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Abstract
Twenty-three (5.7 per cent) of 402 patients who had ureteral diversion with or without
organ resection for cancer and related conditions at Ellis Fischel State Cancer Hospital
had early postoperative urinary leaks. Patients with prior pelvic irradiation and
with diabetis mellitus were at higher risk than others to develop a urinary fistula.
The hospital mortality among the twenty-three patients with this complication was
47.8 per cent. Additional complications were often associated with urinary fistulas
and contributed to the high mortality. The most frequent site of leakage from an ileal
segment diversion was the ureteroileal anastomosis and the most reliable means of
diagnosis was the retrograde ileogram.
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References
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Article info
Footnotes
☆This investigation was supported by Public Health Service Research Grant CA-08023-04 from the National Cancer Institute and General Research Support Grant FR-05618-06 from the National Institutes of Health.
Identification
Copyright
© 1972 Published by Elsevier Inc.
