title: Gastric bladder reconstruction.
abstract: Overall, stomach is an ideal tissue that is readily accessible for bladder augmentation or substitution. It has excellent muscle backing for antireflux and continence procedures. Its fibroelastic characteristics allow construction of a capacious and compliant reservoir. It has special merit in patients who have been irradiated by virtue of being rarely involved in the field of radiation; in patients with short bowel, because it usually is not associated with congenital abnormalities of the gastrointestinal tract; in patients with renal compromise and metabolic acidosis, because of its ability to secrete chloride and hydrogen ions; in patients with chronic urinary infections; and in patients with difficulty with catheterization because of excessive mucus.
authors.affiliation: Department of Urology, Children's Hospital and Medical Center, Seattle, Washington.
authors.forename: D H
authors.initials: DH
authors.lastname: Nguyen
authors.forename: M E
authors.initials: ME
authors.lastname: Mitchell
mesh_terms: D000138:Acidosis / Q000209:etiology; D015653:Cystectomy; D006801:Humans; D007413:Intestinal Mucosa / Q000378:metabolism; D007422:Intestines / Q000601:surgery; D011182:Postoperative Care; D013270:Stomach / Q000502:physiology / Q000601:surgery; D001743:Urinary Bladder / Q000601:surgery; D014547:Urinary Diversion / Q000009:adverse effects / Q000379:methods*