Portal de Periódicos da CAPES

Ileal Conduits in Children at the Massachusetts General Hospital From 1955 to 1970

1976; Lippincott Williams & Wilkins; Volume: 115; Issue: 5 Linguagem: Inglês

10.1016/s0022-5347(17)59294-0

1527-3792

Anthony W. Middleton, W. Hardy Hendren,

Urological Disorders and Treatments

No AccessJournal of Urology1 May 1976Ileal Conduits in Children at the Massachusetts General Hospital From 1955 to 1970 Anthony W. Middleton, and W. Hardy Hendren Anthony W. MiddletonAnthony W. Middleton Current address: 1060 E. First South, Salt Lake City, Utah 84102. More articles by this author , and W. Hardy HendrenW. Hardy Hendren More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(17)59294-0AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail The 45 ileal conduits performed on children at the Massachusetts General Hospital from 1955 to 1963 are reviewed and compared to the 45 ileal conduits performed from 1964 to 1970. Late complications involving the conduits occurred in 60 per cent of the early group and in 51 per cent of the late group. Of the renal units judged normal pyelographically preoperatively in the early group 77 per cent went on to at least some deterioration, while 62 per cent of the late group judged normal later deteriorated. Combining all renal units, 34 per cent remained unchanged, 26 per cent improved and 41 per cent showed some degree of deterioration after ileal conduit urinary diversion. The late complication and renal deterioration rates seem to increase progressively with time. There was no apparent urinary obstruction in 13 per cent of the renal units that deteriorated. Theoretical and experimental considerations indicate the reflux of infected urine as the etiology of the renal deterioration. Because of the late complications and the unacceptably high rate of renal deterioration we no longer perform ileal conduits in children. Instead every effort is made to reconstruct the urinary tract or, if urinary diversion is necessary, a colon conduit with non-refluxing ureterocolonic anastomoses is performed. © 1976 by The American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited ByLemelle J, Guillemin F, Aubert D, Guys J, Lottmann H, Lortat-Jacob S, Moscovici J, Mouriquand P, Ruffion A and Schmitt M (2018) A Multicenter Evaluation of Urinary Incontinence Management and Outcome in Spina BifidaJournal of Urology, VOL. 175, NO. 1, (208-212), Online publication date: 1-Jan-2006.PAHERNIK S, STEIN R, HOHENFELLNER M and THÜROFF J (2018) CONVERSION FROM COLONIC OR ILEAL CONDUIT TO CONTINENT CUTANEOUS URINARY DIVERSIONJournal of Urology, VOL. 171, NO. 6 Part 1, (2293-2297), Online publication date: 1-Jun-2004.HATCH D, KOYLE M, BASKIN L, ZAONTZ M, BURNS M, TARRY W, BARRY J, BELITSKY P and TAYLOR FOR R (2018) KIDNEY TRANSPLANTATION IN CHILDREN WITH URINARY DIVERSION OR BLADDER AUGMENTATIONJournal of Urology, VOL. 165, NO. 6 Part 2, (2265-2268), Online publication date: 1-Jun-2001.Koo H, Avolio L and Duckett J (2018) Long-Term Results of Ureterosigmoidostomy in Children With Bladder ExstrophyJournal of Urology, VOL. 156, NO. 6, (2037-2040), Online publication date: 1-Dec-1996.Stein R, Fisch M, Stockle M, Demirkesen O and Hohenfellner R (2018) Colonic Conduit in Children: Protection of the Upper Urinary Tract 16 Years Later?Journal of Urology, VOL. 156, NO. 3, (1146-1150), Online publication date: 1-Sep-1996.Studer U, Danuser H, Merz V, Springer J and Zingg E (2018) Experience in 100 Patients with an Ileal Low Pressure Bladder Substitute Combined with