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[Uretero-colonic implantation in children. Late results].

作者信息

Bruezière J

机构信息

Service de Chirurgie Viscérale Pédiatrique, Hôpital d'Enfants Armand-Trousseau, Paris, France.

出版信息

Ann Urol (Paris). 1995;29(4):250-4.

PMID:8554297
Abstract

An uretereo-colic anastomosis in children is performed in three occasions: 1) The trans-intestinal cutaneous ureterostomy (Bricker) has a low rate of complications concerning ureterocolic anastomosis. Nevertheless, occurrence of pyelonephrites may oblige to perform an anti-reflux procedure. 2) Implantation of ureters in the intestinal segment of an augmentation colocystoplastys in unusual; when necessary, this type of implantation is safe because colon is appropriate for an antireflux procedure. 3) Ureterocolic diversion (Coffey) is quite comfortable for patients. Risks of renal failure and of adenocarcinoma are minimal thanks to an annual control. Concerning exstrophy of bladder, it seems now that risk of infertility is lower for patients with an ureterocolic diversion than those with a genito-urinary reconstruction.

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