Outcomes Following First-line Endourologic Management of Ureteroenteric Anastomotic Strictures After Urinary Diversion: A Single-center Study. Gomez, F. D., Thomas, A., Sempels, M., Nechifor, V., Hubert, C., Leruth, J., & Waltregny, D. Urology, 102:38-42, 2017.
Paper doi abstract bibtex Objective To assess the outcomes of patients following a first-line systematic endourologic procedure used to treat ureteroenteric anastomotic strictures (UEAS). Materials and Methods All data from patients treated using a first-line endourologic approach for UEAS between 2010 and 2015 were reviewed retrospectively. The following data were analyzed: age, type of urinary diversion, initial symptoms, surgical endoscopic approach (antegrade or retrograde), pre- and postoperative creatinine levels, and postoperative complications and outcomes. Follow-up visits occurred at 6 weeks, 3 months, and 6 months postoperatively, and at least annually thereafter. Results A total of 27 patients (median age: 62.5 years) were included. Overall, 28 UEAS were treated endoscopically (ileal conduit: n = 25; neobladder: n = 3). Most UEAS developed following radical cystectomy for bladder cancer (n = 19). Overall, the endoscopic approach was successful in 20 cases (71.4%). The UEAS length was >1 cm in 21 cases (75%). All UEAS of <1 cm were treated successfully (n = 7). There were three grade II and five grade III complications. The median follow-up period was 25 months. The median creatinine levels before surgery and at last follow-up were 1.3 mg/dL and 0.9 mg/dL, respectively. Conclusion An endourologic procedure is a reasonable option for first-line treatment for UEAS and has promising functional outcomes and limited morbidity.
@article{GOMEZ201738,
title = {Outcomes Following First-line Endourologic Management of Ureteroenteric Anastomotic Strictures After Urinary Diversion: A Single-center Study},
journal = {Urology},
volume = {102},
pages = {38-42},
year = {2017},
issn = {0090-4295},
doi = {https://doi.org/10.1016/j.urology.2016.10.009},
url = {https://www.sciencedirect.com/science/article/pii/S0090429516307130},
author = {Florie Denise Gomez and Alexandre Thomas and Maxime Sempels and Vlad Nechifor and Catherine Hubert and Julie Leruth and David Waltregny},
abstract = {Objective
To assess the outcomes of patients following a first-line systematic endourologic procedure used to treat ureteroenteric anastomotic strictures (UEAS).
Materials and Methods
All data from patients treated using a first-line endourologic approach for UEAS between 2010 and 2015 were reviewed retrospectively. The following data were analyzed: age, type of urinary diversion, initial symptoms, surgical endoscopic approach (antegrade or retrograde), pre- and postoperative creatinine levels, and postoperative complications and outcomes. Follow-up visits occurred at 6 weeks, 3 months, and 6 months postoperatively, and at least annually thereafter.
Results
A total of 27 patients (median age: 62.5 years) were included. Overall, 28 UEAS were treated endoscopically (ileal conduit: n = 25; neobladder: n = 3). Most UEAS developed following radical cystectomy for bladder cancer (n = 19). Overall, the endoscopic approach was successful in 20 cases (71.4%). The UEAS length was >1 cm in 21 cases (75%). All UEAS of <1 cm were treated successfully (n = 7). There were three grade II and five grade III complications. The median follow-up period was 25 months. The median creatinine levels before surgery and at last follow-up were 1.3 mg/dL and 0.9 mg/dL, respectively.
