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Reflux, stricture and glomerular filtration rate after two antireflux techniques in continent urinary reconstruction using the right colon

Kristjansson, Axel ; Engellau, Lena LU ; Willner, Julian LU and Månsson, Wiking LU (1997) In Scandinavian Journal of Urology and Nephrology 31(5). p.425-429
Abstract
In the present study the incidence of reflux, stricture formation and changes in glomerular filtration rate in patients with the submucosal tunnel or the Camey-Le Duc technique of ureteric implantation into the caecum/detubularized right colon used for continent cutaneous diversion/orthotopic bladder substitution was investigated. Reflux was found in two renal units and ureterointestinal stenosis occurred in five renal units after submucosal tunnel ureteric implantation. After Camey-Le Duc ureteric implantation, one renal unit showed reflux and none had stenosis of the ureterointestinal anastomosis during follow-up. Mean glomerular filtration rate (ml/min/1.73 m2) fell from 98 to 85 in the submucosal tunnel group and from 88 to 81 in the... (More)
In the present study the incidence of reflux, stricture formation and changes in glomerular filtration rate in patients with the submucosal tunnel or the Camey-Le Duc technique of ureteric implantation into the caecum/detubularized right colon used for continent cutaneous diversion/orthotopic bladder substitution was investigated. Reflux was found in two renal units and ureterointestinal stenosis occurred in five renal units after submucosal tunnel ureteric implantation. After Camey-Le Duc ureteric implantation, one renal unit showed reflux and none had stenosis of the ureterointestinal anastomosis during follow-up. Mean glomerular filtration rate (ml/min/1.73 m2) fell from 98 to 85 in the submucosal tunnel group and from 88 to 81 in the Camey-Le Duc group after mean follow-ups of 9 and 5 years, respectively. Both methods of ureteric implantation in this study were effective in preventing reflux, and renal function was well preserved in both groups. The absence of ureterointestinal strictures in the Camey-Le Duc group is encouraging and indicates that this is a reliable method for reflux prevention. (Less)
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author
; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
antirefluxing ureteric anastomosis, continent urinary reconstruction, glomerular filtration rate, reflux, stenosis
in
Scandinavian Journal of Urology and Nephrology
volume
31
issue
5
pages
425 - 429
publisher
Taylor & Francis
external identifiers
  • pmid:9406300
  • scopus:0030728872
ISSN
0036-5599
DOI
10.3109/00365599709030635
language
English
LU publication?
yes
id
772d0491-cc14-439d-8220-09408dd97111 (old id 1111896)
date added to LUP
2016-04-01 15:48:27
date last changed
2022-05-08 05:37:00
@article{772d0491-cc14-439d-8220-09408dd97111,
  abstract     = {{In the present study the incidence of reflux, stricture formation and changes in glomerular filtration rate in patients with the submucosal tunnel or the Camey-Le Duc technique of ureteric implantation into the caecum/detubularized right colon used for continent cutaneous diversion/orthotopic bladder substitution was investigated. Reflux was found in two renal units and ureterointestinal stenosis occurred in five renal units after submucosal tunnel ureteric implantation. After Camey-Le Duc ureteric implantation, one renal unit showed reflux and none had stenosis of the ureterointestinal anastomosis during follow-up. Mean glomerular filtration rate (ml/min/1.73 m2) fell from 98 to 85 in the submucosal tunnel group and from 88 to 81 in the Camey-Le Duc group after mean follow-ups of 9 and 5 years, respectively. Both methods of ureteric implantation in this study were effective in preventing reflux, and renal function was well preserved in both groups. The absence of ureterointestinal strictures in the Camey-Le Duc group is encouraging and indicates that this is a reliable method for reflux prevention.}},
  author       = {{Kristjansson, Axel and Engellau, Lena and Willner, Julian and Månsson, Wiking}},
  issn         = {{0036-5599}},
  keywords     = {{antirefluxing ureteric anastomosis; continent urinary reconstruction; glomerular filtration rate; reflux; stenosis}},
  language     = {{eng}},
  number       = {{5}},
  pages        = {{425--429}},
  publisher    = {{Taylor & Francis}},
  series       = {{Scandinavian Journal of Urology and Nephrology}},
  title        = {{Reflux, stricture and glomerular filtration rate after two antireflux techniques in continent urinary reconstruction using the right colon}},
  url          = {{http://dx.doi.org/10.3109/00365599709030635}},
  doi          = {{10.3109/00365599709030635}},
  volume       = {{31}},
  year         = {{1997}},
}