title: [Morphological changes of Kock pouch investigated by autopsy two years nine months postoperatively].
abstract: A 62-year-old male patient consulted us because of gross hematuria and was diagnosed as having a bladder tumor. Total cystectomy was performed and a Koch pouch was utilized. Two years and nine months later, he died as a result of recurrence of bladder tumor and pathological autopsy was performed. A microscopic section of the reservoir mucosa showed a reduction in the number of crypts and an increase in the number of goblet cells. These morphological changes seemed to be caused by chronic exposure to urine, but have a favorable effect upon metabolic alterations following the utilization of the Kock pouch.
authors.affiliation: Department of Urology, Osaka Municipal Shirokita Citizen's Hospital.
authors.forename: M
authors.initials: M
authors.lastname: Kamizuru
authors.forename: T
authors.initials: T
authors.lastname: Sugimoto
authors.forename: Y
authors.initials: Y
authors.lastname: Yoneda
authors.forename: M
authors.initials: M
authors.lastname: Tsuzita
authors.forename: S
authors.initials: S
authors.lastname: Tanabe
authors.forename: S
authors.initials: S
authors.lastname: Itou
authors.forename: H
authors.initials: H
authors.lastname: Katou
authors.forename: K
authors.initials: K
authors.lastname: Yamamoto
authors.forename: T
authors.initials: T
authors.lastname: Kishimoto
mesh_terms: D006801:Humans; D007413:Intestinal Mucosa / Q000473:pathology; D008297:Male; D008875:Middle Aged; D016737:Proctocolectomy, Restorative; D013997:Time Factors; D001749:Urinary Bladder Neoplasms / Q000601:surgery*