ENTEROCYSTOPLASTY WITH A SIGMOID PATCH IN CHILDREN WITH NEUROGENIC BLADDER DYSFUNCTION

被引：2

作者：

BESEGHI, U

CASOLARI, E

DELROSSI, C

GHINELLI, C

机构：

[1] Department of Pediatric Surgery, Regional Hospital of Parma, Parma, I-43100, 14, Via Gramsci

来源：

PEDIATRIC SURGERY INTERNATIONAL | 1994年 / 9卷 / 1-2期

关键词：

ENTEROCYSTOPLASTY; SIGMOID PATCH; NEUROGENIC BLADDER; VESICOURETERAL REFLUX; INTERMITTENT CATHETERIZATION;

D O I：

10.1007/BF00176118

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

From January 1988 to April 1991, 15 patients with neurogenic bladder dysfunction underwent surgery for bladder augmentation using a sigmoid patch. The ages at the time of operation ranged from 3 to 18 years. The indications for bladder augmentation were urinary undiversion (3) and low compliant bladder associated with reflux or upper tract deterioration (12). Associated procedures were: 4 transureteroureterostomies (TUU), 2 ureteral taperings, 26 ureteral reimplantations, 7 bladder neck reconstructions, and 2 continent diversions. Reoperation was necessary in 2 cases: 1 with leakage of a TUU and 1 with stenosis of the reimplanted ureter. Follow-up ranged from 1 to 4 years. Mucous secretion is still present in all cases, but neither interferes with catheterization nor has it caused the formation of stones. No complications due to ventriculoperitoneal shunts have been noted and no perforation of a patch has been observed. Urinary continence improved in each case without evidence of significant hyperactivity of the patch. Enterocystoplasty with a sigmoid patch is a safe and rapid procedure; considering the clinical, radiologic, and functional results, we believe that this is the technique of choice for bladder augmentation in children with neurogenic bladder.

引用

页码：82 / 85

页数：4

共 9 条

[1]

Ada M.C., Mitchell M.E., Rink R.C., Gastrocystoplasty: an alternative solution to the problem of urological reconstruction in the severely compromised patient, J Urol, 140, pp. 1152-1159, (1988)

[2]

Guys J.M., Faure F., Kreitmann B., Monfort G., L'entero-cystoplastie dans les vessies neurologiques. Peut-on ameliorer les resultats?, Chir Pediatr, 27, pp. 124-127, (1986)

[3]

Hendren W.H., Hendren R.B., Bladder augmentation: experience with 129 children and young adults, J Urol, 144, pp. 445-453, (1990)

[4]

Koff S.A., Guidelines to determine the size and shape of intestinal segments used for reconstruction, J Urol, 140, pp. 1150-1151, (1988)

[5]

Lapides J., Diokno A.C., Silber S.J., Lowe B.S., Clean intermittent self-catheterization in the treatment of urinary tract disease, J Urol, 144, pp. 445-453, (1972)

[6]

Mitchell M.E., Piser J.A., Intestinocystoplasty and total bladder replacement in children and young adults: follow-up in 129 cases, J Urol, 138, pp. 579-584, (1987)

[7]

Mundy A.R., Nurse D.E., Calcium balance, growth and skeletal mineralisation in patients with cystoplasties, Br J Urol, 69, pp. 257-259, (1992)

[8]

Sidi A.A., Aliabadi H., Gonzales R., Enterocystoplasty in the management and reconstruction of the pediatric neurogenic bladder, J Pediatr Surg, 22, pp. 153-157, (1987)

[9]

Wagstaff K.E., Woodhouse C.R.J., Duffy P.G., Ransley P.G., Delayed linear growth in children with enterocystoplasties, Br J Urol, 69, pp. 314-317, (1992)

← 1 →