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Endoscopic dilatation of uretero ileal stenoses in bricker diversions

Endoscopic dilatation of uretero ileal stenoses in bricker diversions

Annales d'Urologie 20(6): 384-387

Eleven patients with stenosis of an uretero-ileal anastomosis following Bricker's operation underwent endoscopic dilatation of these stenoses via an inferior approach with Eder-Puestow's apparatus of Savary's dilatators. The preliminary results were favorable in 7 patients with clinical, endoscopic and radiological improvement. An ureteroileal drainage catheter was inserted in each case and was changed regularly after the operation. In one patient, a stone trapped in the anastomosis was able to be removed via the endoscopic procedure. No complications were observed. The two technical failures required surgical re-operation in the one case and dilatation via a superior approach with an inflatable balloon catheter. This technique demonstrates the value of gastrointestinal endoscopy in the treatment of certain complications in patients with a urinary diversion using a segment of the intestinal tract.

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Accession: 005359204

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