Sanni-Bankole R, Masson J, Di Benedetto V, Coquet M, Monfort G
Department of Pediatric Urology (Pr G. Monfort), Hôpital d'Enfants de la Timone, Marseille, France.
Eur J Pediatr Surg. 1995 Dec;5(6):342-7. doi: 10.1055/s-2008-1066239.
A wedge-shaped segment of stomach based on the right gastroepiploic artery was used for bladder augmentation in 11 patients. Initial diagnosis in these 11 patients was bladder exstrophy. Indications for the use of stomach in bladder reconstruction were important bilateral upper tract deterioration in 10 patients, dederivation in 1. A continent appendicostomy (Mitrofanoff) has been performed in all patients. In post-operative follow-up (average 24 months), all patients have stable upper tract X-rays and stable or improved renal function. All patients require intermittent clean catheterization, 8 are totally continent, 2 are partially continent, 1 patient is still incontinent. No serious digestive problem was encountered. The increase in bladder capacity was 300 to 500% after 6 months. Mucus production is reduced relative to other intestinal segments and the patients require no bladder irrigation. The authors recommend the use of stomach for urinary tract reconstruction in compromised patients.
11例患者采用以胃网膜右动脉为蒂的楔形胃段进行膀胱扩大术。这11例患者的初始诊断为膀胱外翻。10例患者因双侧上尿路严重病变、1例因去功能化而使用胃进行膀胱重建。所有患者均已行可控性阑尾造口术（米氏术）。术后随访（平均24个月），所有患者上尿路X线检查结果稳定，肾功能稳定或改善。所有患者均需间歇性清洁导尿，8例完全可控，2例部分可控，1例仍有尿失禁。未遇到严重的消化问题。6个月后膀胱容量增加300%至500%。相对于其他肠段，黏液分泌减少，患者无需膀胱冲洗。作者建议在病情复杂的患者中使用胃进行尿路重建。
