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) |
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Pages (from-to) | 287-293 |
Number of pages | 7 |
Journal | Clinical Transplantation |
Volume | 10 |
Issue number | 3 |
State | Published - Aug 20 1996 |
Keywords
- Obstructive pancreatitis
- Pancreatic transplantation
- Pancreaticocutaneous fistula
- Pancreaticocystostomy
ASJC Scopus subject areas
- Transplantation