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Query: UMLS:C0403608 (ureter)
 9,655 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

The functional damage caused by vesicoureteral reflux (VUR) has been examined by unilateral clearance studies in 22 children with recurrent urinary tract infection (UTI) and representing 23 kidneys with large VUR. 7 kidneys with small to moderate VUR and 14 kidneys without VUR. Inulin clearance, Na+ excretion and glucose reabsorption were determined. In kidneys without or with small and moderate VUR, UTI had no effect on renal function if treated. In kidneys with large VUR extending into the pelvis and dilating the ureter, there was a gradual deterioration of glomerular filtration rate (GFR) that was accelerated after the age of 6 yr. Before puberty more than 50% of renal function was lost despite strict medical care of the UTI. If this functional loss was unilateral, hyperfunction of the contralateral kidney was generally observed. Maximal glucose reabsorption was depressed in proportion to GFR. In kidneys with unilaterally low GFR, the fractional Na+ excretion was consistently increased as compared to the contralateral kidney with normal GFR. This adaptive increase in Na+ excretion must therefore be of intrarenal origin.
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PMID:Effect of vesicoureteral reflux on renal function in children with recurrent urinary tract infection.s. 78 86

The role of renal tubules was explored by two kinds of experiments: (1) inhibition of the tubular reabsorption of insulin by induced polyuria; (2) suppression of insulin filtration by ureter clamping; 1. Anaesthetized dogs maintained in normoglycaemia by glucose compensation were infused with crystalline and 125I-insulins. Polyuria was induced by: (1) saline-bicarbonate infusion; (2) furosemide with saline-bicarbonate infusion to replace urine losses; (3) massive infusion of mannitol. Inulin and paraminohippuric acid were used to estimate the glomerular filtration rate and the renal plasma flow. The permeability of the glomerular wall (pore radius and total area of the pores per unit of path length) was determined by measuring the sieving curve of 131I-polyvinyl-pyrrolidone fractions during basal and treatment periods. Mannitol infusion was able to bring the insulin/inulin clearance ratio up the values of the sieving coefficient of insulin (insulin filtration rate) without modifying the permeability of the glomerular wall; saline infusion displayed a similar effect; furosemide, only a minute one although it induced a more marked polyuria. 2. Clamping of the left ureter was performed on dogs with catheters inserted into the artery, the left renal vein, the pelvis and a renal lymphatic vessel. Almost complete suppression of the glomerular filtration was achieved. It slightly increased the high insulinic concentration of the renal lymph, entailed a 1/3 decrease in the extraction ratio of insulin and reduced by half its renal clearance. In conclusion, the tubules participate to the catabolism of insulin by two different mechanisms: (1) an uptake from the tubular fluid which can be inhibited by diuretics exerting their main action on the proximal tubules; (2) a direct catabolism from the interstitial fluid resulting from the large permeability of the peritubular capillaries to insulin.
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PMID:The participation of the renal tubules to the metabolism of insulin. 100 Oct 4

Partial obstruction of one ureter was created in newborn rats and its effects were studied in the adult rat. The obstructed renal pelvis was found to be enlarged 2-3 times. The weight of the kidney on this side was 85% of the contralateral one. Inulin clearance was measured in a way, which allowed comparison between the conventional technique and a modified technique, designed to circumvent the dilution in the enlarged pelvis. With the conventional technique, filtration was 32% of that in the contralateral kidney, whereas with the new technique true filtration of the hydronephrotic kidney was 82% (p less than 0.001). The modified technique is evaluated and the implications of the functional results are discussed.
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PMID:The effect of experimental hydronephrosis on clearance data. 661 41

Kidney function has been studied in pig fetuses (105-109 d of gestation) and neonates (5-7 d old). Urine was collected by catheterization of the ureter. Inulin clearance, the excretion of electrolytes and the osmolality of urine and plasma were measured. In addition the response of the fetal neurohypophysis and fetal and neonatal kidney to a reduction of plasma osmolality was studied. The results show that the inulin clearance increases rapidly in the perinatal period, at a rate greater than would be expected from the gain in body weight. The re-absorption of Na and K is well developed. The fractional sodium excretion in fetuses is 2% and is 0.1% in the new-borns. The urine osmolality is high, probably due to high plasma lysine vasopressin levels persisting throughout the experiment. The infusion of hypotonic saline results in a significant decrease of plasma osmolality but only three out of nineteen animals showed an increase in urine flow. Although lysine vasopressin concentrations fell in some animals the urine stayed hyperosmotic as compared with plasma. The results show that fetuses and neonates may react to volume load but in the conditions of these experiments that regulation of plasma osmolality was inadequate.
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PMID:Renal response to hypotonic saline load in fetal and new-born pigs. 707 46