DOLEŽEL, Jan, Ivo CAPAK, Dalibor VALÍK, David MIKLANEK, Daniel MACÍK, Milos PACAL, Michal STANÍK and Jiří JARKOVSKÝ. Effect of ureterointestinal anastomosis on renal function and morbidity in intestinal urinary diversion. SCANDINAVIAN JOURNAL OF UROLOGY. LONDON: INFORMA HEALTHCARE, 2013, vol. 47, No 3, p. 225-229. ISSN 2168-1805. Available from: https://dx.doi.org/10.3109/00365599.2012.732110.
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Basic information
Original name Effect of ureterointestinal anastomosis on renal function and morbidity in intestinal urinary diversion
Authors DOLEŽEL, Jan (203 Czech Republic, belonging to the institution), Ivo CAPAK (203 Czech Republic), Dalibor VALÍK (203 Czech Republic, belonging to the institution), David MIKLANEK (203 Czech Republic), Daniel MACÍK (203 Czech Republic), Milos PACAL (203 Czech Republic), Michal STANÍK (703 Slovakia) and Jiří JARKOVSKÝ (203 Czech Republic, guarantor, belonging to the institution).
Edition SCANDINAVIAN JOURNAL OF UROLOGY, LONDON, INFORMA HEALTHCARE, 2013, 2168-1805.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 30200 3.2 Clinical medicine
Country of publisher United Kingdom of Great Britain and Northern Ireland
Confidentiality degree is not subject to a state or trade secret
RIV identification code RIV/00216224:14110/13:00069740
Organization unit Faculty of Medicine
Doi http://dx.doi.org/10.3109/00365599.2012.732110
UT WoS 000321415400010
Keywords in English ureterointestinal anastomosis; urinary diversion; vesicoureteral reflux
Tags International impact, Reviewed
Changed by Changed by: Soňa Böhmová, učo 232884. Changed: 15/10/2013 15:46.
Abstract
Objective.The authors previously successfully applied the "flap-and-trough" (FT) method of antireflux ureterointestinal anastomosis (UIA) in a pilot set of 81 patients. This randomized prospective trial tested the effectiveness of this method in protecting the upper urinary tract from obstruction, reflux and infections. Material and methods. Forty-nine patients indicated for cystectomy and intestinal urinary diversion were randomly split into two groups, A and B. The FT antireflux UIA was applied in group A (n = 20), and refluxing direct elliptical UIA in group B (n = 29). Both groups were divided into two subcategories according to the type of diversion used: Ar (n = 10) and Br (n = 16) with low-pressure reservoirs and Ac (n = 10) and Bc (n = 13) with conduits. The follow-up evaluation compared the groups regarding perioperative complications, antireflux efficiency of FT, occurrence of obstruction and urinary infection, kidney morphology and glomerular filtration rate. Results.During the follow-up period (median 31 months), the obstruction occurred only in group Br (insignificant difference compared to Ar). A significant decrease in glomerular filtration rate and shortening of the left kidney occurred in group Br during the period and in comparison with Ar. There were no other considerable divergences in other studied parameters. Conclusions.The antireflux FT anastomosis represents a low risk for stenosis. The reduced occurrence of obstructive complications in comparison with direct UIA was statistically insignificant. Its construction did not increase the frequency of complications; on the contrary, it guarantees a better protection of renal morphology and function.
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