PT  - JOURNAL ARTICLE
AU  - KOJI KOMORI
AU  - TSUTOMU TANAKA
AU  - YOSHITAKA INABA
AU  - TAKASHI KINOSHITA
AU  - YUSUKE SATO
AU  - AKIRA OUCHI
AU  - SEIJI ITO
AU  - TETSUYA ABE
AU  - KAZUNARI MISAWA
AU  - YUICHI ITO
AU  - SEIJI NATSUME
AU  - EIJI HIGAKI
AU  - TOMONARI ASANO
AU  - MASATAKA OKUNO
AU  - HIRONORI FUJIEDA
AU  - SATORU AKAZA
AU  - HISAHUMI SAITO
AU  - KIYOSHI NARITA
AU  - TAKUYA KITAHARA
AU  - TAKAAKI HANAZAWA
AU  - HIDENORI OJIO
AU  - MASASHI NEGITA
AU  - YASUHIRO SHIMIZU
TI  - Novel Ureteral Stent Catheterization Technique for Treating Hyperchloremic Metabolic Acidosis After Total Pelvic Exenteration
AID  - 10.21873/anticanres.16715
DP  - 2023 Nov 01
TA  - Anticancer Research
PG  - 5149--5153
VI  - 43
IP  - 11
4099  - http://ar.iiarjournals.org/content/43/11/5149.short
4100  - http://ar.iiarjournals.org/content/43/11/5149.full
SO  - Anticancer Res2023 Nov 01; 43
AB  - Background/Aim: Hyperchloremic metabolic acidosis after total pelvic exenteration (TPE) is relatively rare. Urinary diversion of the ileal conduit during TPE can result in increased urine reabsorption leading to hyperchloremic metabolic acidosis. We developed a new technique for the retrograde catheterization of a ureteral stent into an ileal conduit to treat hyperchloremic metabolic acidosis. Case Report: A 70-year-old man underwent TPE for locally recurrent rectal cancer. Multiple episodes of complications, such as hyperchloremia and metabolic acidosis, occurred. Effective drainage of urine from the ileal conduit is crucial. With collaboration between an endoscopist and a radiologist, we developed a novel method for retrograde catheterization of the ureteral stent into an ileal conduit for hyperchloremic metabolic acidosis after TPE. The patient’s condition quickly improved after the procedure. Conclusion: Our novel technique of retrograde catheterization of a ureteral stent into an ileal conduit for hyperchloremic metabolic acidosis could be adopted worldwide, as it is effective and safe.