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A prospective comparison of bladder versus enteric drainage in vascularized pancreas transplantation.

Abstract：

:Although the number of pancreas transplants has increased significantly in previous years, debate continues concerning the optimum technique for exocrine pancreas drainage. Enteric drainage (ED) has recently been increasingly popular due to the long-term complications with bladder drainage (BD). We prospectively assigned 40 consecutive pancreas transplant recipients to either bladder (n = 20) or enteric (n = 20) drainage. Patient, kidney, and pancreas graft survival rates at 1 year after simultaneous kidney-pancreas transplantation were 95%, 95%, 85%, for BD group and 90%, 85%, 85% for ED group, respectively. Surgical complications were not significantly different between the two groups. The incidence of acute rejection, major infections, and CMV disease were similar between groups. The length of the initial hospital stay was likewise comparable. However, the BD group showed a slight increase in the number of urologic complications, metabolic acidosis, and dehydration. Based on the results of our study, patient and graft survivals were excellent irrespective of technique.

journal_name

Transplant Proc

journal_title

Transplantation proceedings

authors

Adamec M,Janousek L,Lipár K,Hampl F,Saudek F,Koznarová R,Boucek P,Havrdová T

doi

10.1016/j.transproceed.2004.05.027

subject

Has Abstract

pub_date

2004-05-01 00:00:00

pages

1093-4

issue

4

eissn

0041-1345

issn

1873-2623

pii

S0041134504005597

journal_volume

36

pub_type

杂志文章

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