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

• Published in: Urologic clinics of North America Vol. 45; no. 1; pp. 19 - 24
• Main Authors: Roth, Joshua D., Koch, Michael O.
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01.02.2018
• Subjects: Colon; Humans; Ileum; Intestines - surgery; Metabolic acidosis; Metabolic complications; Metabolic Diseases - etiology; Nutrition Disorders - etiology; Nutritional complications; Postoperative Complications - etiology; Urinary diversion; Urinary Diversion - adverse effects; Urinary reservoirs; Urinary Tract - surgery; Urology; Urinary reservoirs; Metabolic complications; Urinary diversion; Colon; Ileum; Metabolic acidosis; Nutritional complications
• ISSN: 0094-0143; 1558-318X; 1558-318X
• DOI: 10.1016/j.ucl.2017.09.007

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.