title: Stomach in combination with other intestinal segments in pediatric lower urinary tract reconstruction.
abstract: OBJECTIVE
  We report the results of combining gastric and ileal segments in a small group of predominantly pediatric patients.
  
  
  METHODS
  We retrospectively reviewed the records of 6 children and 1 adult who underwent lower urinary tract reconstruction using stomach and ileum, including 3 simultaneous and 4 staged procedures. Followup was 13 to 59 months.
  
  
  RESULTS
  No patient had deterioration of renal function due to impaired upper tract drainage. One patient had an episode of hyponatremia during a gastrointestinal illness. The adult has the hematuria-dysuria syndrome and receives omeprazole. No ulceration developed in the 6 evaluable patients.
  
  
  CONCLUSIONS
  The combined use of stomach and ileum has been effective in this small group of challenging patients. Long-term followup is mandatory.
authors.affiliation: Department of Urology, Indiana University School of Medicine, J. W. Riley Hospital for Children, Indianapolis, USA.
authors.forename: K P
authors.initials: KP
authors.lastname: McLaughlin
authors.forename: R C
authors.initials: RC
authors.lastname: Rink
authors.forename: M C
authors.initials: MC
authors.lastname: Adams
authors.forename: M A
authors.initials: MA
authors.lastname: Keating
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007082:Ileum / Q000637:transplantation*; D008297:Male; D011183:Postoperative Complications; D012189:Retrospective Studies; D013270:Stomach / Q000637:transplantation*; D014182:Transplantation, Autologous; D001743:Urinary Bladder / Q000601:surgery*; D016476:Urinary Reservoirs, Continent / Q000379:methods*