[Endoscopic dilatation of ureteroileal stenosis in Bricker diversions. Apropos of 11 patients].
Eleven patients with stenosis of an uretero-ileal anastomosis following Bricker's operation underwent endoscopic dilatation of these stenoses via an inferior approach with Eder-Puestow's apparatus or Savary's dilators. The preliminary results were favourable in 7 patients with clinical, endoscopic and radiological improvement. An uretero-ileal drainage catheter was inserted in each case and was changed regularly after the operation. In one patient, a stone trapped in the anastomosis was able to be removed via the endoscopic procedure. No complications were observed. The two technical failures required surgical re-operation in one case and dilatation via a superior approach with an inflatable balloon catheter. This technique demonstrates the value of gastrointestinal endoscopy in the treatment of certain complications in patients with a urinary diversion using a segment of the intestinal tract.
D000328:Adult; D000368:Aged; D004106:Dilatation / Q000379:methods; D004724:Endoscopy; D005260:Female; D006801:Humans; D007082:Ileum / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011859:Radiography; D014517:Ureteral Obstruction / Q000000981:diagnostic imaging / Q000628:therapy*; D014547:Urinary Diversion
La dilatation endoscopique des sténoses urétéro-iléales dans les dérivations de Bricker. A propos de onze patients.