Gastric conduit urinary diversion in normal dogs. ...



Title Gastric conduit urinary diversion in normal dogs. Part I, Upper urinary tract structure, function, and sepsis
Author(s) M. A. McLoughlin, R. Walshaw, M. W. Thomas, R. W. Dunstan
Journal Veterinary Surgery: VS: The Official Journal of the American College of Veterinary Surgeons
Date 1992
Volume 21
Issue 1
Start page 25
End page 32
Abstract The urinary bladder of 10 clinically normal dogs was excised and the ureters were implanted into an isolated, vagotomized gastric segment derived from the fundic region of the stomach. The gastric segment was closed to form a conduit. Continence was maintained with a modified Kock "nipple valve" created from an isolated segment of ileum. Four dogs were euthanatized by day 30 because of complications related to the early onset of renal failure and electrolyte alterations. Six dogs were euthanatized on day 150. Ureteral dilatation, hydronephrosis, and decreased endogenous creatinine clearance rates were measured in all dogs at the end of the survival period. Pyelonephritis was diagnosed histologically in seven dogs. Positive renal cultures were obtained from seven dogs at necropsy. It was concluded that gastric conduit urinary diversion is unsatisfactory for long-term or short-term clinical use in dogs.

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