continent urinary reservoir

禁制型代用膀胱

WordNet

1. a large or extra supply of something; "a reservoir of talent"
2. lake used to store water for community use (同)artificial lake, man-made lake
3. tank used for collecting and storing a liquid (as water or oil)
4. anything (a person or animal or plant or substance) in which an infectious agent normally lives and multiplies; "an infectious agent depends on a reservoir for its survival" (同)source
5. having control over urination and defecation
6. one of the large landmasses of the earth; "there are seven continents"; "pioneers had to cross the continent on foot"
7. of or relating to the urinary system of the body
8. of or relating to the function or production or secretion of urine
9. the European mainland; "Englishmen like to visit the Continent but they wouldnt like to live there"

PrepTutorEJDIC

1. (天然または人工の)『貯水池』,貯水そう / (液体・ガス用の)容器,つぼ / (知識・富などの)貯蔵,蓄積(store)
2. 自制した,禁欲的な
3. 〈C〉『大陸』 / 《the~》(イギリス諸島と区別して)ヨーロッパ本土
4. 尿の;泌尿(ひにょう)[器]の

UpToDate Contents

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• 1. 膀胱切除術後の尿路変更および尿路再建 urinary diversion and reconstruction following cystectomy
• 2. 便流変更のための外科的造瘻術の概要 overview of surgical ostomy for fecal diversion
• 3. 尿路上皮膀胱癌に対する根治的膀胱全摘除術および膀胱温存治療 radical cystectomy and bladder sparing treatments for urothelial bladder cancer
• 4. 尿路変更後の腎合併症 renal complications following ureteral diversion
• 5. 嚢炎：疫学、臨床症状、および診断 pouchitis epidemiology clinical manifestations and diagnosis

English Journal

• Continent Anal Urinary Diversion in Classic Bladder Exstrophy: 45-Year Experience.

• Rubenwolf PC1, Hampel C2, Roos F3, Stein R4, Frees S5, Thüroff JW5, Thomas C5.
• Urology.Urology.2017 Feb;100:249-254. doi: 10.1016/j.urology.2016.11.026. Epub 2016 Nov 24.
• OBJECTIVE: To evaluate the long-term outcomes in patients with classic bladder exstrophy and continent anal urinary diversion (CAD) for continence, upper urinary tract status, secondary malignancies, and sexual function.PATIENTS AND METHODS: The medical records of 82 exstrophy patients having underg
• PMID 27890681

• Socioeconomic status is associated with urinary diversion utilization after radical cystectomy for bladder cancer.

• Maurice MJ1, Kim SP2, Abouassaly R3.
• International urology and nephrology.Int Urol Nephrol.2017 Jan;49(1):77-82. doi: 10.1007/s11255-016-1422-9. Epub 2016 Sep 30.
• PURPOSE: To assess socioeconomic disparities in urinary diversion utilization in a contemporary American cohort.METHODS: In the National Cancer Database, we identified 4538 patients who underwent cystectomy with urinary diversion for clinical T1-2N0M0 bladder cancer from 2010 to 2013. Multivariable
• PMID 27696214

• Diagnosis and Clinical Management of Ruptured Ileocecal Pouches for Continent Cutaneous Urinary Diversion.

• Kalogirou C1, Kocot A, Mulfinger P, Hartmann E, Krebs M, Vergho D, Riedmiller H.
• Urologia internationalis.Urol Int.2016 Oct 29. [Epub ahead of print]
• BACKGROUND AND OBJECTIVES: The study aimed to report on pouch ruptures in 5 patients with ileocecal reservoirs for continent cutaneous urinary diversion.PATIENTS AND METHODS: Five male patients aged 48-89 were referred to our department between 2000 and 2016 with a ruptured ileocecal pouch 16-175 mo
• PMID 27794573

Japanese Journal

• Experience with coapted gastric tube outlet and composite gastrointestinal reservoir for continent cutaneous urinary diversion

• BISSADA NK
• J Urol 171, 229-231, 2004
• NAID 30009399965

• 脚基部に使用したゴアテックス^【○!R】を核とするコックパウチ内結石の1例

• 吉野 干城,足立 浩幸,白川 浩希,滋野 和志,椎名 浩昭,井川 幹夫
• 西日本泌尿器科 64(8), 538-540, 2002-08-20
• NAID 10020413240

• Continent urinary reservoir formation with transverse colon for patients with pelvic irradiation

• KATO Haruaki,IGAWA Yasuhiko,KOMIYAMA Itsuki,NISHIZAWA Osamu
• International journal of urology 9(4), 200-203, 2002-04-01
• NAID 10008555122

Related Links

• continent urinary reservoir - definition of continent urinary ...

reservoir /re·ser·voir/ (rez´er-vwahr) 1. a storage place or cavity. 2. cistern. 3. an alternate host or passive carrier of a pathogenic organism. continent ileal reservoir 1. a valved intra-abdominal pouch that maintains continence of the ...

• What is a Continent Urinary Reservoir? - University of ...

The Continent Urinary Reservoir What is a Continent Urinary Reservoir? A Continent Urinary Reservoir is an internal pouch that is surgically created to take the place of the urinary bladder. In this surgical procedure, the bladder is ...

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★リンクテーブル★

リンク元	「禁制型代用膀胱」「禁制型尿路変向術」「代用膀胱カテーテル」「CUR」
関連記事	「continent」「reservoir」「urinary」

「禁制型代用膀胱」

　　[★]

英

continent urinary reservoir, CUR

同

禁制型尿リザボア

関

非失禁型尿リザボア、体内蓄尿型尿路変向、代用膀胱カテーテル、尿路変向術

概念

• 蓄尿と随意排泄のための腸管を用いた尿路変更術
• 合併症の頻度が高く、手術手技が複雑なため、最近は行われなくなっている。

代用膀胱造設法

• (1)Kock pouch
• (2)Indiana pouch
• (3)Maintz poutch

合併症

適切な導尿を行わない場合に起こる

• 水腎症
• 尿路感染による腎機能低下
• 高Cl性代謝性アシドーシス

参考

• 1. 尿路ストーマ：疾患・造設法・合併症

http://www.sap-cc.org/uro/urostoma.html

「禁制型尿路変向術」

　　[★]

英

continent urinary diversion

分類

• continent urinary reservoir CUR

• Kock pouch(K-pouch)
• Indiana pouch(I-pouch)
• Mainz pouch(M-pouch)

• 自然排尿型代用膀胱(neobladder,新膀胱)

Goldwasser法

• urethral Kock pouch法
• Hautmann法
• Studer法

デメリット

• metabolic complicationsリスク：(1)pouchに使った腸管からの尿成分の吸収、(2)尿路に用いる腸管が長くなるための機能腸管の実質的な減少　→　電解質・酸塩基平衡の異常、肝機能異常、糖代謝異常、骨代謝異常

「代用膀胱カテーテル」

　　[★]

英

continent urinary reservoir

関

禁制型尿リザボア

「CUR」

　　[★] 禁制型代用膀胱 continent urinary reservoir

「continent」

　　[★]

• n.

• 大陸

関

continental

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• n.

• 自制心のある、節制を守る。貞節な。性欲を押さえる。禁欲の。便意を押さえることのできる。

関

incontinent, continently

　 　 　 　

「reservoir」

　　[★]

• n.

• (液体などを入れておく)容器、タンク。貯め池、貯水池、貯留層。(大量の情報・知識などの)蓄積、宝庫、保菌者。(生物)保有宿主

　 　 　 　 　

「urinary」

　　[★]

• adj.

• 尿の、尿中の、泌尿器の

関

urinary organ、urinary tract、urine、uro