Colon Conduit in Pediatric Renal Transplantation

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Abstract
Contralateral colon conduit diversion was used for renal transplant drainage in 2 children. Patient selection and rationale for this operative technique are discussed as are other diversion alternatives. A review of the literature revealed that of 36 patients with renal transplants into intestinal conduits, 19 (52.8%) survived with a functional transplant. Of these patients, 17 were children, including 12 (70.6%) who have functional grafts. In 1 patient, a large submucosal hematoma developed along the ureteral tunnel, which resolved with expectant management. The preliminary data for this high risk group of pediatric transplant patients requiring intestinal diversion is encouraging.