Acid-base metabolism after bladder substitution with the ileal urethral Kock reservoir

British Journal of Urology
A L Poulsen, K Steven

Abstract

To assess acid-base metabolism after bladder substitution with the ileal Kock reservoir, using capillary blood-gas analysis, measurement of the renal excretion of ammonium and titratable acid and the evaluation of renal function by plasma clearance of 51Cr-labelled ethyl-enediamine tetra-acetic acid (51Cr-EDTA). The investigation comprised both a cross-sectional study, with initial measurements after surgery, and a longitudinal study, with pre-operative measurements, both groups of patients being followed for 2 years after inclusion. The cross-sectional study included 26 patients (median age 66 years, range 44-75), with a median post-operative follow-up of 1.2 years (range 0.3-3.7), and 16 control subjects (median age 62 years, range 34-80), and the longitudinal study comprised seven patients (median age 57 years, range 42-68). The median values for capillary blood pH, carbon dioxide pressure, standard bicarbonate and standard base excess were significantly lower in patients with a bladder substitute than in the control subjects. An acid-base chart showed that the values for 44% of patients and none of the controls were within the area representing mild metabolic acidosis. This difference could not be attributed to differences ...Continue Reading

Citations

Nov 30, 2000·Scandinavian Journal of Urology and Nephrology·P J OstherK Steven
Mar 11, 2005·The Journal of Urology·Scott M Gilbert, Terry W Hensle
Feb 17, 2007·Current Urology Reports·Terry W Hensle, Scott M Gilbert
Mar 10, 2012·Der Urologe. Ausg. A·Raimund SteinJ W Thüroff
Mar 22, 2014·Frontiers in Pediatrics·Raimund Stein, Peter Rubenwolf
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Aug 19, 2004·World Journal of Urology·Robert Pickard
Jan 10, 2003·BJU International·E W GerharzC R J Woodhouse
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Related Concepts

Anion Gap
Blood Gas Analysis
Prevalence Studies
Edetic Acid, Calcium, Sodium Salt
Hydrogen-Ion Concentration
Longitudinal Survey
Continent Urinary Reservoir

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