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Metabolic and Nutritional Consequences of Urinary Diversion Using Intestinal Segments to Reconstruct the Urinary Tract
- Source :
- The Urologic clinics of North America. 45(1)
- Publication Year :
- 2017
-
Abstract
- Intestinal segments in various forms have been used to reconstruct the urinary tract since the mid-1800s. Currently, many different forms of continent and incontinent diversion options exist. Incorporating bowel mucosa within the urinary tract leads to predictable metabolic and nutritional consequences. The use of ileum or colon can cause a hyperchloremic metabolic acidosis, vitamin B12 deficiency, osteoporosis, fat malabsorption, urinary calculi, and ammoniagenic encephalopathy. Due to metabolic and nutritional consequences associated with the use of jejunum and gastric segments, the use of these bowel segments is not recommended.
- Subjects :
- medicine.medical_specialty
Urology
Urinary system
medicine.medical_treatment
Encephalopathy
030232 urology & nephrology
Ileum
Urinary Diversion
Gastroenterology
Jejunum
03 medical and health sciences
0302 clinical medicine
Postoperative Complications
Metabolic Diseases
Internal medicine
Medicine
Humans
Vitamin B12
Urinary Tract
business.industry
digestive, oral, and skin physiology
Urinary diversion
Metabolic acidosis
medicine.disease
digestive system diseases
Fat malabsorption
Nutrition Disorders
Intestines
medicine.anatomical_structure
030220 oncology & carcinogenesis
business
Subjects
Details
- ISSN :
- 1558318X
- Volume :
- 45
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- The Urologic clinics of North America
- Accession number :
- edsair.doi.dedup.....4989a2192c8486a5cefec0e5daa11f65