Interposition of ileum in the ureter: a clinical study with long-term follow-up.
OBJECTIVE
To present the long-term results of the interposition of ileum in the ureter.


METHODS
An ileal loop was interposed to replace a long defect of the upper ureter, with preservation of lower ureteric continuity, in nine patients (mean age 35 years, range 18-58). Patients were followed regularly for a mean of 5.2 years (range 2-7) and assessed using renal ultrasonography, isotopic renography and intravenous urography.


RESULTS
Urinary drainage was satisfactory and renal function and configuration were improved. None of the patients experienced metabolic acidosis or electrolyte disturbances despite receiving no medication.


CONCLUSIONS
These results were encouraging and further clinical experience is needed to confirm that ileal interposition of the ureter is a safe and effective procedure.
Shokeir
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AA
Urology and Nephrology Centre, Mansoura University, Egypt.
D000293:Adolescent; D000328:Adult; D004927:Escherichia coli Infections / Q000209:etiology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007082:Ileum / Q000637:transplantation*; D008297:Male; D008875:Middle Aged; D011182:Postoperative Care; D011866:Radioisotope Renography; D016042:Transplantation, Heterotopic; D014463:Ultrasonography; D014515:Ureteral Diseases / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D014552:Urinary Tract Infections / Q000209:etiology