Ureterosigmoidostomy: a long-term follow-up of 15 patients with urinary diversion
Details
Serval ID
serval:BIB_4B98CC302041
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Ureterosigmoidostomy: a long-term follow-up of 15 patients with urinary diversion
Journal
European Journal of Pediatric Surgery
ISSN
0939-7248 (Print)
Publication state
Published
Issued date
06/1991
Volume
1
Number
3
Pages
172-6
Notes
Journal Article --- Old month value: Jun
Abstract
We reviewed 15 patients who underwent 16 ureterosigmoidostomies from 1975 to 1989. The underlying disease was bladder exstrophy in 13 patients. Urinary diversions have been performed according to Mathisen in 15 patients, one reoperation has been performed according to Coffey. Standard post-operative controls consist of physical examinations, capillary blood gas samples, intravenous pyelograms, inulin clearance measurements, 123I-hippuran scintigraphies and colonoscopies. Results concerning continence are judged very satisfactory in 80% of patients. 34% of patients presented with one or more episodes of unilateral or bilateral pyelonephritis. Intravenous pyelograms showed improved or unchanged urinary tract dilatation in 45% of kidneys and moderate and severe dilatation in 55%. Inulin clearance remained in normal range in 4 out of 6 patients followed. Renal function assessed by means of renal scintigraphy remained unchanged in 61% of kidneys, slightly decreased in 22% and severely in 17%. All patients are kept on a sodium-citrate therapy. Only one patient shows growth disturbances. Out of 9 patients followed with colonoscopy, none showed signs of malignancy.
Keywords
Adolescent
Bladder Exstrophy/surgery
Child
Child, Preschool
Colon, Sigmoid/*surgery
Colonoscopy
Female
Follow-Up Studies
Humans
Hydronephrosis/etiology
Infant
Kidney Function Tests
Male
Postoperative Care
Postoperative Complications
Prognosis
Pyelonephritis/etiology/prevention & control
Ureterostomy
*Urinary Diversion
Pubmed
Web of science
Create date
28/01/2008 10:09
Last modification date
20/08/2019 14:59