Metabolic consequences of orthotopic ileal neobladder.
OBJECTIVE
Orthotopic ileal bladder substitution is a well accepted form of urinary diversion providing high quality of life. However, potential metabolic consequences remain a serious problem. These complications are discussed in the present article.


METHODS
Authors review the metabolic complications of 45 orthotopic ileal neobladder cases.


RESULTS
Insufficient absorption (malabsorption) associated with ileal resection is quite rare, while hyperchloremic metabolic acidosis after ileal neobladder is a rather common phenomenon (55%).


CONCLUSIONS
Authors suggest careful patient selection, correct operative technique and vigilant follow-up for successful treatment of metabolic complications.
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Weninger
D000138:Acidosis / Q000209:etiology; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D007082:Ileum / Q000601:surgery; D008286:Malabsorption Syndromes / Q000209:etiology; D008297:Male; D008875:Middle Aged; D014547:Urinary Diversion / Q000009:adverse effects*