Abstract
The current methods of urinary diversion and bladder replacement have many drawbacks. The pyloric antrum of the stomach was chosen for this purpose because of its good blood supply, relatively poorly absorbing mucosa, acidification of urine, and good contractility. This was first tried out in dogs with extremely encouraging results in the form of both bladder replacement and conduits. Since 1969 these techniques have been applied to human clinical use. Extensive postoperative studies have shown that the pyloric antrum functions well in the urinary tract and that its use for bladder replacement and urinary diversion is probably superior to other recognised methods for these purposes.
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- Albert D. J., Persky L. Conjoined end-to-end uretero-intestinal anastomosis. J Urol. 1971 Feb;105(2):201–204. doi: 10.1016/s0022-5347(17)61493-9. [DOI] [PubMed] [Google Scholar]
- BRICKER E. M. Bladder substitution after pelvic evisceration. Surg Clin North Am. 1950 Oct;30(5):1511–1521. doi: 10.1016/s0039-6109(16)33147-4. [DOI] [PubMed] [Google Scholar]
- Dretler S. P. The pathogenesis of urinary tract calculi occurring after ileal conduit diversion. I. Clinical study. II. Conduit study. 3. Prevention. J Urol. 1973 Feb;109(2):204–209. doi: 10.1016/s0022-5347(17)60389-6. [DOI] [PubMed] [Google Scholar]
- LOWSLEY O. S., JOHNSON T. H. A new operation for creation of an artificial bladder with voluntary control of urine and feces. J Urol. 1955 Jan;73(1):83–90. doi: 10.1016/S0022-5347(17)67369-5. [DOI] [PubMed] [Google Scholar]
- Lam S. K., Lai C. L. Inhibition of sulpiride on the cephalic phase of gastric acid and gastrin secretion in duodenal ulcer patients. Scand J Gastroenterol. 1976;11(1):27–31. [PubMed] [Google Scholar]
- Ong G. B. Colocystoplasty for bladder carcinoma after radical total cystectomy. Ann R Coll Surg Engl. 1970 Jun;46(6):320–337. [PMC free article] [PubMed] [Google Scholar]
- Warwick R. T., Ashken M. H. The functional results of partial, subtotal and total cystoplasty with special reference to ureterocaecocystoplasty, selective sphincterotomy and cystocystoplasty. Br J Urol. 1967 Feb;39(1):3–12. doi: 10.1111/j.1464-410x.1967.tb11774.x. [DOI] [PubMed] [Google Scholar]