用于治疗全盆腔脏器清除术后高氯性代谢性酸中毒的新型输尿管支架置入技术
Novel Ureteral Stent Catheterization Technique for Treating Hyperchloremic Metabolic Acidosis After Total Pelvic Exenteration.
作者信息
Komori Koji, Tanaka Tsutomu, Inaba Yoshitaka, Kinoshita Takashi, Sato Yusuke, Ouchi Akira, Ito Seiji, Abe Tetsuya, Misawa Kazunari, Ito Yuichi, Natsume Seiji, Higaki Eiji, Asano Tomonari, Okuno Masataka, Fujieda Hironori, Akaza Satoru, Saito Hisahumi, Narita Kiyoshi, Kitahara Takuya, Hanazawa Takaaki, Ojio Hidenori, Negita Masashi, Shimizu Yasuhiro
机构信息
Department of Gastroenterological Surgery, Aichi Cancer Center Hospital, Nagoya, Japan;
Department of Endoscopy, Aichi Cancer Center Hospital, Nagoya, Japan.
出版信息
Anticancer Res. 2023 Nov;43(11):5149-5153. doi: 10.21873/anticanres.16715.
BACKGROUND/AIM: Hyperchloremic metabolic acidosis after total pelvic exenteration (TPE) is relatively rare. Urinary diversion of the ileal conduit during TPE can result in increased urine reabsorption leading to hyperchloremic metabolic acidosis. We developed a new technique for the retrograde catheterization of a ureteral stent into an ileal conduit to treat hyperchloremic metabolic acidosis.
CASE REPORT
A 70-year-old man underwent TPE for locally recurrent rectal cancer. Multiple episodes of complications, such as hyperchloremia and metabolic acidosis, occurred. Effective drainage of urine from the ileal conduit is crucial. With collaboration between an endoscopist and a radiologist, we developed a novel method for retrograde catheterization of the ureteral stent into an ileal conduit for hyperchloremic metabolic acidosis after TPE. The patient's condition quickly improved after the procedure.
CONCLUSION
Our novel technique of retrograde catheterization of a ureteral stent into an ileal conduit for hyperchloremic metabolic acidosis could be adopted worldwide, as it is effective and safe.
背景/目的：全盆腔脏器切除术（TPE）后发生高氯性代谢性酸中毒相对少见。TPE期间行回肠代膀胱术可导致尿液重吸收增加，进而引发高氯性代谢性酸中毒。我们研发了一种将输尿管支架逆行插入回肠代膀胱以治疗高氯性代谢性酸中毒的新技术。
病例报告
一名70岁男性因局部复发性直肠癌接受了TPE。出现了多次并发症，如高氯血症和代谢性酸中毒。有效引流回肠代膀胱中的尿液至关重要。在内镜医师和放射科医师的协作下，我们研发了一种将输尿管支架逆行插入回肠代膀胱以治疗TPE后高氯性代谢性酸中毒的新方法。术后患者病情迅速改善。
结论
我们将输尿管支架逆行插入回肠代膀胱治疗高氯性代谢性酸中毒的新技术有效且安全，可在全球推广应用。
Zotero 插件