Conclusion
An endourologic procedure is a reasonable option for first-line treatment for UEAS and has promising functional outcomes and limited morbidity.}
}
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D.","Thomas, A.","Sempels, M.","Nechifor, V.","Hubert, C.","Leruth, J.","Waltregny, D."],"bibdata":{"bibtype":"article","type":"article","title":"Outcomes Following First-line Endourologic Management of Ureteroenteric Anastomotic Strictures After Urinary Diversion: A Single-center Study","journal":"Urology","volume":"102","pages":"38-42","year":"2017","issn":"0090-4295","doi":"https://doi.org/10.1016/j.urology.2016.10.009","url":"https://www.sciencedirect.com/science/article/pii/S0090429516307130","author":[{"firstnames":["Florie","Denise"],"propositions":[],"lastnames":["Gomez"],"suffixes":[]},{"firstnames":["Alexandre"],"propositions":[],"lastnames":["Thomas"],"suffixes":[]},{"firstnames":["Maxime"],"propositions":[],"lastnames":["Sempels"],"suffixes":[]},{"firstnames":["Vlad"],"propositions":[],"lastnames":["Nechifor"],"suffixes":[]},{"firstnames":["Catherine"],"propositions":[],"lastnames":["Hubert"],"suffixes":[]},{"firstnames":["Julie"],"propositions":[],"lastnames":["Leruth"],"suffixes":[]},{"firstnames":["David"],"propositions":[],"lastnames":["Waltregny"],"suffixes":[]}],"abstract":"Objective To assess the outcomes of patients following a first-line systematic endourologic procedure used to treat ureteroenteric anastomotic strictures (UEAS). Materials and Methods All data from patients treated using a first-line endourologic approach for UEAS between 2010 and 2015 were reviewed retrospectively. The following data were analyzed: age, type of urinary diversion, initial symptoms, surgical endoscopic approach (antegrade or retrograde), pre- and postoperative creatinine levels, and postoperative complications and outcomes. Follow-up visits occurred at 6 weeks, 3 months, and 6 months postoperatively, and at least annually thereafter. Results A total of 27 patients (median age: 62.5 years) were included. Overall, 28 UEAS were treated endoscopically (ileal conduit: n = 25; neobladder: n = 3). Most UEAS developed following radical cystectomy for bladder cancer (n = 19). Overall, the endoscopic approach was successful in 20 cases (71.4%). The UEAS length was >1 cm in 21 cases (75%). All UEAS of <1 cm were treated successfully (n = 7). There were three grade II and five grade III complications. The median follow-up period was 25 months. The median creatinine levels before surgery and at last follow-up were 1.3 mg/dL and 0.9 mg/dL, respectively. Conclusion An endourologic procedure is a reasonable option for first-line treatment for UEAS and has promising functional outcomes and limited morbidity.","bibtex":"@article{GOMEZ201738,\ntitle = {Outcomes Following First-line Endourologic Management of Ureteroenteric Anastomotic Strictures After Urinary Diversion: A Single-center Study},\njournal = {Urology},\nvolume = {102},\npages = {38-42},\nyear = {2017},\nissn = {0090-4295},\ndoi = {https://doi.org/10.1016/j.urology.2016.10.009},\nurl = {https://www.sciencedirect.com/science/article/pii/S0090429516307130},\nauthor = {Florie Denise Gomez and Alexandre Thomas and Maxime Sempels and Vlad Nechifor and Catherine Hubert and Julie Leruth and David Waltregny},\nabstract = {Objective\nTo assess the outcomes of patients following a first-line systematic endourologic procedure used to treat ureteroenteric anastomotic strictures (UEAS).\nMaterials and Methods\nAll data from patients treated using a first-line endourologic approach for UEAS between 2010 and 2015 were reviewed retrospectively. The following data were analyzed: age, type of urinary diversion, initial symptoms, surgical endoscopic approach (antegrade or retrograde), pre- and postoperative creatinine levels, and postoperative complications and outcomes. Follow-up visits occurred at 6 weeks, 3 months, and 6 months postoperatively, and at least annually thereafter.\nResults\nA total of 27 patients (median age: 62.5 years) were included. Overall, 28 UEAS were treated endoscopically (ileal conduit: n = 25; neobladder: n = 3). Most UEAS developed following radical cystectomy for bladder cancer (n = 19). Overall, the endoscopic approach was successful in 20 cases (71.4%). The UEAS length was >1 cm in 21 cases (75%). All UEAS of <1 cm were treated successfully (n = 7). There were three grade II and five grade III complications. The median follow-up period was 25 months. The median creatinine levels before surgery and at last follow-up were 1.3 mg/dL and 0.9 mg/dL, respectively.\nConclusion\nAn endourologic procedure is a reasonable option for first-line treatment for UEAS and has promising functional outcomes and limited morbidity.}\n}\n","author_short":["Gomez, F. D.","Thomas, A.","Sempels, M.","Nechifor, V.","Hubert, C.","Leruth, J.","Waltregny, D."],"key":"GOMEZ201738","id":"GOMEZ201738","bibbaseid":"gomez-thomas-sempels-nechifor-hubert-leruth-waltregny-outcomesfollowingfirstlineendourologicmanagementofureteroentericanastomoticstricturesafterurinarydiversionasinglecenterstudy-2017","role":"author","urls":{"Paper":"https://www.sciencedirect.com/science/article/pii/S0090429516307130"},"metadata":{"authorlinks":{}},"downloads":0,"html":""},"bibtype":"article","biburl":"https://bibbase.org/network/files/A5xemtvFctC3ZtXqu","dataSources":["bQtmr6HBWJpcp5Qpz"],"keywords":[],"search_terms":["outcomes","following","first","line","endourologic","management","ureteroenteric","anastomotic","strictures","urinary","diversion","single","center","study","gomez","thomas","sempels","nechifor","hubert","leruth","waltregny"],"title":"Outcomes Following First-line Endourologic Management of Ureteroenteric Anastomotic Strictures After Urinary Diversion: A Single-center Study","year":2017}