Metabolic consequences and long-term complications of enterocystoplasty in children: a review.
OBJECTIVE
We summarize important metabolic consequences and long-term complications associated with enterocystoplasty with particular emphasis on the pediatric patient with genitourinary abnormalities.


METHODS
A directed MEDLINE literature review for metabolic and long-term complications following enterocystoplasty was performed. Information gained through the published literature and from our database was reviewed and summarized to provide the reader with a thorough review of the subject.


RESULTS
Bowel is not a perfect tissue for substitution or augmentation and its use to treat functionally and structurally compromised bladders is associated with several metabolic consequences and long-term complications. Metabolic acidosis is the most common metabolic abnormality seen. The rates and severity of these complications vary, although they may have a profound impact on patient quality of life after enterocystoplasty.


CONCLUSIONS
The metabolic consequences and long-term complications associated with enterocystoplasty are important clinical features of this intervention. Careful consideration should be given to them prior to pursuing enterocystoplasty.
Gilbert
Scott M
SM
Department of Urology, Division of Pediatric Urology, Children's Hospital of New York, Columbia University Medical Center, Columbia University College of Physicians and Surgeons, New York, New York 10032, USA.
Hensle
Terry W
TW
D002648:Child; D006801:Humans; D007422:Intestines / Q000601:surgery; D008659:Metabolic Diseases / Q000209:etiology*; D011183:Postoperative Complications; D011788:Quality of Life; D016896:Treatment Outcome; D001743:Urinary Bladder / Q000601:surgery; D014547:Urinary Diversion / Q000009:adverse effects*