Medical College of Wisconsin
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Ileal loop stenosis: a late complication of urinary diversion. J Urol 1977 Dec;118(6):957-61

Date

12/01/1977

Pubmed ID

926274

DOI

10.1016/s0022-5347(17)58263-4

Scopus ID

2-s2.0-0017593160 (requires institutional sign-in at Scopus site)   29 Citations

Abstract

Stenosis of the ileal conduit was a late complication in 12 patients (10 adults) who underwent urinary diversion by this means at our hospital. The duration of the ileal loop at diagnosis ranged from 4 to 14 years, averaging 9 years. Loop stenosis was generally without symptoms and was suggested only by routine excretory urography, while loopography confirmed the diagnosis. The etiology of the condition is not clear. A variety of possible factors is considered, including microvascular ischemia, urine-borne toxic material, infectious and allergic stimuli and an immunologic defect. The pathogenesis of the condition appears to be based upon a chronic inflammatory reaction, with progressive fibrosis in the mucosa and submucosa of the ileal segment.

Author List

Mitchell ME, Yoder IC, Pfister RC, Daly J, Althausen A

Author

Michael Ernst Mitchell MD Emeritus Professor in the Urology department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Adolescent
Adult
Child
Colon
Female
Humans
Ileum
Intestinal Diseases
Male
Middle Aged
Postoperative Complications
Radiography
Urinary Diversion