Abstract
Combined kidney-pancreas transplantation is an effective surgical therapy for end-stage renal failure secondary to type I diabetes mellitus. However, obstructive pancreatitis and pancreaticocutaneous fistula remain significant postoperative complications unique to extraperitoneal segmental pancreatic transplantation. We present our experience with 13 patients (7 with obstructive pancreatitis and 6 with pancreaticocutaneous fistulae) after segmental extraperitoneal pancreatic transplantation, who subsequently underwent intraperitoneal reconstruction of the pancreaticocystostomy. This reconstruction was successful in 11 of 13 (85%) patients with minimal morbidity and no mortality. This intraperitoneal approach to reconstruction of the pancreaticocystostomy after segmental extraperitoneal pancreatic transplantation is a safe and effective means of graft salvage and this technique has not been described in the literature.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 287-293 |
| Number of pages | 7 |
| Journal | Clinical Transplantation |
| Volume | 10 |
| Issue number | 3 |
| State | Published - 1996 |
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Keywords
- Obstructive pancreatitis
- Pancreatic transplantation
- Pancreaticocutaneous fistula
- Pancreaticocystostomy
ASJC Scopus subject areas
- Transplantation
- Immunology
Cite this
Pancreaticocystostomy revision for obstructive pancreatitis and pancreatic fistula after segmental pancreatic transplantation. / Esterl, Robert M; Gupta, Navyash; Reese, Jeffrey C.; Patel, Bhargavi K.; Fairchild, Ralph B.; Solomon, Harvey; Garvin, Paul J.
In: Clinical Transplantation, Vol. 10, No. 3, 1996, p. 287-293.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Pancreaticocystostomy revision for obstructive pancreatitis and pancreatic fistula after segmental pancreatic transplantation
AU - Esterl, Robert M
AU - Gupta, Navyash
AU - Reese, Jeffrey C.
AU - Patel, Bhargavi K.
AU - Fairchild, Ralph B.
AU - Solomon, Harvey
AU - Garvin, Paul J.
PY - 1996
Y1 - 1996
N2 - Combined kidney-pancreas transplantation is an effective surgical therapy for end-stage renal failure secondary to type I diabetes mellitus. However, obstructive pancreatitis and pancreaticocutaneous fistula remain significant postoperative complications unique to extraperitoneal segmental pancreatic transplantation. We present our experience with 13 patients (7 with obstructive pancreatitis and 6 with pancreaticocutaneous fistulae) after segmental extraperitoneal pancreatic transplantation, who subsequently underwent intraperitoneal reconstruction of the pancreaticocystostomy. This reconstruction was successful in 11 of 13 (85%) patients with minimal morbidity and no mortality. This intraperitoneal approach to reconstruction of the pancreaticocystostomy after segmental extraperitoneal pancreatic transplantation is a safe and effective means of graft salvage and this technique has not been described in the literature.
AB - Combined kidney-pancreas transplantation is an effective surgical therapy for end-stage renal failure secondary to type I diabetes mellitus. However, obstructive pancreatitis and pancreaticocutaneous fistula remain significant postoperative complications unique to extraperitoneal segmental pancreatic transplantation. We present our experience with 13 patients (7 with obstructive pancreatitis and 6 with pancreaticocutaneous fistulae) after segmental extraperitoneal pancreatic transplantation, who subsequently underwent intraperitoneal reconstruction of the pancreaticocystostomy. This reconstruction was successful in 11 of 13 (85%) patients with minimal morbidity and no mortality. This intraperitoneal approach to reconstruction of the pancreaticocystostomy after segmental extraperitoneal pancreatic transplantation is a safe and effective means of graft salvage and this technique has not been described in the literature.
KW - Obstructive pancreatitis
KW - Pancreatic transplantation
KW - Pancreaticocutaneous fistula
KW - Pancreaticocystostomy
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UR - http://www.scopus.com/inward/citedby.url?scp=9344250075&partnerID=8YFLogxK
M3 - Article
C2 - 8826668
AN - SCOPUS:9344250075
VL - 10
SP - 287
EP - 293
JO - Clinical Transplantation
JF - Clinical Transplantation
SN - 0902-0063
IS - 3
ER -