Complications After Use of Gastric Segments for Lower Urinary Tract Reconstruction

Abstract

We do not recommend the use of gastric segments for reconstruction of the lower urinary tract due to the high incidence of reoperations and complications. In patients in whom gastric segments were used in the past for lower urinary tract reconstruction, regular surveillance and close followup are strongly advocated.

What is the outcome of paediatric gastrocystoplasty when the patients reach adulthood?

“…HDS is a common clinically significant problem related to the use of gastric tissue for bladder augmentation . Its reported incidence ranges from 21% to 70% (Table ) . Most cases can be easily treated with proton‐pump inhibitors, increased hydration, and increased frequency of CISC .…”

Rediversion after urinary diversion: A single-centre experience

“…The conduit is formed from the major curvature using stapling instruments (Figure 1). However, a word of caution is necessary: peptic ulcer and malignant transformation have been reported after gastrocystoplasty [10], and these patients should also be followed closely.…”

The Evolution of Bladder Augmentation: From Creating a Reservoir to Reconstituting an Organ

“…The presence of a gastrocystoplasty in this situation creates a tendency toward metabolic alkalosis; a problem significantly more challenging to manage medically. The frequency and severity of complications after gastrocystoplasty has resulted in the procedure losing favor and has led some to recommend abandoning it altogether (31). The majority of malignancies have been reported in patients undergoing enterocystoplasty but malignancies following gastrocystoplasty have been reported (32–36).…”