Abstract
The Journal is the primary organ of Continuing Paediatric Medical Education in Sri Lanka. The journal also has a website. Free full text access is available for all readers.The Sri Lanka Journal of Child Health is now indexed in SciVerse Scopus (Source Record ID 19900193609), Index Medicus for South-East Asia Region (IMSEAR), CABI (Centre for Agriculture and Bioscience International Global Health Database), DOAJ and is available in Google, as well as Google Scholar.The policies of the journal are modelled on the Committee on Publication Ethics (COPE) Guidelines on Principles of Transparency and Best Practice in Scholarly Publishing. Sri Lanka Journal of Child Health is recognised by the International Committee of Medical Journal Editors (ICMJE) as a publication following the ICMJE Recommendations.
Highlights
Spontaneous resolution is the most common outcome of postnatal renal pelvic dilatation (RPD)
Resolution, in those with urinary tract infection (UTI), occurred at a mean age of 25.7 weeks compared to 14 weeks in those without UTI (p=0.01)
Four cases with anteroposterior renal pelvic diameter (APRPD) >10mm with cortical thinning and recurrent UTI resulted in persistent RPD requiring pyeloplasty within one year of life
Summary
Spontaneous resolution is the most common outcome of postnatal renal pelvic dilatation (RPD). Renal pelvic dilatation (RPD), as determined by prenatal and neonatal ultrasound examination, has a population prevalence of about 2.5%, which decreases to 0.07-0.1% by the age of 2 years[1]. It has a wide spectrum ranging from a mild dilatation of the renal pelvis alone (pyelectasis), to massive hydronephrosis with renal parenchymal thinning. Spontaneous resolution of RPD occurs more commonly with lower grades of dilatation whereas there is only a 2.6% chance of spontaneous resolution in those with renal parenchymal thinning[2] It would be reassuring for the parents and the treating physicians if the time of resolution could be predicted by prospective studies. Children with RPD in fetal anomaly scan and postnatally had 7 times higher risk of hospital admissions related to urinary causes in the first three years of life[3]
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