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  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Pediatric surgery international 11 (1996), S. 252-255 
    ISSN: 1437-9813
    Keywords: Gastrocystoplasty ; Metabolic acidosis ; Bladder exstrophy ; Dysuria-hematuria syndrome
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The authors report the use of a stomach segment vascularized via the right gastroepiploic artery in order to increased bladder capacity in 18 patients with bladder exstrophy. The morphological and functional results were good in 15 patients (83.4%); 13 (72.2%) continue to use intermittent catheterization to empty the bladder, while 5 (27.7%) have spontaneous voiding. Seven patients are completely continent, 8 partially continent (〈3 h), and 2 are still incontinent. We encountered no metabolic complications and no patient complained of mucus production. Ten patients had a dysuria-hematuria syndrome, 8 only slight and 2 marked. We believe that even though gastrocystoplasty is a valid alternative compared with other tissues used to date for bladder augmentation, attention should be paid to this new pathological sequela, which has proved to occur quite frequently, as seen from the long- and short-term follow-up of patients who have had this operation.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    Pediatric surgery international 5 (1990), S. 59-60 
    ISSN: 1437-9813
    Keywords: Pyloric obstruction ; Gastroduodenal mucosal intussusception
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Gastroduodenal mucosal intussusception was recently observed in a baby girl born with esophageal atresia. After ligation of the tracheoesophageal fistula, a gastrostomy tube was inserted. At 3 months of age an esophagoesophageal anastomosis was performed and oral feeding was begun that resulted in vomiting. An upper gastrointestinal endoscopy confirmed the normal viability of the esophagus and showed intussusception of gastric mucosa into the duodenum. At laparotomy, a wide pylorotomy was done and the intussuscepted mucosa was resected and a pyloroplasty performed. Ten days postoperatively oral feeding was restarted successfully.
    Type of Medium: Electronic Resource
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  • 3
    Electronic Resource
    Electronic Resource
    Springer
    Pediatric surgery international 9 (1994), S. 82-85 
    ISSN: 1437-9813
    Keywords: Enterocystoplasty ; Sigmoid patch ; Neurogenic bladder ; Vesicoureteric reflux ; Intermittent catheterization
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract From January 1988 to April 1991, 15 patients with neurogenic bladder dysfunction underwent surgery for bladder augmentation using a sigmoid patch. The ages at the time of operation ranged from 3 to 18 years. The indications for bladder augmentation were urinary undiversion (3) and low compliant bladder associated with reflux or upper tract deterioration (12). Associated procedures were: 4 transureteroureterostomies (TUU), 2 ureteral taperings, 26 ureteral reimplantations, 7 bladder neck reconstructions, and 2 continent diversions. Reoperation was necessary in 2 cases: 1 with leakage of a TUU and 1 with stenosis of the reimplanted ureter. Follow-up ranged from 1 to 4 years. Mocous secretion is still present in all cases, but neither interferes with catheterization nor has it caused the formation of stones. No complications due to ventriculoperitoneal shunts have been noted and no perforation of a patch has been observed. Urinary continence improved in each case without evidence of significant hyperactivity of the patch. Enterocystoplasty with a sigmoid patch is a safe and rapid procedure; considering the clinical, radiologic, and functional results, we believe that this is the technique of choice for bladder augmentation in children with neurogenic bladder.
    Type of Medium: Electronic Resource
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  • 4
    Electronic Resource
    Electronic Resource
    Springer
    Pediatric surgery international 11 (1996), S. 150-152 
    ISSN: 1437-9813
    Keywords: Augmentation enterocystoplasty ; Hyperchloremic acidosis ; Hypercalciuria ; Hyperphosphaturia
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Recent reports have shown that metabolic acidosis is a possible complication in patients who undergo augmentation enterocystoplasty. We studied 30 patients with neurogenic bladder who underwent sigmoidocystoplasty. Follow-up ranged from 1 to 10 years; all the patients showed normal renal function. We found significant hyperchloremic acidosis in 10% and borderline acidosis in 27% of the patients. Abnormalities of calcium and phosphorus balance were noted in 16.5% and 43% of the patients respectively, and more frequently in acidolic patients, which might be the result of activation of the bony buffers and might cause delayed growth in children. Close follow-up of all patients with enterocystoplasty is required, and oral bicarbonate is indicated when acidosis is detected.
    Type of Medium: Electronic Resource
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