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Year : 1997  |  Volume : 13  |  Issue : 2  |  Page : 79-83

Ileal substitution as a Salvage Procedure in the management of iatrogenic ureteropelvic Junction and upper ureteric obstruction : a long-term follow-up

Department of Urology, All Institute of Medical Sciences, Ansari Nagar, New Delhi, India

Correspondence Address:
N P Gupta
Department of Urology, All Institute of Medical Sciences, Ansari Nagar, New Delhi
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Source of Support: None, Conflict of Interest: None

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Ischaemic injuries of the pelvi-ureteric junction (PUJ) and upper ureter can occur following surgery for stone disease or PUJ obstruction. Patients who fail endoscopic and/or open reconstructive procedures can be managed with an Heal substitution of ureter. 5 patients underwent Heal substitution of ureter between 1979 and 1995 at our institution. 2 patients developed significant dilatation of the segment after 10 years of follow-up. 1 patient is in stable mild renal failure after 15 years follow-up. 2 patients died-one after 14 years and the second after 18 years after surgery due to dyselectrolaemia and acidosis and renal failure. We found Heal substitution of ureter a useful salvage procedure in patients with PUJ and upper ureteric obstruction.However, delayed dilatation of the Heal segment and renal junction impairment with or without calculus formation can occur. These complications demand a close follow-up for a long duration.

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