Interposition of ileum in the ureter: a clinical study with

Shokeir, Ahmed A.

doi:10.1046/j.1464-410x.1997.03353.x

Cited by 21 publications

(6 citation statements)

References 6 publications

(9 reference statements)

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“…We present a similar result that two recurrent urinary tract infections during the long-term follow up. Several studies had mentioned about the hyperchloremic metabolic acidosis after the ileal ureteral substitution [19, 20, 22, 29]. The metabolic disorders seem more prevalent in patients with poor renal function, using excessive size of the ileal graft, or increasing the exposure of the bowel mucosa to urine.…”

Section: Discussionmentioning

confidence: 99%

Long-term outcomes of total ureterectomy with ileal-ureteral substitution treatment for ureteral cancer: a single-center experience

Cheng

et al. 2018

BMC Urol

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BackgroundTo explore the feasibility and long-term outcomes of renal preservation in a retrospective cohort of patients with ureteral urothelial carcinoma undergoing total ureterectomy with ileal-ureteral substitution.MethodsA retrospective review of the data from patients treated with total ureterectomy with ileal-ureteral substitution from 1988 to 2016 was performed. The pre-operative oncological status, long-term oncological outcome, long-term renal functional outcome, early and late complications were analyzed.ResultsA total of eight patients with a median age of 70 years were included. The median follow-up time was 109 months. Six patients had multi-focal tumor involvement over the target ureter, and six patients had bilateral upper tract involvement. Only one patient encountered the upper-tract recurrence. The 2 and 5-year cancer-specific survival rates were 87.5 and 75.0%, respectively. The renal function was well-preserved in most patients, with only one patient needed life-long postoperative hemodialysis. Five patients experienced early complications and four patients experienced late complications. No perioperative mortality happened.ConclusionsA total ureterectomy with an ileal-ureteral substitution is feasible for treating ureteral urothelial carcinoma when a renal-sparing procedure is indicated. It provides good long-term oncological outcomes over the upper tract, and it also preserves the renal function.

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Section: Discussionmentioning

confidence: 99%

Long-term outcomes of total ureterectomy with ileal-ureteral substitution treatment for ureteral cancer: a single-center experience

Cheng

et al. 2018

BMC Urol

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“…The loss of long segment of the upper ureter, when end-to-end anastomosis is not technically feasible, presents a challenge to the urological surgeon. Autotransplantation is often the preferred treatment [ 28 ]. Other possible techniques used for ureteral reconstruction include psoas hitch, Boari flap, or a combination of both, ileal interposition, transureteroureterostomy, permanent nephrostomy, appendix or colon interposition, renal descensus, ureterocalicostomy, and pyeloureterostomy plus greater omentum investment outside the avulsed ureter, and the last easiest way is to perform nephrectomy [ 4 , 6 , 14 , 15 , 23 , 28 , 29 ].…”

Section: Discussionmentioning

confidence: 99%

Possible Complications of Ureteroscopy in Modern Endourological Era: Two-Point or “Scabbard” Avulsion

Gaižauskas

Markevičius

Gaižauskas

et al. 2014

Case Reports in Urology

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Indication has led ureteroscopy to be a worldwide technique, with the expected appearance of multiple types of complications. Severe complications are possible including ureteral perforation or avulsion. Ureteral avulsion has been described as an upper urinary tract injury related to the action of blunt trauma, especially from traffic accidents, being the mechanism of injury, the result of an acute deceleration/acceleration movement. With the advent of endourology, that term is also applied to the extensive degloving injury resulting from a mechanism of stretching of the ureter that eventually breaks at the most weakened site, or ureteral avulsion is referred to as a discontinuation of the full thickness of the ureter. The paper presents a case report and literature review of the two-point or “scabbard” avulsion. The loss of long segment of the upper ureter, when end-to-end anastomosis is not technically feasible, presents a challenge to the urological surgeon. In the era of small calibre ureteroscopes these complications, due to growing incidence of renal stones will become more and more actual. Our message to other urologists is to know such a complication, to know the ways of treatment, and to analyse ureteroscopic signs, when to stop or pay attention.

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“…In case of complete avulsion of the ureter at the ureteropelvic junction, a dismembered pyeloplasty is the preferred option. In case of severe tissue loss, autotransplantation, especially in young patients, or ileal interposition, will yield a satisfactory result (10,12). Moreover, an alternative method of successful repair of extensive injuries with appendix interposition was reported in three cases where the conventional techniques were precluded (13)(14)(15).…”

Section: Discussionmentioning

confidence: 99%

Ureteral avulsion as a complication of ureteroscopy

et al. 2003

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Purpose: Report and review the literature on ureteral avulsion as a rare complication of ureteroscopy.Materials and Methods: We analyzed 3 cases of ureteral avulsion in a series of 4,645 ureteroscopic procedures performed from January 1990 to December 2001. We especially report the different managements for this complication.Results: Due to the different extent of the injury, each patient was treated in a particular way, including a patient managed by means of an endourological approach.Conclusions: When performing ureteroscopy or using Dormia baskets, one should always bear in mind the possibility of serious complications, including ureteral avulsion or perforation. The use of an extremely careful technique of ureteral insertion, the mandatory placement of a safety guidewire, and a working guidewire, all minimize the risk of untoward events.

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Interposition of ileum in the ureter: a clinical study with

Cited by 21 publications

References 6 publications

Long-term outcomes of total ureterectomy with ileal-ureteral substitution treatment for ureteral cancer: a single-center experience

Long-term outcomes of total ureterectomy with ileal-ureteral substitution treatment for ureteral cancer: a single-center experience

Possible Complications of Ureteroscopy in Modern Endourological Era: Two-Point or “Scabbard” Avulsion

Ureteral avulsion as a complication of ureteroscopy

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