Vitamin B12 Deficiency in Patients with Ileocolic Neobladders

摘要: AbstractThe terminal ileum is widely used for reconstruction of the lower urinary tract. Since exclusively absorbs vitamin B12, removal from gastrointestinal tract use in may predispose patients to B12 deficiency. In a prospective study serial levels were obtained postoperatively 24 who underwent cystectomy malignancy and ileocolic neobladder diversion with mean followup 25 months (range 6 53). Any patient had low serum level (less than 200pg./ml.) Schilling test confirm malabsorptive Six (25%) levels, whom 3 (13%) an abnormal test. No megaloblastic anemia. One deficiency neurological symptoms 53 postoperatively. We conclude that can occur following reconstruction. Patients...