Duodenal complications in bladder-drained pancreas transplantation

Surgery
N S HakimR Gruessner

Abstract

The most common type of pancreas transplantation is whole pancreaticoduodenal (with bladder drainage) from a cadaver donor. Complications can arise not only from the pancreas itself but also from the simultaneously transplanted duodenum. The purpose of this study was to analyze the incidence, diagnosis, and treatment of duodenal complications and their impact on patient and pancreas graft survival rates. Our retrospective study is based on 425 pancreaticoduodenal transplantations performed between July 1, 1986, and June 30, 1994. Complications pertaining to the duodenal segment were labeled early if they occurred within the first postoperative month and late otherwise. Mean follow-up was 55 months (range, 13 to 108 months). We noted 85 (20%) duodenal complications: duodenal leaks (n = 42), hematuria (n = 26), recurrent urinary tract infections (n = 9), duodenal ulceration or necrosis (n = 6), and bladder stones (n = 2). Of these complications, 40 (48%) required surgical intervention. In all, duodenal complications resulted in 14 (16%) enteric conversions and eight (9%) pancreas graft losses (six because of duodenal leak and 2 because of hematuria). The mortality rate from duodenal complications was 0%. Duodenal complications we...Continue Reading

References

Jul 1, 1976·Diabetologia·A C BuckT R Fraser
Nov 1, 1990·AJR. American Journal of Roentgenology·D G LongleyJ G Letourneau
Jan 1, 1989·Transplantation·A M D'AlessandroF O Belzer
Jan 1, 1984·Annals of Neurology·M J Brown, A K Asbury

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Citations

Nov 13, 2003·Transplantation Proceedings·N S Hakim
May 31, 2003·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Lourdes T TerradoTodd E Pesavento
Aug 1, 1997·Journal of the American College of Surgeons·R W GruessnerA C Gruessner
Feb 16, 2000·Annals of Surgery·A HumarD E Sutherland
Jun 9, 1998·Current Opinion in Nephrology and Hypertension·D E Sutherland
Oct 25, 2006·Transplantation·Martin L MaiThomas Gonwa
Aug 19, 2009·Topics in Magnetic Resonance Imaging : TMRI·Rana FattahiFrank R Burton
May 18, 2005·Urologia Internationalis·Koon H RhaThomas W Jarrett
May 29, 2012·Experimental and Clinical Transplantation : Official Journal of the Middle East Society for Organ Transplantation·Shaneel R Patel, Nadey Hakim
Mar 12, 2008·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Nadey S Hakim
Dec 1, 1999·AACN Clinical Issues·D C Steen
Jul 1, 2016·World Journal of Transplantation·Hany El-HennawyFowler Smith
Mar 12, 2019·Khirurgiia·A V PinchukA S Kondrashkin
May 26, 2017·Experimental and Clinical Transplantation : Official Journal of the Middle East Society for Organ Transplantation·Clifford AkatehAshraf El-Hinnawi
Feb 2, 2006·British Journal of Hospital Medicine·Nadey S Hakim
Jan 14, 2021·World Journal of Transplantation·Joana Ferrer-Fàbrega, Laureano Fernández-Cruz

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