Pedicled Gastric Tube as a Catheterizing Conduit

Treatment of urinary and faecal incontinence using the Mitrofanoff principle or the antegrade continence enema technique requires the creation of a catheterisable stoma. Although the appendix is by far the most satisfactory structure for the creation of this channel, its removal or use in previous surgical reconstruction may force the use of alternatives. We describe the use of the pedicled gastric tube for this purpose

Colonic Complications of the Hemolytic-Uremic Syndrome

Ischaemic colitis in the haemolytic-uraemic syndrome led to surgical complications of colonic necrosis or haemorrhage in 4 out of 62 patients treated during an 8-year period. Perforation occurred in the 2nd week of the illness and regular cultures of peritoneal dialysate fluid gave early warning of impending perforation. Persistent haemorrhage occurred late in the illness, and required surgical excision of the affected bowel