Ileal substitution for ureteral loss

Background and Objective: In patients with unilateral or bilateral loss with high length (More than 10cm) and with different etiologies, ileal substitution is good alternative when other procedures are not suitable. The objective of this study was to survey the effects and complications of ileal sub...

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Autores principales: AK Danesh, H Shafi, A Ali Ramaji, YR Yousefnia Pasha
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Lenguaje:EN
FA
Publicado: Babol University of Medical Sciences 2004
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Acceso en línea:https://doaj.org/article/d80bd7465f3d462eaf156afca3364bf6
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spelling oai:doaj.org-article:d80bd7465f3d462eaf156afca3364bf62021-11-10T09:16:12ZIleal substitution for ureteral loss1561-41072251-7170https://doaj.org/article/d80bd7465f3d462eaf156afca3364bf62004-07-01T00:00:00Zhttp://jbums.org/article-1-2701-en.htmlhttps://doaj.org/toc/1561-4107https://doaj.org/toc/2251-7170Background and Objective: In patients with unilateral or bilateral loss with high length (More than 10cm) and with different etiologies, ileal substitution is good alternative when other procedures are not suitable. The objective of this study was to survey the effects and complications of ileal substitution for ureteral loss. Cases: Sixteen patients were operated in urologic ward of Shahid Labbafinejad hospital with ileal substitution for ureteral loss during 1994-1999. Twelve patients were male and four were female with mean age 28 years (3-47 years). Etiology was complications of surgery and ureteroscopy in 11 and TB in 2 and ureteral avulsion in one due to trauma. Follow up was 9-60 months and 3 patients missed follow up. Pre.op sonography, IVP and DTPA isotope scan in all patients revealed severe hydronephrosis in 11 patients. Post.op sonography and scan showed much improvement of kidney function. In 2 patients, hydronephrosis persisted that nephrectomy was performed. Conclusion: In cases with high ureteral loss, which other procedures like uretero-ureterostomy or transuretero-ureterostomy or autotransplant or kidney descending or Boari-Flap cannot be done, ileal substitution is good alternative with low complication.AK DaneshH ShafiA Ali RamajiYR Yousefnia PashaBabol University of Medical Sciencesarticleureterileumileal ureteral substitutionMedicineRMedicine (General)R5-920ENFAMajallah-i Dānishgāh-i ̒Ulūm-i Pizishkī-i Bābul, Vol 6, Iss 3, Pp 55-58 (2004)
institution DOAJ
collection DOAJ
language EN
FA
topic ureter
ileum
ileal ureteral substitution
Medicine
R
Medicine (General)
R5-920
spellingShingle ureter
ileum
ileal ureteral substitution
Medicine
R
Medicine (General)
R5-920
AK Danesh
H Shafi
A Ali Ramaji
YR Yousefnia Pasha
Ileal substitution for ureteral loss
description Background and Objective: In patients with unilateral or bilateral loss with high length (More than 10cm) and with different etiologies, ileal substitution is good alternative when other procedures are not suitable. The objective of this study was to survey the effects and complications of ileal substitution for ureteral loss. Cases: Sixteen patients were operated in urologic ward of Shahid Labbafinejad hospital with ileal substitution for ureteral loss during 1994-1999. Twelve patients were male and four were female with mean age 28 years (3-47 years). Etiology was complications of surgery and ureteroscopy in 11 and TB in 2 and ureteral avulsion in one due to trauma. Follow up was 9-60 months and 3 patients missed follow up. Pre.op sonography, IVP and DTPA isotope scan in all patients revealed severe hydronephrosis in 11 patients. Post.op sonography and scan showed much improvement of kidney function. In 2 patients, hydronephrosis persisted that nephrectomy was performed. Conclusion: In cases with high ureteral loss, which other procedures like uretero-ureterostomy or transuretero-ureterostomy or autotransplant or kidney descending or Boari-Flap cannot be done, ileal substitution is good alternative with low complication.
format article
author AK Danesh
H Shafi
A Ali Ramaji
YR Yousefnia Pasha
author_facet AK Danesh
H Shafi
A Ali Ramaji
YR Yousefnia Pasha
author_sort AK Danesh
title Ileal substitution for ureteral loss
title_short Ileal substitution for ureteral loss
title_full Ileal substitution for ureteral loss
title_fullStr Ileal substitution for ureteral loss
title_full_unstemmed Ileal substitution for ureteral loss
title_sort ileal substitution for ureteral loss
publisher Babol University of Medical Sciences
publishDate 2004
url https://doaj.org/article/d80bd7465f3d462eaf156afca3364bf6
work_keys_str_mv AT akdanesh ilealsubstitutionforureteralloss
AT hshafi ilealsubstitutionforureteralloss
AT aaliramaji ilealsubstitutionforureteralloss
AT yryousefniapasha ilealsubstitutionforureteralloss
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