[Uretero-colonic implantation in children. Late results].
An uretereo-colic anastomosis in children is performed in three occasions: 1) The trans-intestinal cutaneous ureterostomy (Bricker) has a low rate of complications concerning ureterocolic anastomosis. Nevertheless, occurrence of pyelonephrites may oblige to perform an anti-reflux procedure. 2) Implantation of ureters in the intestinal segment of an augmentation colocystoplastys in unusual; when necessary, this type of implantation is safe because colon is appropriate for an antireflux procedure. 3) Ureterocolic diversion (Coffey) is quite comfortable for patients. Risks of renal failure and of adenocarcinoma are minimal thanks to an annual control. Concerning exstrophy of bladder, it seems now that risk of infertility is lower for patients with an ureterocolic diversion than those with a genito-urinary reconstruction.
Bruezière
J
J
Service de Chirurgie Viscérale Pédiatrique, Hôpital d'Enfants Armand-Trousseau, Paris, France.
D000137:Acid-Base Imbalance / Q000209:etiology; D000230:Adenocarcinoma / Q000209:etiology; D000714:Anastomosis, Surgical / Q000379:methods; D001746:Bladder Exstrophy / Q000601:surgery; D002648:Child; D003106:Colon / Q000601:surgery* / Q000637:transplantation; D012809:Colon, Sigmoid / Q000601:surgery; D005242:Fecal Incontinence / Q000209:etiology; D005260:Female; D006801:Humans; D007680:Kidney Neoplasms / Q000209:etiology; D008297:Male; D011704:Pyelonephritis / Q000601:surgery; D051437:Renal Insufficiency / Q000209:etiology; D014513:Ureter / Q000601:surgery; D014514:Ureteral Calculi / Q000209:etiology; D014519:Ureterostomy / Q000009:adverse effects / Q000379:methods; D001743:Urinary Bladder / Q000601:surgery; D014547:Urinary Diversion / Q000009:adverse effects / Q000379:methods*; D014718:Vesico-Ureteral Reflux / Q000601:surgery
Implantation urétéro-colique chez l'enfant. Résultats tardifs.