Metabolic Changes after Urinary Diversion
Urinary diversion is performed on a regular basis in urological practice. Surgeons tend to underestimate the metabolic effects of any type of diversion. From the patient's perspective, diarrhea is the most bothersome complaint after urinary diversion. This might be accompanied by malabsorption...
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| Format: | Article |
| Language: | English |
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Wiley
2011-01-01
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| Series: | Advances in Urology |
| Online Access: | http://dx.doi.org/10.1155/2011/764325 |
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| _version_ | 1832559851331387392 |
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| author | Frank Van der Aa Steven Joniau Marcel Van Den Branden Hein Van Poppel |
| author_facet | Frank Van der Aa Steven Joniau Marcel Van Den Branden Hein Van Poppel |
| author_sort | Frank Van der Aa |
| collection | DOAJ |
| description | Urinary diversion is performed on a regular basis in urological practice. Surgeons tend to
underestimate the metabolic effects of any type of diversion. From the patient's perspective, diarrhea
is the most bothersome complaint after urinary diversion. This might be accompanied by
malabsorption syndromes, such as vitamin B12 deficiency. Electrolyte abnormalities can occur
frequently such as hyperchloremic metabolic acidosis, or less frequently such as hypokalemia,
hypocalcaemia, and hypomagnesaemia. Bone health is at risk in patients with urinary diversion. Some
patients might benefit from vitamin D and calcium supplementation. Many patients are also subject
to urinary calculus formation, both at the level of the upper urinary tract as in intestinal reservoirs.
Urinary diversion can affect hepatic metabolism, certainly in the presence of urea-splitting bacteria.
The kidney function has to be monitored prior to and lifelong after urinary diversion. Screening for
reversible causes of renal deterioration is an integral part of the followup. |
| format | Article |
| id | doaj-art-a658d90e21db456c9905b7208fd8c43d |
| institution | Kabale University |
| issn | 1687-6369 1687-6377 |
| language | English |
| publishDate | 2011-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Advances in Urology |
| spelling | doaj-art-a658d90e21db456c9905b7208fd8c43d2025-02-03T01:29:03ZengWileyAdvances in Urology1687-63691687-63772011-01-01201110.1155/2011/764325764325Metabolic Changes after Urinary DiversionFrank Van der Aa0Steven Joniau1Marcel Van Den Branden2Hein Van Poppel3Department of Urology, University Hospitals Leuven, B-3000 Leuven, BelgiumDepartment of Urology, University Hospitals Leuven, B-3000 Leuven, BelgiumAZ Sint-Blasius, 9200 Dendermonde, BelgiumDepartment of Urology, University Hospitals Leuven, B-3000 Leuven, BelgiumUrinary diversion is performed on a regular basis in urological practice. Surgeons tend to underestimate the metabolic effects of any type of diversion. From the patient's perspective, diarrhea is the most bothersome complaint after urinary diversion. This might be accompanied by malabsorption syndromes, such as vitamin B12 deficiency. Electrolyte abnormalities can occur frequently such as hyperchloremic metabolic acidosis, or less frequently such as hypokalemia, hypocalcaemia, and hypomagnesaemia. Bone health is at risk in patients with urinary diversion. Some patients might benefit from vitamin D and calcium supplementation. Many patients are also subject to urinary calculus formation, both at the level of the upper urinary tract as in intestinal reservoirs. Urinary diversion can affect hepatic metabolism, certainly in the presence of urea-splitting bacteria. The kidney function has to be monitored prior to and lifelong after urinary diversion. Screening for reversible causes of renal deterioration is an integral part of the followup.http://dx.doi.org/10.1155/2011/764325 |
| spellingShingle | Frank Van der Aa Steven Joniau Marcel Van Den Branden Hein Van Poppel Metabolic Changes after Urinary Diversion Advances in Urology |
| title | Metabolic Changes after Urinary Diversion |
| title_full | Metabolic Changes after Urinary Diversion |
| title_fullStr | Metabolic Changes after Urinary Diversion |
| title_full_unstemmed | Metabolic Changes after Urinary Diversion |
| title_short | Metabolic Changes after Urinary Diversion |
| title_sort | metabolic changes after urinary diversion |
| url | http://dx.doi.org/10.1155/2011/764325 |
| work_keys_str_mv | AT frankvanderaa metabolicchangesafterurinarydiversion AT stevenjoniau metabolicchangesafterurinarydiversion AT marcelvandenbranden metabolicchangesafterurinarydiversion AT heinvanpoppel metabolicchangesafterurinarydiversion |