Stomach in combination with other intestinal segments in pediatric lower urinary tract reconstruction.
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.
McLaughlin
K P
KP
Department of Urology, Indiana University School of Medicine, J. W. Riley Hospital for Children, Indianapolis, USA.
Rink
R C
RC
Adams
M C
MC
Keating
M A
MA
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*