Metabolic consequences of sigmoidocystoplasty in children.
Recent reports have shown that metabolic acidosis is a possible complication in patients who undergo augmentation enterocystoplasty. We studied 30 patients with neurogenic bladder who underwent sigmoidocystoplasty. Follow-up ranged from 1 to 10 years; all the patients showed normal renal function. We found significant hyperchloremic acidosis in 10% and borderline acidosis in 27% of the patients. Abnormalities of calcium and phosphorus balance were noted in 16.5% and 43% of the patients respectively, and more frequently in acidolic patients, which might be the result of activation of the bony buffers and might cause delayed growth in children. Close follow-up of all patients with enterocystoplasty is required, and oral bicarbonate is indicated when acidosis is detected.
Departments of Pediatric Surgery and Pediatric Nephrology, Regional Hospital of Parma, 14, via Gramsci, I-43100, Parma, Italy.
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U
Beseghi
J M
JM
Guys
V
V
Dibenedetto
M
M
Attanasio
A
A
Ammenti
G
G
Monfort