Tumor induction and prophylaxis following different forms of intestinal urinary diversion in a rat model View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

1995-11

AUTHORS

T. Kälble, K. Busse, F. Amelung, R. Waldherr, M. R. Berger, L. Edler, H. Riedmiller

ABSTRACT

Eighty Wistar rats were randomized into two groups. In group 1 vesicosigmoidostomy with proximal colostomy was performed, in group 2, vesicosigmoidostomy. The total tumor incidence did not differ significantly (group 1 10/40, 25%; group 2 13/40, 32.5%). The tumor spectrum differed, with more adenocarcinomas in group 2 (11/40, 27.5% vs 4/40, 10%;P=0.047) and urothelial carcinomas only in group 1 (5/40, 2.5%). One hundred and ten other Wistar rats were randomized into three groups. Animals in group A received vesicoileosigmoidostomy, group B, two-step vesicosigmoidostomy with initial separation of urine and the urocolonic anastomosis, group C, vesicosigmoidostomy. Significantly fewer adenocarcinomas were observed in group A (2/40, 5%) than in group B (16/40, 40%,P<0.002) and group C (9/30, 30%;P<0.007). These results indicate a similar cancer risk in all continent forms of urinary diversion, at least via colon. Ileal interposition seems to be an effective carcinoma prophylaxis following ureterosigmoidostomy. The proliferative instability at the urointestinal anastomosis is crucial for the pathogenesis and prophylaxis of this form of carcinogenesis, whereas urine seems to play only a minor role. More... »

PAGES

365-370

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/bf00698735

DOI

http://dx.doi.org/10.1007/bf00698735

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1016342827

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/8788273


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