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Thirty-four patients with urinary-colonic diversions have been followed up for 13 to 41 years (mean 20.3). The commonest long-term complication was hyperchloraemic acidosis (50%). The most serious was neoplasm at the anastomotic site: benign lesions occurred in three patients and carcinomas in two (15%). Staining for sialomucins in colonic biopsies adjacent to the anastomoses was positive in 17 of 19 patients. It has been suggested that this represents a pre-malignant change. Analysis of faecal flora in 17 diverted patients and 27 controls revealed a significant difference in the carriage rate and viable count of Peptostreptococcus species. This finding has not been reported previously and the species could have a role in the aetiology of the neoplasms.
S H Silverman, and
C R Woodhouse, and
J R Strachan, and
J Cumming, and
M R Keighley
June 1994,
BMJ (Clinical research ed.),
S H Silverman, and
C R Woodhouse, and
J R Strachan, and
J Cumming, and
M R Keighley
September 2018,
Progress in transplantation (Aliso Viejo, Calif.),
S H Silverman, and
C R Woodhouse, and
J R Strachan, and
J Cumming, and
M R Keighley
September 1992,
The British journal of general practice : the journal of the Royal College of General Practitioners,
S H Silverman, and
C R Woodhouse, and
J R Strachan, and
J Cumming, and
M R Keighley
January 2012,
Epilepsy & behavior : E&B,
S H Silverman, and
C R Woodhouse, and
J R Strachan, and
J Cumming, and
M R Keighley
June 1980,
Kardiologiia,
S H Silverman, and
C R Woodhouse, and
J R Strachan, and
J Cumming, and
M R Keighley
August 1999,
Current opinion in ophthalmology,
S H Silverman, and
C R Woodhouse, and
J R Strachan, and
J Cumming, and
M R Keighley
December 2014,
Annals of surgical oncology,
S H Silverman, and
C R Woodhouse, and
J R Strachan, and
J Cumming, and
M R Keighley
November 2014,
Australian family physician,
S H Silverman, and
C R Woodhouse, and
J R Strachan, and
J Cumming, and
M R Keighley
August 2011,
BJU international,
S H Silverman, and
C R Woodhouse, and
J R Strachan, and
J Cumming, and
M R Keighley
October 2009,
The American surgeon,
