Metabolic and Nutritional Consequences of Urinary Diversion Using Intestinal Segments to Reconstruct the Urinary Tract

Joshua D. Roth, Michael O. Koch

Research output: Contribution to journalReview article

6 Scopus citations

Abstract

Intestinal segments in various forms have been used to reconstruct the urinary tract since the mid-1800s. Currently, many different forms of continent and incontinent diversion options exist. Incorporating bowel mucosa within the urinary tract leads to predictable metabolic and nutritional consequences. The use of ileum or colon can cause a hyperchloremic metabolic acidosis, vitamin B12 deficiency, osteoporosis, fat malabsorption, urinary calculi, and ammoniagenic encephalopathy. Due to metabolic and nutritional consequences associated with the use of jejunum and gastric segments, the use of these bowel segments is not recommended.

Original languageEnglish (US)
Pages (from-to)19-24
Number of pages6
JournalUrologic Clinics of North America
Volume45
Issue number1
DOIs
StatePublished - Feb 2018

Keywords

  • Colon
  • Ileum
  • Metabolic acidosis
  • Metabolic complications
  • Nutritional complications
  • Urinary diversion
  • Urinary reservoirs

ASJC Scopus subject areas

  • Urology

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