Metabolic Complications of the Urinary Intestinal Diversion: lleo‐caecal Bladder Compared with Ileal Conduit

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Abstract
Summary— Five patients with an ileal conduit and 5 with an ileo‐caecal bladder substitute have been studied metabolically. All had undergone cystectomy for infiltrating carcinoma and they formed 2 homogeneous groups in terms of age and follow‐up.Function in both groups was within normal limits but closer examination of patients with an ileo‐caecal bladder revealed mild functional damage as shown by reduced creatinine secretion, a lower level of bicarbonate and lower urinary acid valency secretion.It was concluded that the ileal conduit is more satisfactory from a metabolic point of view than the ileo‐caecal bladder, which requires closer follow‐up and treatment with bicarbonates if necessary.

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