A novel treatment for chronic pancreatitis.

Abstract:

BACKGROUND:Hereditary pancreatitis is an important cause of chronic pancreatitis, which may result in endocrine and exocrine failure. This may necessitate simultaneous pancreas and kidney transplant (SPK). Bladder drainage of the exocrine secretions may cause problems. AIM:To report one such case and its surgical correction. METHODS:A 20-year-old male with insulin-dependent diabetes mellitus secondary to idiopathic chronic pancreatitis had a SPK with bladder drainage. Urological and metabolic complications secondary to the drainage of pancreatic secretions, rich in proteolytic enzymes required convertion from bladder to enteric drainage. RESULTS:He was able to discontinue his pancreatic enzyme supplements, ceased to have steatorrhoea and gained weight. He was referred to the European Registry of Hereditary Pancreatitis and Familial Pancreatic Cancer (EUROPAC), hereditary pancreatitis was confirmed by genetic analysis. CONCLUSION:Enteric-drained pancreas transplantation is a successful treatment for exocrine as well as endocrine pancreatic failure and should be considered as a treatment option in patients with chronic pancreatitis.

journal_name

Ir J Med Sci

authors

Connolly EM,Osborne H,Hickey DP

doi

10.1007/BF02915290

keywords:

subject

Has Abstract

pub_date

2003-10-01 00:00:00

pages

202-3

issue

4

eissn

0021-1265

issn

1863-4362

journal_volume

172

pub_type

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