Metabolic complications of the urinary intestinal diversion: ileo-caecal bladder compared with ileal conduit.
Five patients with an ileal conduit and 5 with an ileo-caecal bladder substitute have been studied metabolically. All had undergone cystectomy for infiltrating carcinoma and they formed 2 homogeneous groups in terms of age and follow-up. Function in both groups was within normal limits but closer examination of patients with an ileo-caecal bladder revealed mild functional damage as shown by reduced creatinine secretion, a lower level of bicarbonate and lower urinary acid valency secretion. It was concluded that the ileal conduit is more satisfactory from a metabolic point of view than the ileo-caecal bladder, which requires closer follow-up and treatment with bicarbonates if necessary.
Division of Urology, Legnago General Hospital, Italy.
G
G
Olivo
S
S
Biasioli
M
M
Bonciarelli
L
L
Noto
D000137:Acid-Base Imbalance; D000328:Adult; D000368:Aged; D001639:Bicarbonates / Q000378:metabolism; D002432:Cecum / Q000378:metabolism; D006801:Humans; D007082:Ileum / Q000378:metabolism / Q000637:transplantation; D007684:Kidney Tubules / Q000378:metabolism; D008297:Male; D008875:Middle Aged; D001743:Urinary Bladder / Q000378:metabolism; D001749:Urinary Bladder Neoplasms / Q000378:metabolism*; D014547:Urinary Diversion / Q000009:adverse effects*
D001639:Bicarbonates