Bone Mineral and Related Biochemical Variables in Patients with Kock Ileal Reservoir or Bricker Conduit for Urinary Diversion (1996)

No AccessJournal of UrologyClinical Urology: Original Article1 Apr 1996Bone Mineral and Related Biochemical Variables in Patients with Kock Ileal Reservoir or Bricker Conduit for Urinary Diversion Magnus Campanello, Hans Herlitz, Goran Lindstedt, Dan Mellstrom, Jan Wilske, Staffan Akerlund, and Olof Jonsson Magnus CampanelloMagnus Campanello , Hans HerlitzHans Herlitz , Goran LindstedtGoran Lindstedt , Dan MellstromDan Mellstrom , Jan WilskeJan Wilske , Staffan AkerlundStaffan Akerlund , and Olof JonssonOlof Jonsson View All Author Informationhttps://doi.org/10.1016/S0022-5347(01)66220-7AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: Bone mineral content was studied with single photon absorptiometry and dual energy x-ray absorptiometry, and the various biochemical parameters related to bone metabolism in patients with Kock reservoirs or Bricker conduits for urinary diversion. Materials and Methods: We examined 34 patients with Kock ileal reservoirs to the skin (29) or urethra (5) and 14 with Bricker conduits 2 to 17 years after urinary diversion. Bone mineral density was measured in the radius with single photon absorptiometry, and in the femur, lumbar spine and whole body with dual x-ray absorptiometry. Serum concentrations of 25-hydroxyvitamin D, 1,25-dihydroxyvitamin D, osteocalcin, parathyroid hormone, bone specific alkaline phosphatase and ionized calcium were determined. Arterial blood gasses were analyzed. Results: The mean values for bone mineral density did not differ from age-matched controls in either group and no signs of decrease were observed with followup. Vitamin D serum concentration values remained within normal limits in all patients. Most patients had normal blood gas values. Mean values for osteocalcin, parathyroid hormone, bone specific alkaline phosphatase and ionized calcium also were within normal limits, although a few patients had elevated osteocalcin values indicating increased bone turnover. Conclusions: Urinary diversion with a Kock reservoir or Bricker conduit did not cause bone demineralization or significant changes in different markers of bone metabolism in patients examined 2 to 17 years after urinary diversion. References 1 : Metabolic consequences of urinary diversion through intestinal segments. Urol. Clin. N. Amer.1991; 18: 725. Google Scholar 2 : Management of late complications of the Kock pouch form of urinary diversion. J. Urol.1987; 137: 1146. Link, Google Scholar 3 : Renal function and upper urinary tract configuration following urinary diversion to a continent ileal reservoir (Kock pouch): a prospective 5 to 11-year followup after reservoir construction. J. Urol.1989; 142: 964. 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Google Scholar Departments of Urology, Nephrology, Geriatric Medicine and Clinical Chemistry and Transfusion Medicine, Shalgrenska University Hospital, Goteborg, Sweden© 1996 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byRichard P, Bashir S, Riverin B, Alibhai S, Kim S, Ahmad A, Fleshner N, Gupta A, Mohammed A, Zlotta A and Kulkarni G (2019) Risk of Bone Fractures Following Urinary Intestinal Diversion: A Population Based StudyJournal of Urology, VOL. 202, NO. 2, (319-325), Online publication date: 1-Aug-2019.HAFEZ A, McLORIE G, GILDAY D, LAUDENBERG B, UPADHYAY J, BÄGLI D and KHOURY A (2018) Long-Term Evaluation of Metabolic Profile and Bone Mineral Density After Ileocystoplasty in ChildrenJournal of Urology, VOL. 170, NO. 4 Part 2, (1639-1642), Online publication date: 1-Oct-2003.PFITZENMAIER J, LOTZ J, FALDUM A, BERINGER M, STEIN R and THÜROFF J (2018) Metabolic Evaluation of 94 Patients 5 to 16 Years After Ileocecal Pouch (Mainz Pouch 1) Continent Urinary DiversionJournal of Urology, VOL. 170, NO. 5, (1884-1887), Online publication date: 1-Nov-2003.STEVEN K and POULSEN A (2018) THE ORTHOTOPIC KOCK ILEAL NEOBLADDER: FUNCTIONAL RESULTS, URODYNAMIC FEATURES, COMPLICATIONS AND SURVIVAL IN 166 MENJournal of Urology, VOL. 164, NO. 2, (288-295), Online publication date: 1-Aug-2000.FUJISAWA M, NAKAMURA I, YAMANAKA N, GOTOH A, HARA I, OKADA H, ARAKAWA S and KAMIDONO S (2018) CHANGES IN CALCIUM METABOLISM AND BONE DEMINERALIZATION AFTER ORTHOTOPIC INTESTINAL NEOBLADDER CREATIONJournal of Urology, VOL. 163, NO. 4, (1108-1111), Online publication date: 1-Apr-2000.MILLS R and STUDER U (2018) METABOLIC CONSEQUENCES OF CONTINENT URINARY DIVERSIONJournal of Urology, VOL. 161, NO. 4, (1057-1066), Online publication date: 1-Apr-1999.OLOFSSON G, FJÄLLING M, KILANDER A, UNG K and JONSSON O (2018) BILE ACID MALABSORPTION AFTER CONTINENT URINARY DIVERSION WITH AN ILEAL RESERVOIRJournal of Urology, VOL. 160, NO. 3 Part 1, (724-727), Online publication date: 1-Sep-1998.Salomon L, Lugagne P, Herve J, Barre P, Lebret T and Botto H (2018) No Evidence of Metabolic Disorders 10 to 22 Years After Camey Type I Ileal EnterocystoplastyJournal of Urology, VOL. 157, NO. 6, (2104-2106), Online publication date: 1-Jun-1997. Volume 155Issue 4April 1996Page: 1209-1213 Advertisement Copyright & Permissions© 1996 by American Urological Association, Inc.MetricsAuthor Information Magnus Campanello More articles by this author Hans Herlitz More articles by this author Goran Lindstedt More articles by this author Dan Mellstrom More articles by this author Jan Wilske More articles by this author Staffan Akerlund More articles by this author Olof Jonsson More articles by this author Expand All Advertisement PDF downloadLoading ...