title: Double J stenting: A rewarding option in the management of emphysematous pyelonephritis.
abstract: BACKGROUND
  Emphysematous pyelonephritis (EPN) is an acute necrotizing inflammation of renal parenchyma and peri-nephric tissue characterized by gas formation. In this study, we evaluated the outcome of EPN cases by medical management with or without renal decompression.
  
  
  METHODS
  We have observed prospectively 15 cases of EPN admitted in our institute in respect to age, sex, mode of presentation, presence of comorbidity, laboratory profile, urine-analysis, and outcome after medical management and drainage procedures.
  
  
  RESULTS
  All patients improved on medical management and drainage procedure such as JJ stenting and percutaneous nephrostomy. No mortality noted in our 15 cases of EPN.
  
  
  CONCLUSIONS
  Emphysematous pyelonephritis can be managed conservatively by DJ stenting, wcich is a less morbid procedure or percutaneous nephrostomy with proper antibiotics and adequate glycemic control.
authors.affiliation: Department of Urology, Institute of Post Graduate Medical Education and Research, Kolkata, West Bengal, India.
authors.forename: Debiprasad
authors.initials: D
authors.lastname: Das
authors.affiliation: Department of Urology, Institute of Post Graduate Medical Education and Research, Kolkata, West Bengal, India.
authors.forename: Dilip Kumar
authors.initials: DK
authors.lastname: Pal
keywords: Double J stent; emphysematous; pyelonephritis