We report our first experience with the use of a small gastric patch f
or reconstruction of the renal pelvis. We performed left gastropyelopl
asty based on the right gastroepiploic artery in 1 patient suffering f
rom recurrent urinary tract infections and renal stones, and moderate
renal failure. The use of a gastric patch for reconstruction of the re
nal pelvis prevented the recurrence of calculi and bacterial infection
s, and produced an improvement in renal function. We confirm the feasi
bility of the use of a small gastric patch in reconstruction of the re
nal pelvis and we argue that there are several possible ways to use st
omach in upper urinary tract reconstruction.