now that lithotripter use has made it more difficult to recover stones.
With our ability to determine more accurately than ever the basic mechanisms of stone formation and, therefore, to develop more effective treatment programs, recurrent stone disease should become less and less common. The editors and authors of this text have made an important contribution to this effort with this handbook which should be of immense help to health care professionals who care for patients with renal stones in efficiently and effectively guiding them through the appropriate diagnostic studies and the development of safe plans for treatment and prevention. Their patients will be ultimate beneficiaries of this text. We are grateful to its editors and authors for such a useful and usable book.
Contents- Introduction
- General aspects
- The emergency stone – Treatment of patients with acute renal colic
- Standard procedures – Treatment and care of patients with urinary stones
- Type of stone
- Calcium oxalate stones
- Uric acid stones
- Calcium phosphate stones
- Struvite stones
- Cystine stones
- 2,8-Dihydroxyadenine stones
- Xanthine stones
- Ammonium urate stones
Appendix
- Interventional procedures
- Absorption/loading tests
- Risk indices
- Examination under standardized dietary conditions
- Analytical methods
- Unusual stone components/artifacts
- Tables 1–3: Calcium, oxalate and purine contents of foods
- Tables 4–6: Reference values for children
- Crystals in the urinary sediment (colored illustrations)
References
Subject index
Product Details
- Editor: Albrecht Hesse Bonn, Hans-Goran Tiselius, Roswitha Siener and Bonn Bernd Hoppe
- Paperback: 232 pages
- Publisher: S Karger Pub; 3 Rev Enl edition (September 5, 2009)
- Language: English
- ISBN-10: 3805591497
- ISBN-13: 978-3805591492