Multi-institutional experience with the gastrointestinal composite reservoir

P. F. Austin, J. L. Lockhart, N. K. Bissada, J. C. Hutcheson, H. M. Snyder, R. C. Rink

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Purpose: We evaluated multi-institutional experience with the gastrointestinal composite reservoir in patients with metabolic acidosis, the short bowel syndrome, severe pelvic radiation and/or renal insufficiency. Materials and Methods: At 4 institutions 33 patients underwent construction of a gastrointestinal composite reservoir, including 19 with the short bowel syndrome, 13 with metabolic acidosis and 7 who also had renal insufficiency. A total of 16 patients underwent conversion of a previous diversion and the remaining 17 received new urinary diversion. Charts were reviewed for the metabolic impact of the gastrointestinal reservoir as well as any long-term sequelae. Results: At a mean followup of 54 months there was a significant (p ≤0.05) improvement in mean preoperative and postoperative serum chloride (106 versus 102 mEq./l.), serum bicarbonate (23.3 versus 25 mEq./l.) and serum pH (7.36 versus 7.4). Mean serum creatinine did not significantly differ during followup in patients with normal renal function or renal insufficiency. Complications were not different than those of standard intestinal or gastric reservoirs. Conclusions: The gastrointestinal reservoir has provided an excellent metabolic balance in a large series of compromised patients with few side effects. We believe that the gastrointestinal composite reservoir represents the urinary diversion of choice when standard intestinal urinary reservoirs cannot be created in the setting of metabolic acidosis, the short bowel syndrome and severe pelvic radiation. However, the value of the gastrointestinal composite in the setting of renal insufficiency remains undetermined.

Original languageEnglish (US)
JournalJournal of Urology
Volume165
Issue number6 I
StatePublished - 2001
Externally publishedYes

Fingerprint

Short Bowel Syndrome
Renal Insufficiency
Acidosis
Urinary Diversion
Serum
Radiation
Bicarbonates
Chlorides
Creatinine
Stomach
Kidney

Keywords

  • Bladder
  • Intestines
  • Short bowel syndrome
  • Stomach
  • Urinary diversion

ASJC Scopus subject areas

  • Urology

Cite this

Austin, P. F., Lockhart, J. L., Bissada, N. K., Hutcheson, J. C., Snyder, H. M., & Rink, R. C. (2001). Multi-institutional experience with the gastrointestinal composite reservoir. Journal of Urology, 165(6 I).

Multi-institutional experience with the gastrointestinal composite reservoir. / Austin, P. F.; Lockhart, J. L.; Bissada, N. K.; Hutcheson, J. C.; Snyder, H. M.; Rink, R. C.

In: Journal of Urology, Vol. 165, No. 6 I, 2001.

Research output: Contribution to journalArticle

Austin, PF, Lockhart, JL, Bissada, NK, Hutcheson, JC, Snyder, HM & Rink, RC 2001, 'Multi-institutional experience with the gastrointestinal composite reservoir', Journal of Urology, vol. 165, no. 6 I.
Austin PF, Lockhart JL, Bissada NK, Hutcheson JC, Snyder HM, Rink RC. Multi-institutional experience with the gastrointestinal composite reservoir. Journal of Urology. 2001;165(6 I).
Austin, P. F. ; Lockhart, J. L. ; Bissada, N. K. ; Hutcheson, J. C. ; Snyder, H. M. ; Rink, R. C. / Multi-institutional experience with the gastrointestinal composite reservoir. In: Journal of Urology. 2001 ; Vol. 165, No. 6 I.
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