Metabolic and Nutritional Consequences of Urinary Diversion Using Intestinal Segments to Reconstruct the Urinary Tract.

Joshua D Roth, Michael O Koch

Journal: The Urologic clinics of North America 2017;45(1):19-24

PMID: 29169447

Full Text on Elsevier Science View on PubMed

Abstract

Intestinal segments in various forms have been used to reconstruct the urinary tract since the mid-1800s. Currently, many different forms of continent and incontinent diversion options exist. Incorporating bowel mucosa within the urinary tract leads to predictable metabolic and nutritional consequences. The use of ileum or colon can cause a hyperchloremic metabolic acidosis, vitamin B12 deficiency, osteoporosis, fat malabsorption, urinary calculi, and ammoniagenic encephalopathy. Due to metabolic and nutritional consequences associated with the use of jejunum and gastric segments, the use of these bowel segments is not recommended.

Address: Department of Urology, Indiana University School of Medicine, Suite 150 Indiana Cancer Pavilion, 535 North Barnhill Drive, Indianapolis, IN 46202, USA.; Indiana University School of Medicine, Suite 150 Indiana Cancer Pavilion, 535 North Barnhill Drive, Indianapolis, IN 46202, USA. Electronic address: [email protected].

DOI: 10.1016/j.ucl.2017.09.007

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MeSH Terms: Humans, Intestines, Metabolic Diseases, Nutrition Disorders, Postoperative Complications, Urinary Diversion, Urinary Tract