Early and late metabolic alterations in children and adolescents with a kock urinary reservoir.

• To assess the early and late metabolic effects of urinary diversion in children and adolescents with a Kock urinary reservoir.Thirteen children (aged 10.8- 16 years) and seven adolescents (aged 16-18 years; 10 girls and 10 boys), underwent surgery for congenital urinary incontinence. They were followed for 3-10 years (mean 6.5), divided into an early (3 months to 2 years) and a late (2-10 years) period, and assessed for renal function and any metabolic effects.At the early and late follow-up, one of 19 and three of 16 patients, respectively, had metabolic acidosis. Hyperchloraemia was present in four of 20 patients at the early and in eight of 18 at the late follow-up. Serum creatinine was increased in four of 20 patients at the early and eight of 18 at the late follow-up. In patients with infrequent reservoir emptying (

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Pediatrik (hsv//swe)

MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Pediatrics (hsv//eng)

Keyword

Acid-Base Equilibrium

Acidosis

etiology

Adolescent

Child

Creatinine

blood

Electrolytes

blood

Female

Follow-Up Studies

Glomerular Filtration Rate

physiology

Humans

Male

Postoperative Care

Urinary Incontinence

congenital

metabolism

surgery

Urinary Reservoirs

Continent

Urination

physiology

Publication and Content Type

ref (subject category)

art (subject category)