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Continent ileal pouch using the serous-lined principle.

Abstract：

OBJECTIVES:The flap valve principle is not easily applicable to an ileal pouch since a submucosal tunnel is difficult to create. We attempted to construct an ileal pouch with an umbilical stoma applying the serous-lined principle for both ureteral implantation and construction of a continent valve. METHODS:In 9 patients, a continent pouch with an umbilical stoma was created entirely from an ileal segment. Adopting the serous-lined principle, a continent valve was created by appendix in 2 cases, tapered ileum in 3 cases, and reconfigured ileum in 4 cases. These were implanted into the anterior suture line of the pouch and embedded into the serous-lined tunnel formed by the pouch wall. RESULTS:Patients can catheterize the pouch easily with a 14-Fr catheter. Postoperatively, pouch capacity is over 400 ml with complete continence. CONCLUSION:This technique can provide a simple and effective continent ileal pouch facilitating umbilical anastomosis. As a continent valve, the reconfigured ileal segment seems most useful for application of the serous-lined principle.

journal_name

Eur Urol

journal_title

European urology

authors

Kato H,Igawa Y,Kiyokawa H,Iwata K,Nishizawa O

doi

10.1159/000020260

keywords:

subject

Has Abstract

pub_date

2000-07-01 00:00:00

pages

100-3

issue

1

eissn

0302-2838

issn

1873-7560

pii

20260

journal_volume

38

pub_type

临床试验,杂志文章

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