an Afferent Tubular Isoperistaltic SegmentJournal of Urology, VOL. 154, NO. 1, (49-56), Online publication date: 1-Jul-1995.Gardner T, Poppas D, Wei J and Blaivas J (2018) Volvulus of the Ileal Conduit: A Late ComplicationJournal of Urology, VOL. 152, NO. 3, (948-950), Online publication date: 1-Sep-1994.Palmer L, Franco I, Kogan S, Reda E, Gill B and Levitt S (2018) Urolithiasis in Children Following Augmentation CystoplastyJournal of Urology, VOL. 150, NO. 2 Part 2, (726-729), Online publication date: 1-Aug-1993.Zaragoza M, Ritchey M, Bloom D and McGuire E (2018) Enterocystoplasty in Renal Transplantation Candidates: Urodynamic Evaluation and OutcomeJournal of Urology, VOL. 150, NO. 5 Part 1, (1463-1466), Online publication date: 1-Nov-1993.Gill I, Hayes J, Hodge E and Novick A (2018) Clean Intermittent Catheterization and Urinary Diversion in the Management of Renal Transplant Recipients with Lower Urinary Tract DysfunctionJournal of Urology, VOL. 148, NO. 5 Part 1, (1397-1400), Online publication date: 1-Nov-1992.Weinberg A, Wen Xie H, Hardy B and Skinner D (2018) A Juvenile Animal Model to Study the Growth Potential of Bowel Segments in the Urinary TractJournal of Urology, VOL. 143, NO. 2, (377-380), Online publication date: 1-Feb-1990.Lepor H, Mohler J, Baumann M and Shapiro E (2018) Comparison of Muscarinic Cholinergic and Alpha Adrenergic Receptors in Canine Ileum, Colon, Intestinal Urinary Reservoirs and BladderJournal of Urology, VOL. 142, NO. 1, (204-208), Online publication date: 1-Jul-1989.Ahlering T, Weinberg A and Razor B (2018) A Comparative Study of the Ileal Conduit, Kock Pouch and Modified Indiana PouchJournal of Urology, VOL. 142, NO. 5, (1193-1196), Online publication date: 1-Nov-1989.Bihrle R, Brito C, Adams M, Woodbury P and Foster R (2018) Construction of an Antirefluxing Urinary Conduit Using a Plicated Ileocecal SegmentJournal of Urology, VOL. 142, NO. 6, (1567-1569), Online publication date: 1-Dec-1989.Månsson W, Colleen S and Mårdh P (2018) The Microbial Flora of the Continent Cecal Urinary Reservoir, its Stoma and the Peristomal SkinJournal of Urology, VOL. 135, NO. 2, (247-250), Online publication date: 1-Feb-1986.Kogan S, Weiss R, Hanna M and Levitt S (2018) Successful Renal Transplantation in a Patient with a Neurogenic Bladder Managed by Clean Intermittent CatheterizationJournal of Urology, VOL. 135, NO. 3, (563-565), Online publication date: 1-Mar-1986.Macgregor P, Kay R and Straffon R (2018) Cutaneous Ureterostomy in Children-Long-Term FollowupJournal of Urology, VOL. 134, NO. 3, (518-520), Online publication date: 1-Sep-1985.Barnett M, Bruskewitz R, Glass N, Sollinger H, Uehling D and Belzer F (2018) Long-term Clean Intermittent Self-catheterization in Renal Transplant RecipientsJournal of Urology, VOL. 134, NO. 4, (654-657), Online publication date: 1-Oct-1985.Månsson W, Colleen S, Löw K, Mårdh P and Lundblad A (2018) Immunoglobulins in Urine from Patients with Ileal and Colonic Conduits and ReservoirsJournal of Urology, VOL. 133, NO. 4, (713-716), Online publication date: 1-Apr-1985.Bruce A, Reid G, Chan R and Costerton J (2018) Bacterial Adherence in the Human Ileal Conduit: A Morphological and Bacteriological StudyJournal of Urology, VOL. 132, NO. 1, (184-188), Online publication date: 1-Jul-1984.Hulecki S and Hackler R (2018) Closure of the bladder Neck in Spinal Cord Injury Patients with Urethral Sphincteric Incompetence and Irreparable Urethral Pathological ConditionsJournal of Urology, VOL. 131, NO. 6, (1119-1121), Online publication date: 