Management of the gastrointestinal tract at the time of cystectomy.
Radical cystectomy impacts on the gastro-intestinal tract in several ways. Clearly there is the need for bowel mobilisation, resection and anastamosis in order to create a urinary diversion, and the use of bowel preparation or antibiotics are controversial topics. Post-operatively ileus is common and there is debate about the routine use of NG tubes. Early enteral feeding is a modern concept but not yet proven. In the long-term there can be problems such as diarrhoea and B12 deficiency. All of these issues are discussed in this review using the latest available evidence.
Jain
S
S
Urology Group, Department of Cancer Studies and Molecular Medicine, University of Leicester, Leicester, UK. sj34@le.ac.uk
Simms
M S
MS
Mellon
J K
JK
D015653:Cystectomy / Q000009:adverse effects* / Q000379:methods*; D005767:Gastrointestinal Diseases / Q000209:etiology* / Q000517:prevention & control*; D006801:Humans; D045823:Ileus / Q000209:etiology; D011300:Preoperative Care