Loopogram

Brief review of urinary diversion, loopogram, Loopogram Procedure, Benefits and associated risks, Bladder cancer,
Abnormal loopogram findings

1. By: Suman Shaikh COP, JPMC PRESENTATION ON LOOPOGRAM

2. Urinary Diversion Loopogram Loopogram Procedure Benefits and associated risks Bladder cancer Abnormal loopogram findings Topic outline:

3. Urinary diversion  Urinary Diversion is a surgical procedure which is done to reroute urine flow from its normal pathway. It is indicated when the bladder can no longer safely function as a reservoir for urine storage. It is created after the removal of the urinary bladder (radical cystectomy or cystoprostatectomy , usually done to treat invasive bladder cancer). Stoma

4. Loopogram This is a test to show the loop of bowel (conduit) that has been used as a substitute for your urinary bladder.

5. Loopogram Procedure Fluoroscopic imaging is done with a contrast called X-ray Dye. The contrast dye shows up on the images and allows the radiologist to clearly see and check the internal organs. Patients lies supine on the examination table. The stoma bag will be removed The radiologist will clean the urostomy stoma and insert a catheter Contrast (x-ray dye) will be injected through the catheter and several images will be taken. This exam usually takes about 30 minutes to 1 hour.

6. What does a Loopogram Examination show? The examination shows: Kidneys Ureters Ileum (the loop of bowel that the ureters are now attached to) Stoma (the opening on the outside of your abdomen) It is done to ensure that the conduit and surrounding organs are functioning efficiently. This procedure is also known as  Ileal Conduitogram and Ileal Loopography .

7. Benefits This examination will help your doctor to make a correct diagnosis or decision about your treatment. It is an X-ray procedure, so there are some risks associated with radiation. But the radiation should be kept as minimum as possible. Associated Risks

8. Role of Loopogram in Bladder Cancer Surgery for bladder cancer involves a laparoscopic radical cystectomy . In this procedure, the bladder is removed. To restore urinary flow, surgeons then have a number of options to divert the flow of urine. For this, they reposition a section of bowel from small intestine and connect the ureters to it which helps urine to flow through stoma. A loopogram tests the ileal conduit (or replacement bladder) to see if it is functioning as it should.

9. Abnormal Findings on the Loopogram

10. Abnormal Findings on the Loopogram