1-Jun-1984.Lowe F and Jeffs R (2018) Ileal Trigonal Conduits: 10-year FollowupJournal of Urology, VOL. 130, NO. 5, (874-876), Online publication date: 1-Nov-1983.Texter J (2018) Editorial CommentJournal of Urology, VOL. 130, NO. 5, (876-877), Online publication date: 1-Nov-1983.Flechner S, Conley S, Brewer E, Benson G and Corriere J (2018) Intermittent Clean Catheterization: An Alternative to diversion in Continent Transplant Recipients with Lower Urinary Tract DysfunctionJournal of Urology, VOL. 130, NO. 5, (878-881), Online publication date: 1-Nov-1983.Duckett J (2018) Editorial CommentJournal of Urology, VOL. 130, NO. 5, (881-881), Online publication date: 1-Nov-1983.Goldstein H and Hensle T (2018) Urinary Undiversion in AdultsJournal of Urology, VOL. 128, NO. 1, (143-150), Online publication date: 1-Jul-1982.Hendren W (2018) Editorial CommentJournal of Urology, VOL. 128, NO. 1, (150-150), Online publication date: 1-Jul-1982.Davis C, Petti S and Dixon M (2018) Correlations Between Ancillary Assays and Bacteriuria in Children With Myelodysplasia and Ileal Conduit Urinary DiversionsJournal of Urology, VOL. 128, NO. 3, (546-549), Online publication date: 1-Sep-1982.Perez-Marrero R, Dimmock W, Churchill B and Hardy B (2018) Clean Intermittent Catheterization in Myelomeningocele Children Less than 3 Years OldJournal of Urology, VOL. 128, NO. 4, (779-781), Online publication date: 1-Oct-1982.Hensle T, Nagler H and Goldstein H (2018) Long-Term Functional Results of Urinary Tract Reconstruction in ChildhoodJournal of Urology, VOL. 128, NO. 6, (1262-1269), Online publication date: 1-Dec-1982.Hendren W (2018) Editorial CommentJournal of Urology, VOL. 128, NO. 6, (1269-1269), Online publication date: 1-Dec-1982.Menon M, Yu G and Jeffs R (2018) Technique for Antirefluxing Ureterocolonic AnastomosisJournal of Urology, VOL. 127, NO. 2, (236-237), Online publication date: 1-Feb-1982.Hendren W (2018) Editorial CommentJournal of Urology, VOL. 127, NO. 2, (237-237), Online publication date: 1-Feb-1982.Chiang M, Minton J, Clausen K, Clatworthy H and Wise H (2018) Carcinoma in a Colon Conduit Urinary DiversionJournal of Urology, VOL. 127, NO. 6, (1185-1187), Online publication date: 1-Jun-1982.Richie J (2018) Editorial CommentJournal of Urology, VOL. 127, NO. 6, (1187-1187), Online publication date: 1-Jun-1982.Brock W, So E, Harbach L and Kaplan G (2018) Intermittent Catheterization in the Management of Neurogenic Vesical Dysfunction in ChildrenJournal of Urology, VOL. 125, NO. 3, (391-393), Online publication date: 1-Mar-1981.Sonda L and Solomon M (2018) Twenty-Year Outcome of Cutaneous VesicostomyJournal of Urology, VOL. 124, NO. 3, (326-328), Online publication date: 1-Sep-1980.Heaney J, Althausen A and Parkhurst E (2018) Ileal Conduit Undiversi0N: Experience with Tunneled Vesical Implantation of Tapered ConduitJournal of Urology, VOL. 124, NO. 3, (329-333), Online publication date: 1-Sep-1980.J.W.D. (2018) Editorial CommentJournal of Urology, VOL. 124, NO. 3, (333-333), Online publication date: 1-Sep-1980.Hanash K and Ghandour M (2018) Unusual Complications of Ileal Conduit Urinary Diversion in a Child: A Case of Conduit-Cecal FistulaJournal of Urology, VOL. 123, NO. 1, (116-118), Online publication date: 1-Jan-1980.Dagen J, Sanford E and Rohner T (2018) Complications of the Non-Refluxing Colon ConduitJournal of Urology, VOL. 123, NO. 4, (585-587), Online publication date: 1-Apr-1980.J.W.D. (2018) Editorial CommentJournal of Urology, VOL. 123, NO. 4, (587-587), Online publication date: 1-Apr-1980.Reid Pitts