Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Ileal conduit stenosis--an enigma

B Magnusson1, B Carlén, E Bak-Jensen

  • 1Department of Urology, University Hospital, Lund, Sweden.

Scandinavian Journal of Urology and Nephrology
|June 1, 1996
PubMed
Summary

Late ileal conduit stenosis, a complication of urinary diversion, causes upper tract obstruction. This condition requires lifelong monitoring due to its insidious nature and obscure pathogenesis.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Silicon carbide--a high-transparency nonlinear material for THz applications.

Optics express·2016
Same author

Incidence and outcomes of surgical resection for giant pulmonary bullae--a population-based study.

Scandinavian journal of surgery : SJS : official organ for the Finnish Surgical Society and the Scandinavian Surgical Society·2012
Same author

Orofacial pain and dysfunction in children with juvenile idiopathic arthritis: a case-control study.

Scandinavian journal of rheumatology·2012
Same author

Langerhans cells and T cells sense cell dysplasia in oral leukoplakias and oral squamous cell carcinomas--evidence for immunosurveillance.

Scandinavian journal of immunology·2012
Same author

Intestinal spirochaetosis as a cause of longstanding diarrhoea.

Upsala journal of medical sciences·2010
Same author

[Epidemiology of liver cirrhosis morbitity and mortality in Iceland.].

Laeknabladid·2010

Area of Science:

  • Urology
  • Gastroenterology
  • Pathology

Background:

  • Ileal conduit urinary diversion is a common surgical procedure.
  • Late complications, such as stenosis, can significantly impact patient outcomes.

Purpose of the Study:

  • To investigate the clinical presentation, diagnosis, and pathological findings of late ileal conduit stenosis.
  • To explore potential pathogenetic mechanisms and recommend long-term management strategies.

Main Methods:

  • Retrospective analysis of 12 patients diagnosed with ileal conduit stenosis between 1981 and 1994.
  • Diagnostic tools included intravenous urography, loopography, and looposcopy.
  • Pathological examination involved light microscopy and transmission electron microscopy (TEM) of removed conduits.

Main Results:

  • Stenosis occurred 7-30 years (mean 14 years) after urinary diversion.
  • Clinical symptoms included flank pain and fever due to upper urinary tract obstruction.
  • Microscopic findings revealed transmural inflammation, submucosal fibrosis, and characteristic ultrastructural changes in the ileal mucosa (reduced microvilli, glycocalyceal bodies, increased lysosomes).

Conclusions:

  • Late ileal conduit stenosis is a serious complication associated with significant upper urinary tract damage.
  • The pathogenesis remains unclear, with proposed factors including microvascular insufficiency, infection, or immunologic responses.
  • Lifelong surveillance of the upper urinary tracts is crucial for patients with ileal conduits due to the insidious nature of this complication.

Related Experiment Videos