Lower ureteral replacement using a tubularized gastric segment

Muraishi, Osamu; Yashi, Masahiro; Shioji, Yasunobu; Suzuki, Kaoru; Sugaya, Yasuhiro; Tokue, Akihiko

doi:10.1016/s0090-4295(01)00950-5

Cited by 4 publications

(3 citation statements)

References 10 publications

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“…Daher wird die Verwendung von Anteilen des Gastrointestinaltraktes zur Harnleiterrekonstruktion, die möglichst weit vom Bestrahlungsfeld gelegen sind, favorisiert. So werden von einigen Autoren [8,9] umkonfigurierte Magensegmente zum Ersatz des Harnleiters beschrieben (. Abb.…”

Section: Verwendung Tubularisierter Magensegmenteunclassified

Harnleiterersatz unter Verwendung von Darmsegmenten

Kocot

Vergho

Riedmiller

2012

Urologe

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When ureter damage is extensive or affects the midureter continuity can be restored using bowel segments. The principle issues of these techniques comprise reconstruction of the urinary tract preserving renal function in a long-term setting. The safety of ureters reconstructed from bowel segments has been validated in several large series as a reliable last resort solution with favorable results and low complication rates. Ureter reconstruction with bowel segments is doomed to fail in patients with short-bowel syndrome or Crohn's disease. Furthermore, the applicability in children and patients with progressive renal deficiency is severely limited. To prevent renal deterioration the use of retubularized bowel segments as a substitute for ureter defects has been postulated. Whereas antirefluxive implantation seems unnecessary in patients with a native bladder in situ or orthotopic bladder substitution, it is recommended in continent bowel reservoirs with cutaneous stoma.

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Section: Verwendung Tubularisierter Magensegmenteunclassified

Harnleiterersatz unter Verwendung von Darmsegmenten

Kocot

Vergho

Riedmiller

2012

Urologe

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“…Наиболее часто для замеще-ния используют лоскут подвздошной кишки [16][17][18][19][20][21][22][23]. Противопоказания к замещению мочеточника кишеч-ным сегментом включают уровень сывороточного креатинина > 2 мг/дл, нейрогенную дисфункцию мо-чевого пузыря, воспалительные заболевания кишеч-ника, лучевой энтерит [24].…”

Section: Introductionunclassified

Surgical treatment of the stricture of the lower third of ureter after radiation therapy of pelvic organs

Поляков¹,

Кешишев²,

Качмазов³

et al. 2016

Cancer Urology

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“…Various surgical techniques have been described for the substitution of long ureteric segments, and the most commonly performed is ileal ureteric replacement [1][2][3][4][5][6][7][8]. Although many surgeons have reported a high success rate with ureteric substitution using the ileum, others have expressed scepticism regarding the long-term efficacy and applicability of this approach [4][5][6][7][8][9][10][11].…”

Section: Introductionmentioning

confidence: 99%

Ileal ureteric replacement with an ileo‐psoas muscle tunnel antirefluxing technique for the treatment of long segment ureteric strictures

Lin

et al. 2008

BJU International

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OBJECTIVES To develop and report our initial experience with a novel antirefluxing technique for segmental ileal ureteric replacement for the treatment of long ureteric strictures. PATIENTS AND METHODS Between January 2000 and January 2007, 12 cases of ureteric strictures (nine bilateral and three unilateral) were treated using a novel surgical technique in which the ureter was replaced with a segment of ileum using an end‐to‐side anastomosis. An antireflux valve was constructed by fixing the distal part of upper ureter (4 cm) between the psoas muscle and ileal segment (the ileo‐psoas tunnel technique). The distal ileum was connected to the urinary bladder with an end‐to‐side anastomosis. RESULTS The 12 cases were followed‐up for a mean (range) of 39.42 (12–64) months. There were no cases of pyelonephritis or signs of renal failure after surgery. There was dramatic improvement in hydronephrosis, as assessed by intravenous urography, in the 4–9 months after surgery. Cystography showed no evidence of ileo‐ureteric reflux. Mild hyperchloraemic acidosis was detected in two patients and was successfully treated with oral alkalization. CONCLUSIONS In our initial experience, ileal ureteric replacement combined with the ileo‐psoas tunnel antirefluxing technique is a highly effective procedure for the treatment of ureteric strictures.

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Lower ureteral replacement using a tubularized gastric segment

Cited by 4 publications

References 10 publications

Harnleiterersatz unter Verwendung von Darmsegmenten

Harnleiterersatz unter Verwendung von Darmsegmenten

Surgical treatment of the stricture of the lower third of ureter after radiation therapy of pelvic organs

Ileal ureteric replacement with an ileo‐psoas muscle tunnel antirefluxing technique for the treatment of long segment ureteric strictures

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