TY  - JOUR
T1  - PErcutaneous nephrostomy and uric acid stones
AU  - Spataro RF
Y1  - 1979/07/20
N1  - 10.1001/jama.1979.03300030013004
JO  - JAMA
SP  - 237
EP  - 237
VL  - 242
IS  - 3
N2  - To the Editor.— 
    The article by Eason et al (240:670, 1978) describes the usefulness of alkalinization of the urine in the dissolution of uric acid stones. The efficacy of this treatment is now well documented. The difficulty is, as noted by Eason and colleagues, when the patient has obstruction of the collecting system. Retrograde catheterization has been used in such patients, and those references were quoted by the authors. An alternative approach is available for the obstructed patient with uric acid lithiasis. This involves the use of percutaneous nephrostomy for urinary diversion associated with the conservative medical treatment already well described. We have published an article describing this technique and the results in two patients,1 which appeared after the article by Eason and co-authors. The use of percutaneous nephrostomy has increased as its safety and efficacy have been proved.2 A two-catheter technique can also be used with percutaneous
SN  - 0098-7484
M3  - doi: 10.1001/jama.1979.03300030013004
UR  - http://dx.doi.org/10.1001/jama.1979.03300030013004
ER  -