Metabolic Acidosis after Orthotopic Detubularized Ileocaecal Pouch versus Ileal Neobladder (Y Pouch) | ||||
| The Medical Journal of Cairo University | ||||
| Article 126, Volume 86, June, June 2018, Page 2123-2126 PDF (211.62 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/mjcu.2018.57137 | ||||
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| Authors | ||||
| ABDALLA M. EL-AZAB, M.Sc.; SHARIF ABD AL-KARIM, M.Sc.; MOHAMMED S. MOHAMMED, M.D.; AMRO A. ATTIA, M.D. | ||||
| The Department of Surgical Oncology, National Cancer Institute, Cairo University, Egypt | ||||
| Abstract | ||||
| Abstract Background: To compare metabolic acidosis early and late following orthotopic detubularized ileocaecal pouch versus ileal neobladder (Y pouch) after radical cystectomy for invasive urinary bladder cancer. Aim of Study: To compare metabolic acidosis early and late following orthotopic detubularized ileocaecal pouch versus ileal neobladder (Y pouch) after radical cystectomy for invasive urinary bladder cancer. Patients and Methods: Patients presenting to the National Cancer Institute, Cairo University from March 2014 to April 2015; Acid base disturbance and metabolic acidosis were measured in 31 patients with orthotopic detubularized ileo-caecal pouch versus 31 patients with ileal neobladder (Y pouch) with mean follow-up every 2 months for 1 year post-operative. Results: In ileal neobladder (Y pouch), Mild Metabolic acidosis was noticed in seven patients (25.9%) in comparison to nine patients (32.1%) in orthotopic detubularized ileocaecal pouch with no significant changes between both groups. Conclusion: There is no significant difference in relation to metabolic acidosis between orthotopic detubularized ileo-caecal pouch versus ileal neobladder after radical cystectomy. | ||||
| Keywords | ||||
| Metabolic acidosis – Orthtopic diversion | ||||
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