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Getting out of a tight spot: an overview of ureteroenteric anastomotic strictures

机译:摆脱困境:输尿管肠吻合口狭窄概述

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Radical cystectomy and urinary diversion is the gold-standard treatment for muscle-invasive and high-risk non-muscle-invasive bladder cancer. Ureteroenteric anastomotic stricture is a well-known complication of urinary diversion and is associated with serious sequelae that lead to total or partial loss of kidney function, infectious complications, and the need for additional procedures. Although the exact aetiology of benign ureteroenteric anastomotic strictures is unclear, they most likely occur secondary to ischaemia at the anastomotic region. Diagnosis can be achieved using retrograde contrast studies, CT scan or MAG3 renography. Open revision remains the gold-standard treatment for ureteroenteric anastomotic strictures; however, endourological techniques are being increasingly used and, in select patients, might be the optimal approach.
机译:根治性膀胱切除术和尿流改道是针对肌肉浸润性和高风险非肌肉浸润性膀胱癌的金标准治疗。肠胃吻合口狭窄是尿路改道的众所周知的并发症,并伴有严重的后遗症,导致肾功能的全部或部分丧失,感染性并发症以及需要其他程序。尽管尚不清楚良性输尿管肠吻合口狭窄的确切病因,但它们很可能继发于吻合区局部缺血。可以使用逆行对比研究,CT扫描或MAG3肾脏造影来进行诊断。开放式翻修仍然是输尿管肠吻合狭窄的金标准治疗;但是,越来越多地使用呼吸内科技术,并且在某些患者中可能是最佳方法。

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