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Intestinal Segments and Urinary Diversion
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== Questions == # List 5 differences between the ileum and jejunum # What is the safe maximum distance of bowel that will survive away from a straight vessel? # What segments of bowel should be avoided in a patient with prior pelvic radiation? # What are potential weak points in blood supply to the colon? # What are potential advantages of a stomach conduit? # Which bacterial flora are found in the bowel? # What is the bacterial concentration in the jejunum? Distal ileum? Ascending colon? Descending colon?. # What is the goal of mechanical vs. antibiotic bowel regimen? # What are contraindications to whole-gut irrigation? # What are the principles of intestinal anastomoses # List contraindications to use of ileum for conduit. # List contraindications to use of transverse, sigmoid, and ileocecal conduits. # Which segment of bowel is associated with the highest rates of post-operative bowel obstruction? # What are risk factors for bowel anastamosis breakdown? # List 3 different techniques of anastomosing the ureter to the small bowel # Which technique of anastomosing the ureter to the small bowel has the lowest complication rates? # List complications associated with ureteroenteric anasmoses. # List the metabolic complications of urinary intestinal diversion # Which bowel segment used in urinary diversion is associated with elevated aldosterone? Elevated renin? # What is the treatment of hypochloremic metabolic acidosis in a patient with an ileal conduit? # What renal function parameters are recommended for patients undergoing continent diversion? # List 3 mechanisms of diarrhea associated with ileal conduit # What may deficiency may result from malabsorption when using jejunum for urinary diversion? # What are the electrolyte derangements associated with: # When should treatment of asymptomatic bacteruria in a urinary diversion be considered? # What is the expected histology of a bladder cancer associated with urinary diversion?
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