Renal function and upper urinary tract configuration following urinary diversion to a continent ileal reservoir (Kock pouch): a prospective 5 to 11-year followup after reservoir construction
| Autor: | Krister Delin, Nils G. Kock, Reinhard Volkmann, Bertil M. Philipson, Staffan Åkerlund, Gerhard Lycke |
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| Rok vydání: | 1989 |
| Předmět: |
medicine.medical_specialty
Urology medicine.medical_treatment Renal function Urine Urinary Diversion Kidney Kidney Function Tests Kock pouch Postoperative Complications Ileum Hyperchloremic acidosis medicine Humans Derivation Postoperative Period Prospective Studies Urinary Tract Upper urinary tract business.industry Urinary diversion Reflux Urography medicine.disease Surgery Urinary Tract Infections business Follow-Up Studies |
| Zdroj: | The Journal of urology. 142(4) |
| ISSN: | 0022-5347 |
| Popis: | We followed 17 patients who underwent urinary diversion via a continent ileal reservoir (Kock pouch) with yearly examinations for 5 to 11 years postoperatively. The examinations involved control of renal function and configuration of the upper urinary tract. In 5 patients the upper urinary tract had become dilated during followup and in 2 of these renal scarring also had developed. All 5 patients had endured temporary outflow obstruction or reflux (stricture, overdistension of the reservior or a defective antireflux valve). Of the patients 1 had a marked decrease in renal function before the outflow obstruction was corrected by an operation. Routine blood chemistry study was normal and hyperchloremic acidosis was not noted in any patient. After peroral loading of 6 patients with ammonium chloride significant excretion of titratable acid was found in the urine. Substitution with vitamin B12 was given to 6 patients due to subnormal values in 2 and borderline values in 4. (J. Urol., 142: 964–968, 1989) |
| Databáze: | OpenAIRE |
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