Intestinal oxalate absorption in patients with continent urinary diversion

被引:0
作者
Gerd E. von Unruh
Friederike B. Ernst
Matthias E. Schmidt
Gabriel Steiner
Albrecht Hesse
Stefan C. Müller
机构
[1] University of Bonn,Department of Internal Medicine I
[2] University of Bonn,Division of Experimental Urology
[3] University of Bonn,Department of Urology
[4] Klinikum Meiningen GmbH,undefined
来源
World Journal of Urology | 2005年 / 23卷
关键词
Oxalate absorption; Urinary diversion; Ileal neobladder; Mainz pouch I;
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学科分类号
摘要
The objective of the study is to evaluate the post-operative effect of an orthotopic ileal neobladder or a Mainz pouch I bladder replacement on the extent of intestinal oxalate absorption. Gastrointestinal oxalate absorption was measured in six patients with an orthotopic ileal neobladder and in six patients with a Mainz pouch I bladder replacement. The function test applied was the [13C2]oxalate absorption test. With a range of 5.1–12.4%, the oxalate absorption of these patients was well within the reference range for healthy volunteers. The results from our small study indicate that such continent urinary diversions present no hazard for oxalate hyperabsorption and subsequent calcium oxalate urolithiasis.
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页码:334 / 337
页数:3
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共 75 条
  • [1] Gerharz EW(2003)Metabolic and functional consequences of urinary reconstruction with bowel BJU Int 91 143-149
  • [2] Turner WH(2003)Metabolic evaluation of 94 patients 5 to 16 years after ileocecal pouch (Mainz pouch 1) continent urinary diversion J Urol 170 1884-1887
  • [3] Kälble T(2003)Urinary diversion: ileal conduit to neobladder J Urol 169 834-842
  • [4] Woodhouse CRJ(1978)Evidence for excessive absorption of oxalate by the colon in enteric hyperoxaluria Scand J Gastroenterol 13 187-192
  • [5] Pfitzenmaier J(1998)Urinary calculi and jejunoileal bypass operation. A long-term follow-up Scand J Urol Nephrol 32 177-180
  • [6] Lotz J(1981)Hyperoxaluria and stone disease in the gastrointestinal bypass patient Urol Clin North Am 8 331-351
  • [7] Faldum A(1978)Enteric hyperoxaluria: dependence on small intestinal resection, colectomy, and steatorrhoea in chronic inflammatory bowel disease Scand J Gastroenterol 13 577-588
  • [8] Beringer M(2003)Continent colonic urinary reservoir (Florida pouch): long-term surgical complications (greater than 11 years) J Urol 169 174-176
  • [9] Stein R(1996)Long-term incidence and risks for recurrent stones following contemporary management of upper tract calculi in patients with a urinary diversion J Urol 155 62-65
  • [10] Thuroff JW(1996)Urinary calculi as a late complication of the Indiana continent urinary diversion: comparison with the Kock pouch procedure J Urol 155 66-68