Metabolic complications of urinary intestinal diversion.
Metabolic complications of urinary intestinal diversion.
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DOI：
10.4103/0970-1591.120112
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发表时间：
2013-10
期刊：
影响因子：
--
通讯作者：
Thorpe AC
中科院分区：
文献类型：
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作者：
Vasdev N;Moon A;Thorpe AC
患有膀胱恶性肿瘤或严重的膀胱解剖/功能异常的患者可能是膀胱切除术时进行尿流改道的候选者。大多数尿流改道都是由肠段构成的。进行尿流改道手术的泌尿外科医生应该意识到当肠段与尿液直接接触时可能发生的生理和代谢变化。与尿流改道相关的并发症有急性和慢性两种。与尿流改道后发生代谢并发症相关的最重要因素是尿液与肠道接触的时间长度以及用于尿流改道的肠段类型。在这篇综述中，我们描述了与尿流改道相关的代谢并发症、其典型的临床表现、随访和具体治疗。
Patients with a urinary bladder malignancy or severe anatomical/functional bladder abnormalities may be candidates for urinary diversion at the time of cystectomy. Most urinary diversions are constructed from intestinal segments. Urological surgeons who perform urinary diversion surgery should be aware of the physiological and metabolic changes that can occur when intestinal segments are in direct contact with urine. The complications associated with urinary diversion are both acute and chronic. The most important factor associated with the development of metabolic complications following urinary diversion is the length of time that the urine is in contact with the bowel and the type of bowel segment used for urinary diversion. In this review, we describe the metabolic complications associated with urinary diversion, their characteristic clinical presentation, follow-up, and specific treatment.