Successful surgical salvage of pancreas allograft.

Abstract:

BACKGROUND:Early and late complications related to the pancreas after simultaneous kidney-pancreas transplantation (SKPT) frequently result in graft loss. The authors describe a surgical rescue technique that allows salvage of the pancreatic graft when surgical complications appear after the transplant. METHODS:Of 158 patients who underwent SKPT, 7 were identified with posttransplant complications that required surgical salvage of the pancreas allograft. The surgical salvage technique consisted of the following: pancreatoduodenectomy with conversion from whole-pancreas transplant with bladder or enteric diversion to segmental graft with duct injection (three cases) and conversion from whole-pancreas transplant with duct injection (four cases). RESULTS:Five of seven pancreas allografts are still functioning, with a mean follow-up of 28 months (range, 6-42 months). CONCLUSION:The described surgical treatment may be useful for surgical salvage of the pancreatic allograft, without major impairment of endocrine function.

journal_name

Transplantation

journal_title

Transplantation

authors

Orsenigo E,Cristallo M,Socci C,Castoldi R,Fiorina P,Invernizzi L,Caldara R,Secchi A,Di Carlo V

doi

10.1097/01.TP.0000041784.27763.A9

subject

Has Abstract

pub_date

2003-01-27 00:00:00

pages

233-6

issue

2

eissn

0041-1337

issn

1534-6080

journal_volume

75

pub_type

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