Appendix or ileum - which is the best material for mitrofanoff channel formation?
BAUS ePoster online library. Kocadag H. Jun 27, 2018; 211400; P10-12
Dr. Huriye Kocadag
Dr. Huriye Kocadag
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Abstract
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Introduction: The appendix is reported to have better outcomes when used as a Mitrofanoff channel than ileum in children. Outcomes in adult Mitrofanoff patients are largely unknown.

Patients and Methods: We performed a retrospective case note review of 176 consecutive adult patients (median age 42 years) having Mitrofanoff channel formation a median of 142 months (range 54-386) ago. We evaluated outcome in terms continued use and continence for each type of material used for channel formation. Ileal channels were evaluated both as one type of channel material and separately as single and double ileal channels.
Statistical analysis was by Chi Squared analysis.

Results: The 176 patients had a median of 51.5 months (range 2-293) follow-up (FU) available. At time of this review 89 (51%) patients were alive. At time of last FU 77% of channels were in use and 77% were continent. Outcomes at last clinic FU are listed in Table 1.

Conclusion: There was no significant differences in outcomes in terms of usage at last follow up between any of the material used to make Mitrofanoff channels. Patients were significantly more likely to have continence issues if channels were made out of ileum. Appendix should be the first choice for Mitrofanoff channel formation in adults.
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