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Related Experiment Videos

Twenty-year experience with jejunal conduits

E Fontaine1, Y Barthelemy, A Houlgatte

  • 1Department of Urology, Ambroise Pare Hospital, René Descartes University-Paris V, Boulogne, France.

Urology
|August 1, 1997
PubMed
Summary
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Jejunal conduit urinary diversion is reliable, offering good long-term renal function with rare electrolyte imbalances. This procedure is suitable for most patients, even after pelvic irradiation.

Area of Science:

  • Urology
  • Surgical Oncology
  • Nephrology

Background:

  • Urinary diversion is a critical surgical procedure for various urological conditions.
  • Jejunal conduits are an established method for urinary diversion.
  • Assessing long-term outcomes, particularly renal function and electrolyte balance, is crucial for patient management.

Purpose of the Study:

  • To evaluate the efficacy and safety of jejunal conduit urinary diversion.
  • To specifically analyze long-term renal function and the incidence of electrolyte imbalances.
  • To determine the suitability of this method in patients with prior pelvic irradiation.

Main Methods:

  • A retrospective analysis of 50 patients undergoing jejunal conduit urinary diversion between 1976 and 1994.

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  • Inclusion of patients who received pelvic irradiation prior to diversion (n=18).
  • Assessment of renal function via creatinine clearance and upper urinary tract status via excretory urography.

    • Main Results:

    • Median follow-up was 26 months, with 22 patients followed for over 5 years.
    • Low incidence of electrolyte imbalance (4%), easily managed.
    • No significant overall decrease in creatinine clearance in long-term follow-up; however, 2 patients experienced >20% decrease due to ureterojejunal obstruction.
    • Complications included renal calculi (12%) and parastomal hernia (6%).

    Conclusions:

    • Transperitoneal jejunal conduit urinary diversion is a reliable procedure with good long-term renal outcomes.
    • Electrolyte disturbances are infrequent and manageable.
    • The technique is versatile and applicable even in patients with a history of pelvic irradiation.