Postoperative CT in pancreas transplantation.

Abstract:

AIM:To examine the usage and value of computed tomography (CT) following simultaneous pancreas and kidney (SPK) transplantation. MATERIALS AND METHODS:Indications for postoperative CT, key findings, and their influence on management were determined by retrospective analysis. RESULTS:Ninety-eight patients underwent 313 CT examinations. Common indications for the examinations included suspected intra-abdominal collection (31.1%) and elevated serum amylase/lipase (24.1%). CT findings most frequently showed non-specific mild inflammation (27.6%), a normal scan (17.1%) and fluid collections (16.3%). High capillary blood glucose (CBG) was associated with resultant CT demonstration of graft vascular abnormalities, but otherwise, particular clinical indications were not associated with specific CT findings. CONCLUSION:Clinical findings in patients with SPK transplants are non-specific. The pattern of abnormalities encountered is significantly different to those seen in native pancreatic disease and demands a tailored protocol. CT enables accurate depiction of vascular abnormalities and fluid collections, thus reducing the number of surgical interventions that might otherwise be required. Elevated CBG should prompt urgent CT to exclude potentially reversible vascular complications.

journal_name

Clin Radiol

journal_title

Clinical radiology

authors

Powell FE,Harper SJ,Callaghan CJ,Shaw A,Godfrey EM,Bradley JA,Watson CJ,Pettigrew GJ

doi

10.1016/j.crad.2015.06.086

subject

Has Abstract

pub_date

2015-11-01 00:00:00

pages

1220-8

issue

11

eissn

0009-9260

issn

1365-229X

pii

S0009-9260(15)00279-2

journal_volume

70

pub_type

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