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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
5
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pubmed:dateCreated |
1990-12-5
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pubmed:abstractText |
We followed postoperatively 75 patients who underwent ureterosigmoidostomy between 1942 and 1987. Of the patients 30 were asked to undergo routine examination, including fiberoptic sigmoidoscopy with biopsy and analysis of a urine-feces slurry for nitrate, nitrite and nitrosamines in comparison to 20 control volunteers. After a mean observation of 14 years 7 months (1 to 46 years) 64.5% of the patients had bilaterally normal kidneys without any previous complications, 77.5% of the renal units being normal. Sigmoidoscopic biopsy revealed 3 carcinomas at the ureterocolonic junction resulting in an 8.5 to 10.5-fold increased risk of colon carcinoma compared to the general population. The excretion of nitrite and N-nitrosamines was increased, and nitrate excretion was decreased compared to healthy control volunteers, suggesting endogenous formation of nitrosamines by bacterially reduced nitrate and endogenous amines. The urological long-term results of ureterosigmoidostomy are similar to those of conduits. However, the increased incidence of colon carcinoma is not yet proved to be higher than in conduits.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Nov
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pubmed:issn |
0022-5347
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
144
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pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
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pubmed:pagination |
1110-4
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:2231881-Adult,
pubmed-meshheading:2231881-Colon, Sigmoid,
pubmed-meshheading:2231881-Colonic Neoplasms,
pubmed-meshheading:2231881-Follow-Up Studies,
pubmed-meshheading:2231881-Humans,
pubmed-meshheading:2231881-Nitrates,
pubmed-meshheading:2231881-Nitrites,
pubmed-meshheading:2231881-Nitrosamines,
pubmed-meshheading:2231881-Postoperative Period,
pubmed-meshheading:2231881-Risk Factors,
pubmed-meshheading:2231881-Time Factors,
pubmed-meshheading:2231881-Ureteral Obstruction,
pubmed-meshheading:2231881-Urinary Diversion
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pubmed:year |
1990
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pubmed:articleTitle |
Ureterosigmoidostomy: long-term results, risk of carcinoma and etiological factors for carcinogenesis.
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pubmed:affiliation |
Department of Urology, University of Heidelberg, Federal Republic of Germany.
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pubmed:publicationType |
Journal Article,
Comparative Study
|