Interposition of Ileum in the Ureter

Shokeir, Ahmed A.; Mahran, M. R.; Shamaa, Mostafa A.

doi:10.3109/00365599309180459

Cited by 6 publications

(2 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Over 20 yr ago, Mitrofanoff initially described the use of appendix as a continent vesicostomy (17). Similarly, others have successfully employed the use of small bowel for urinary drainage because of its mucosal surface and excellent perfusion (18–24). Martin and Mesrobian reported successful ureteral replacement using appendix (19, 25) and recently, Schlitt reported successful reconstruction of complete ureteropelvic necrosis using a vascularized jejunal patch in which a small‐vascularized patch of jejunum was fixed to the renal parenchyma allowing anastomosis of the native ureter to the reconstructed pelvis (26).…”

Section: Discussionmentioning

confidence: 99%

Use of appendix for complete transplant ureteral necrosis

Blaszak

Dunn

Finck

2003

Pediatric Transplantation

View full text Add to dashboard Cite

A 3-yr-old boy with posterior urethral valves underwent cadaveric renal transplant. On the ninth day after transplantation the patient developed a urinary leak, with complete ureteral necrosis. There was insufficient length of undamaged ureter to permit ureteroneocystostomy, unavailability of a native ureter to permit ureteroureterostomy, and an inability to mobilize the transplant kidney or bladder sufficiently to permit direct pyelovesicostomy. As the kidney was otherwise functioning perfectly, we decided to create an appendiceal conduit in the hope of salvaging the patient's renal allograft. At present, 7 months post-transplant, the child is clinically well with a serum creatinine of 0.7 mg/dL. Complete ureteral necrosis is an infrequent but devastating complication following renal transplantation. We report a novel method that allowed an otherwise normally functioning cadaveric graft to be salvaged.

show abstract

Section: Discussionmentioning

confidence: 99%

Use of appendix for complete transplant ureteral necrosis

Blaszak

Dunn

Finck

2003

Pediatric Transplantation

View full text Add to dashboard Cite

show abstract

“…The proximal end of the ileal loop was anastomosed end-to-end with the dilated described [3] and this report presents the results from more patients with a longer follow-up.…”

Section: Introductionmentioning

confidence: 99%

Interposition of ileum in the ureter: a clinical study with

Shokeir

1997

British Journal of Urology

View full text Add to dashboard Cite

Objective To present the long-term results of the interResults Urinary drainage was satisfactory and renal function and configuration were improved. None of position of ileum in the ureter. Patients and methods An ileal loop was interposed to the patients experienced metabolic acidosis or electrolyte disturbances despite receiving no medication. replace a long defect of the upper ureter, with preservation of lower ureteric continuity, in nine patients Conclusion These results were encouraging and further clinical experience is needed to confirm that ileal (mean age 35 years, range 18-58). Patients were followed regularly for a mean of 5.2 years (range 2-7)interposition of the ureter is a safe and effective procedure. and assessed using renal ultrasonography, isotopic renography and intravenous urography.

show abstract