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@article{1126247,
author = {Doležel, Jan and Capak, Ivo and Valík, Dalibor and Miklanek, David and Macík, Daniel and Pacal, Milos and Staník, Michal and Jarkovský, Jiří},
article_location = {LONDON},
article_number = {3},
doi = {http://dx.doi.org/10.3109/00365599.2012.732110},
keywords = {ureterointestinal anastomosis; urinary diversion; vesicoureteral reflux},
language = {eng},
issn = {2168-1805},
journal = {SCANDINAVIAN JOURNAL OF UROLOGY},
title = {Effect of ureterointestinal anastomosis on renal function and morbidity in intestinal urinary diversion},
volume = {47},
year = {2013}
}
TY - JOUR
ID - 1126247
AU - Doležel, Jan - Capak, Ivo - Valík, Dalibor - Miklanek, David - Macík, Daniel - Pacal, Milos - Staník, Michal - Jarkovský, Jiří
PY - 2013
TI - Effect of ureterointestinal anastomosis on renal function and morbidity in intestinal urinary diversion
JF - SCANDINAVIAN JOURNAL OF UROLOGY
VL - 47
IS - 3
SP - 225-229
EP - 225-229
PB - INFORMA HEALTHCARE
SN - 21681805
KW - ureterointestinal anastomosis
KW - urinary diversion
KW - vesicoureteral reflux
N2 - 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.
ER -
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. \textit{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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