Ileal Replacement of the Bilharzial Ureter: Is it Worthwhile?
| Autor: | Mahmoud A. Bazeed, Hamdy A. El-Kappany, S. El-Hammady, M. El-Rakhawy, Albair Ashamallah |
|---|---|
| Rok vydání: | 1983 |
| Předmět: |
Adult
Male medicine.medical_specialty Urology medicine.medical_treatment Urinary Diversion Anastomosis Clinical study Ureter Ileum Humans Schistosomiasis Medicine Retrospective Studies business.industry Mortality rate Urinary diversion Retrospective cohort study Surgery medicine.anatomical_structure Ileal segment Female business Ureteral Obstruction Low creatinine |
| Zdroj: | Journal of Urology. 130:245-247 |
| ISSN: | 1527-3792 0022-5347 |
| DOI: | 10.1016/s0022-5347(17)51084-8 |
| Popis: | Our 14-year experience with the use of isolated ileal segments for replacement of the bilharzial ureter is analyzed retrospectively. Of 52 patients subjected to this procedure followup data were available for 38, in whom 52 ureters were repaired. The results generally were unsatisfactory: the morbidity and mortality rates were high and the percentage of functional improvement was low. The risk was higher for patients with low creatinine clearance. Therefore, we recommend that this operation be avoided when possible. If the operation is unavoidable, tapering of the ileal segment with antireflux ileovesical anastomosis may improve the outcome. Further clinical study must be done. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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