Colon Conduit in Pediatric Renal Transplantation

Abstract

During the last 2 years we have used contralateral colon conduit diversion for renal transplant drainage in 2 children. Patient selection and rationale for this operative technique are discussed as well as other diversion alternatives. Our review of the literature revealed that of 36 patients with renal transplants into intestinal conduits 19 (52.8 per cent) survived with a functional transplant. Of these patients 17 were children, including 12 (70.6 per cent) who have functional grafts. In 1 of our patients a large submucosal hematoma developed along the ureteral tunnel, which resolved with expectant management. These preliminary data for this high risk group of pediatric transplant patients requiring intestinal diversion are encouraging.