Pancreaticocystostomy revision for obstructive pancreatitis and pancreatic fistula after segmental pancreatic transplantation

Robert M Esterl, Navyash Gupta, Jeffrey C. Reese, Bhargavi K. Patel, Ralph B. Fairchild, Harvey Solomon, Paul J. Garvin

Research output: Contribution to journalArticle

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 languageEnglish (US)
Pages (from-to)287-293
Number of pages7
JournalClinical Transplantation
Volume10
Issue number3
StatePublished - 1996

Fingerprint

Pancreatic Fistula
Pancreatitis
Transplantation
Fistula
Pancreas Transplantation
Type 1 Diabetes Mellitus
Kidney Transplantation
Chronic Kidney Failure
Morbidity
Transplants
Mortality
Therapeutics

Keywords

  • Obstructive pancreatitis
  • Pancreatic transplantation
  • Pancreaticocutaneous fistula
  • Pancreaticocystostomy

ASJC Scopus subject areas

  • Transplantation
  • Immunology

Cite this

Esterl, R. M., Gupta, N., Reese, J. C., Patel, B. K., Fairchild, R. B., Solomon, H., & Garvin, P. J. (1996). Pancreaticocystostomy revision for obstructive pancreatitis and pancreatic fistula after segmental pancreatic transplantation. Clinical Transplantation, 10(3), 287-293.

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 journalArticle

Esterl, RM, Gupta, N, Reese, JC, Patel, BK, Fairchild, RB, Solomon, H & Garvin, PJ 1996, 'Pancreaticocystostomy revision for obstructive pancreatitis and pancreatic fistula after segmental pancreatic transplantation', Clinical Transplantation, vol. 10, no. 3, pp. 287-293.
Esterl, Robert M ; Gupta, Navyash ; Reese, Jeffrey C. ; Patel, Bhargavi K. ; Fairchild, Ralph B. ; Solomon, Harvey ; Garvin, Paul J. / Pancreaticocystostomy revision for obstructive pancreatitis and pancreatic fistula after segmental pancreatic transplantation. In: Clinical Transplantation. 1996 ; Vol. 10, No. 3. pp. 287-293.
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