Pancreatic transplantation and subsequent graft surveillance by pancreatic portal-enteric anastomosis and temporary venting jejunostomy

Annals of Surgery
Gazi B ZibariJ C McDonald

Abstract

To evaluate portal-enteric (PE) pancreas and kidney transplantation with venting jejunostomy (VJ) for its efficacy, safety, and reproducibility. Simultaneous pancreas and kidney transplantation for patients with long-standing insulin-dependent diabetes mellitus that progresses to renal failure has revolutionized their treatment and quality of life. A current clinical focus is to refine the technical aspects of this procedure. Simultaneous pancreas and kidney transplantation with PE anastomosis with VJ appears to offer several advantages over bladder drainage. VJ allows initial decompression of the enteric anastomosis, monitoring of pancreatic function by ostomy amylase, and simple access for endoscopic evaluation and biopsy of the allograft. Simultaneous pancreas and kidney transplantation with VJ was performed in 21 patients from December 1996 to October 2000 at Willis Knighton/LSU Regional Transplant Center. All patients had long-standing insulin-dependent diabetes mellitus and subsequent renal failure. They were evaluated at the time of surgery by a multidisciplinary transplant team and monitored for numerous factors, including length of hospital stay, immunosuppressive regimen, and ischemia times. All patients had intermitt...Continue Reading

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Citations

Jan 20, 2012·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Marcelo Moura LinharesJose Osmar Medina
Dec 2, 2011·Transplantation·Juan Mejia, Ron Shapiro
Apr 6, 2011·Journal of the American College of Surgeons·Hosein Shokouh-AmiriGazi B Zibari
Feb 26, 2005·Transplant International : Official Journal of the European Society for Organ Transplantation·Elena OrsenigoValerio Di Carlo
Jun 27, 2006·Transplantation Proceedings·A NavarroE Solas
Apr 26, 2005·Transplantation Proceedings·R J Stratta
Jul 7, 2017·Current Opinion in Organ Transplantation·Mark Reza LaftaviRainer Gruessner
May 25, 2004·Journal of Intensive Care Medicine·Fahim ZamanGazi B Zibari
Dec 17, 2009·Current Opinion in Organ Transplantation·Ugo BoggiPiero Marchetti
Dec 12, 2012·Current Opinion in Organ Transplantation·Christian MargreiterRaimund Margreiter
Nov 2, 2020·Critical Care Nursing Clinics of North America·Joyce Pittman, Carroll Gillespie

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