Reviewed by

Professor Giovanni Bucci

President of The Italian Society of Neonatology


"This book is the product of a close and continual collaboration between the Neonatologists in the Neonatal Nephrology Study Group of the Italian Society of Neonatology and the Italian Society of Laboratory Medicine which has over the last few years developed and created an interdisciplinary group of neonatal nephrology. This group has organised multi-center research projects, national and international conferences and continuous education courses and has produced very relevant scientific papers.


The latest objective to be achieved by this group is this new publication, edited by Luigi Cataldi, Vassilios Fanos and Mario Plebani, who together have been able to involve many talented scientific investigators in the creation of this book. The book concentrates on the renal problems of the fetus, the newborn and the nursing infant, and it represents an exemplary effort in terms of interdisciplinary formation, organisation, and continuous updating.


The contributions of Jean Pierre Guignard (Lausanne -Switzerland) and Umberto Simeoni (Strasbourg - France), both very well known amongst the International neonatologist community for their profound competence in the field of neonatal nephrology, gives further proof to the scientific weightiness of this volume. It bears witness to the esteem that the Neonatal Nephrology study group has been able to progressively conquer through their serious and rigorous initiatives.


The unstoppable and efficient attivities of this group can be attributed not only to Professor Luigi Cataldi and his tireless efforts in coordinating the group, but equally so to those numerous and highly qualified members of the group who work often in obscurity but nevertheless essential to its success.


A special thanks to Dr. Mario Plebani and the Society of Italian Laboratory Medicine who have actively contributed with vision to the exchanged of reciprocal experience.


I sincerely wish this volume every success in transmitting, to the specialists involved in the care and cure of the newborn babies and children with renal problems, the enthusiasm and professional approach adopted by the authors in the drafting of these essays.


Finally I hope that this interdisciplinary project is taken as a tangible and useful model in the assistence of our smallest patients.




Reviewed by

Professor Ugo Lippi

President of

The Society of Italian Laboratory Medicine


The members of our society have always believed there to be a fundemental problem in the relationship between clinic and lab, and has therefore always promoted a multidisciplinary working approach.


It is high time to accept the view that for the best medical assistence possible we must overcome the isolated approach of specialist medicine and adopt collaboration as the way to acquire all relevant knowledge and thereby creating an integrated service for our patients.


Professor Luigi Cataldi and his long sightedness has long since adopted this collaborative approach in organising multi-center scientific meetings and research projects. He has formed an interdisciplinary study group of neonatal nephrologists made up of members from the society of Italian Laboratory Medicine and the Society of Neonatology which is headed by Dr. Mario Plebani, the national coordinator of the Interdisciplinary Group of the Italian Society of Laboratory Medicine.


This volume is proof, not only of the results already achieved, but above all of the intention to carry on with more of the same work.


The authors, Cataldi, Fanos and Plebani, together with the contributions of both nationally and internationally known scientists have created a volume which offers useful ideas for new research projects and defines the present state of the art in neonatal nephrology.


From the aforesaid derives the practical results which could improve the quality of care in the newborn affected by nephro-urological problems.

Ugo Lippi


The Italian Society of Laboratory Medicine



Nefros is a book consisting 256 pages and 25 chapters.

It is abundantly illustrated with 15 figures and 39 tables, it has a very select bibliography and completely analytical index.








Guidelines and diagnostic integration


agorà PUBLICATIONS, via M. Marinosci 1, 73100 Lecce Tel:+39-832-311352, Fax: +39-832-311354


October 1997 agorà Edition


Review by

Professor Giulio Bevilacqua


The Italian Society of Perinatal Medicine


" The introduction, refinement and diffusion of the pre and post-natal ultrasound scan has meant a rapid and radically improved management of pediatric nephrological pathology, which has therefore resulted in an earlier and much improved therapeutic diagnosis. Specifically the rational integration of all the imaging techniques of scanning is of fundemental importance in the process of diagnosis, and coupled with its, by now, easy access and harmlessness, have made ultrasound scanning undeniably superior and crucial in the first approach to a diagnosis and subsequent follow-up. With the improvement of the machines themselves (Doppler, Power Doppler) there is increased scope in the possible use of this examination technique. Within this scenario of rapid evolution, specialist medical doctors, involved in the cure and care of mother and fetus, newborn and child, often find themselves disorientated and having to deal with a vast amount of new knowledge, unusual problems, increased responsibility and required professional competence.


This long awaited volume comes from the need physicians have to speak a common language, to attribute the same meaning to a given definition, and to know how to appreciate for example the differences between a "dilated pelvis", "pyelectasis" and "hydronephrosis". This book is as a result of the necessity to utilize as common property, guidelines, directions and behaviour as a reference in the management of nephro-uropathic patients whether a fetus newborn or child.


This volume is the fruit of a serious collaborative project which with the increasing involvement of very well known italian specialists, has over the last 12 years matured and exchanged very valuable clinical, teaching and research experience. The coordinator of this group is Professor Luigi Cataldi, who is an activist in the field of problematic perinatal medicine. He never fails to amaze us with his thoughtful and irreplaceable contribution to the interdisciplinary approach which he has pioneered for years in perinatal and postnatal nephrology.


To Professor Cataldi and all the other authors, I offer my sincere thanks on behalf of the Italian Society of Perinatal Medicine for having created this fine volume which is a versatile, clear and pratical pocket manual. We wish it every success amongst all specialists doctors echographists, neonatologists, pediatricians, nephrologists, pediatric surgeons, and all those who, everyday, are confronted with the complex problems of infantile nephro-uropathy and the devastating consequence of delay.


Guilio Bevilacqua

President of

The Italian Society of Perinatal Medicine



From the authors preface


This volume, eagerly solicited by Professor Giulio Bevilacqua, the President of the Italian Society of Perinatal Medicine, has been written for the benefit of neonatologists and pediatricians, who have to deal with sonography not only from the point of view of possessing enough knowledge to recognise the need for such an examination but to give useful tips when performing, evaluating and applying the correct diagnostic interpretation to a renal and urinary tract scan. This book is not a manual for the sonographist, even though it would be of use to them, it is in fact a compendium of precise information in a relatively limited although expanding field, which is directed at all neonatologists and pediatricians who are confronted, daily both in hospitals and specialist outpatient departments whether it be a day hospital or the family pediatrician with a decisive professional reality.






The book consists of 18 chapters consisting of more than 250 pages, by authors noted as experts in the field of Neonatal Nephrology. It contains nephrology scan records from the Neonatal Nephrology Study Group which are presented both in the traditional graphic manner and using modern electronic procedures. The scan record form is also issued on a floppy disk , which is offered to the reader by the A.I.S.E.R.N.U.I.( Italian Association for the Protection of the Nephrouropathic Child, and Research Center for Infantile Uropathology), for the purpose of spreading information on the importance of an early diagnosis in renal pathology and the prevention of renal damage. The volume has a chapter on diagnostic guidelines and a choice of biometric tables which the reader will not fail to appreciate. The publication is very well illustrated with over 50 figures and 30 tables on diagnostic guidelines and has 5 useful biometric coloured tables on the ultrasound values of kidney length according to age, birth weight and length, as well as a carefully prepared and complete analytical index. The book is intended to be a high quality tool, which is indispensable for the neonatologist, the pediatrician, the nephrological pediatrician and for all those involved in the management of diagnostic therapy and the follow up of a prenatal, neonatal and pediatric patient with a renal pathology.