Segments from almost all parts of the bowel have been used for urinary diversion. As a result, the available absorptive surface area of the bowel is reduced, and the incorporation of bowel segments into the urinary tract may have metabolic consequences. This is an area somewhat neglected in the literature. @entity14079 are rare, but sub-clinical metabolic disturbances are quite common. Several studies have demonstrated that some of the absorbent and secreting properties of the bowel tissue are preserved after incorporation into the urinary tract. Hyperchloraemic @entity520 can occur if ileal and/or colon segments are used, as well as malabsorption of @entity2186 and @entity6741 after the use of ileal segments. These metabolic effects are not as severe as may be suspected and can be prevented by prophylactic substitution. @entity5 can develop as a long-term consequence of bladder augmentation. Using @entity5 are most likely to occur at the ureteral implantation site. To prevent metabolic complications, careful @entity1 selection and meticulous and lifelong follow up, as well as prophylactic treatment, are mandatory. Endoscopy for early detection has been recommended, starting 10 years postoperatively for @entity1 who underwent surgery for a benign condition.

Bladder augmentation and urinary diversion in XXXX with neurogenic bladder: non-surgical considerations.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity5 :: ('MESH:D009369', 'Disease') :: ['colonic segments, tumours', 'Secondary malignancies'] @entity2186 :: ('MESH:D014805', 'Chemical') :: ['vitamin B(12)'] @entity520 :: ('MESH:D000138', 'Disease') :: ['metabolic acidosis'] @entity6741 :: ('CHEBI:3098', 'Chemical') :: ['bile acid'] @entity14079 :: ('MESH:D020739', 'Disease') :: ['Metabolic complications']
@entity1 :: (9606,Species) :: ['patients']
