Metabolic Acidosis after Orthotopic Detubularized Ileocaecal Pouch versus Ileal Neobladder (Y Pouch)

Abstract Background: To compare metabolic acidosis early and late following orthotopic detubularized ileocaecal pouch versus ileal neobladder (Y pouch) after radical cystectomy for invasive urinary bladder cancer.
Aim of Study: To compare metabolic acidosis early and late following orthotopic detubularized ileocaecal pouch versus ileal neobladder (Y pouch) after radical cystectomy for invasive urinary bladder cancer.
Patients and Methods: Patients presenting to the National Cancer Institute, Cairo University from March 2014 to April 2015; Acid base disturbance and metabolic acidosis were measured in 31 patients with orthotopic detubularized ileo-caecal pouch versus 31 patients with ileal neobladder (Y pouch) with mean follow-up every 2 months for 1 year post-operative. Results: In ileal neobladder (Y pouch), Mild Metabolic acidosis was noticed in seven patients (25.9%) in comparison to nine patients (32.1%) in orthotopic detubularized ileocaecal pouch with no significant changes between both groups.
Conclusion: There is no significant difference in relation to metabolic acidosis between orthotopic detubularized ileo-caecal pouch versus ileal neobladder after radical cystectomy.