W and Muecke E (2018) A 20-Year Experience With Ileal Conduits: The Fate of the KidneysJournal of Urology, VOL. 122, NO. 2, (154-157), Online publication date: 1-Aug-1979.Hendren W (2018) Editorial CommentJournal of Urology, VOL. 122, NO. 4, (531-531), Online publication date: 1-Oct-1979.Hagen-cook K and Althausen A (2018) Early Observations on 31 Adults With Non-refluxing Colon ConduitsJournal of Urology, VOL. 121, NO. 1, (13-16), Online publication date: 1-Jan-1979.Kimbrough H, Wyker A and Middleton G (2018) Long-Term Followup of Anterior Urethral Transposition in Female Patients with Neurogenic BladderJournal of Urology, VOL. 121, NO. 3, (274-277), Online publication date: 1-Mar-1979.Hendren W (2018) Penile Lengthening After Previous Repair of EpispadiasJournal of Urology, VOL. 121, NO. 4, (527-534), Online publication date: 1-Apr-1979.Althausen A, Hagen-Cook K and Hendren W (2018) Non-Refluxing Colon Conduit: Experience with 70 CasesJournal of Urology, VOL. 120, NO. 1, (35-39), Online publication date: 1-Jul-1978.Hendren W (2018) Complications of UreterostomyJournal of Urology, VOL. 120, NO. 3, (269-281), Online publication date: 1-Sep-1978.Nieh P, Althausen A and Dretler S (2018) Staged Ureterocolocolostomy Urinary DiversionJournal of Urology, VOL. 120, NO. 4, (402-406), Online publication date: 1-Oct-1978.Sweitzer S and Kelalis P (2018) Cutaneous Transureteroureterostomy as a Form of Diversion in Children with a Compromised Urinary TractJournal of Urology, VOL. 120, NO. 5, (589-591), Online publication date: 1-Nov-1978.Harold D and Kass E (2018) Volvulus of an Ileal Conduit with Retroperitoneal Urinoma in a Child: First Reported CaseJournal of Urology, VOL. 119, NO. 2, (282-283), Online publication date: 1-Feb-1978.Hendren W (2018) Some Alternatives to Urinary Diversion in ChildrenJournal of Urology, VOL. 119, NO. 5, (652-660), Online publication date: 1-May-1978.Itatani H and Sonoda T (2018) New Technique of Antireflux Ureteroileal Anastomosis and its Clinical ExperiencesJournal of Urology, VOL. 119, NO. 6, (735-739), Online publication date: 1-Jun-1978.Pond H, Texter J, Harty J and Sanders R (2018) Ileal Trigonal Urinary Diversion: 5-Year Followup EvaluationJournal of Urology, VOL. 118, NO. 1 Part 1, (28-30), Online publication date: 1-Jul-1977.Mulcahy J, James H and Mcroberts J (2018) Oxybutynin Chloride Combined with Intermittent Clean Catheterization in the Treatment of Myelomeningocele PatientsJournal of Urology, VOL. 118, NO. 1 Part 1, (95-96), Online publication date: 1-Jul-1977.Kogan S and Levitt S (2018) Bladder Evaluation in Pediatric Patients Before Undiversion in Previously Diverted Urinary TractsJournal of Urology, VOL. 118, NO. 3, (443-446), Online publication date: 1-Sep-1977.Altwein J, Jonas U and Hohenfellner R (2018) Long-Term Followup of Children with Colon Conduit Urinary Diversion and UreterosigmoidostomyJournal of Urology, VOL. 118, NO. 5, (832-836), Online publication date: 1-Nov-1977.Mitchell M, Yoder I, Pfister R, Daly J and Althausen A (2018) Ileal Loop Stenosis: A Late Complication of Urinary DiversionJournal of Urology, VOL. 118, NO. 6, (957-961), Online publication date: 1-Dec-1977. Volume 115Issue 5May 1976Page: 591-595 Advertisement Copyright & Permissions© 1976 by The American Urological Association Education and Research, Inc.MetricsAuthor Information Anthony W. Middleton Current address: 1060 E. First South, Salt Lake City, Utah 84102. More articles by this author W. Hardy Hendren More articles by this author Expand All Advertisement Loading ...