Stomach in combination with other intestinal segments in pediatric lower urinary tract reconstruction.

Abstract

We report the results of combining gastric and ileal segments in a small group of predominantly pediatric patients. We retrospectively reviewed the records of 6 children and 1 adult who underwent lower urinary tract reconstruction using stomach and ileum, including 3 simultaneous and 4 staged procedures. Followup was 13 to 59 months. No patient had deterioration of renal function due to impaired upper tract drainage. One patient had an episode of hyponatremia during a gastrointestinal illness. The adult has the hematuria-dysuria syndrome and receives omeprazole. No ulceration developed in the 6 evaluable patients. The combined use of stomach and ileum has been effective in this small group of challenging patients. Long-term followup is mandatory.