Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
Bladder reconstruction with autotransplanted ileum in the dog: better functional results than standard enterocystoplasty
Autore:
Ueno, K; Yamanaka, N; Kimura, K; Arakawa, S; Kamidono, S; Hara, I;
Indirizzi:
Kobe Univ, Sch Med, Dept Urol, Chuo Ku, Kobe, Hyogo, Japan Kobe Univ KobeHyogo Japan h Med, Dept Urol, Chuo Ku, Kobe, Hyogo, Japan
Titolo Testata:
BJU INTERNATIONAL
fascicolo: 7, volume: 87, anno: 2001,
pagine: 703 - 707
SICI:
1464-4096(200105)87:7<703:BRWAII>2.0.ZU;2-S
Fonte:
ISI
Lingua:
ENG
Soggetto:
SMALL-BOWEL TRANSPLANTATION; EXPERIENCE; RESERVOIR; RAT;
Keywords:
bladder reconstruction; autotransplantation; denervation; dog;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
17
Recensione:
Indirizzi per estratti:
Indirizzo: Hara, I Kobe Univ, Sch Med, Dept Urol, Chuo Ku, 7-5-1 Kusunoki Cho, Kobe, Hyogo, Japan Kobe Univ 7-5-1 Kusunoki Cho Kobe Hyogo Japan Kobe, Hyogo, Japan
Citazione:
K. Ueno et al., "Bladder reconstruction with autotransplanted ileum in the dog: better functional results than standard enterocystoplasty", BJU INT, 87(7), 2001, pp. 703-707

Abstract

Objective To compare, in a dog model, the properties of a reconstructed bladder (peristalsis, histological changes and absorption) using an autotransplanted ileal segment with standard enterocystoplasty. Materials and methods Female beagle dogs were divided into two groups. In group 1 (autotransplantation, six dogs), a Heineke-Mikulicz-type pouch was constructed using autotransplanted terminal ileum. The artery and rein of the terminal ileum were anastomosed to the iliac artery and vein, respectively. The pouch was anastomosed to the bladder remnant immediately above the vesical triangle. In group 2. (control, five dogs) the same type of bladderreconstruction using terminal ileum was undertaken but with no vessel anastomosis. Bladder function in these two groups was then compared for peristalsis (by monitoring intravesical pressure), histological changes (by microscopy) and glucose reabsorption ( by measuring the amount of glucose remaining in the reconstructed bladder). The mean (range) follow-up was 11 (7-18) months for group 1 and 9.2 (7-12) months for group 2: the recovery time before examination was 4.6 (2-7) months for group 1 and 4.0 (2-6) months for group 2. Results In group 1, there were no major complications in five dogs after the procedure and they survived for >7 months: the autotransplant became necrotic in one dog where the arterial diameter was <1 mm. In the control group, all five dogs survived for <greater than or equal to> 7 months after surgery. Intestinal peristalsis was inhibited in group 1 but not in group. Thebladder was oval/spherical in group 1 and elongated in group 2. with a thinner epithelium and fewer goblet cells in the latter. Glucose reabsorption was greater in group 2 than in group 1. Conclusion Bladder reconstruction using autotransplanted terminal ileum indogs is technically feasible. For bowel peristalsis and reabsorption of glucose. autotransplanted ileum may have functional advantages over a standard enterocystoplasty.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 07/04/20 alle ore 22:54:50