TY - JOUR
T1 - Drainage of the exocrine pancreas in clinical transplantation
T2 - Comparison of bladder versus enteric drainage in a consecutive series
AU - Pearson, Thomas C.
AU - Santamaria, Pablo J.
AU - Routenberg, Kristine L.
AU - O'Brien, David P.
AU - Whelchel, John D.
AU - Neylan, John F.
AU - Larsen, Christian P.
PY - 1997/6
Y1 - 1997/6
N2 - The purpose of this study was to define the incidence of urologic and metabolic complications after simultaneous kidney/pancreas transplantation (SKPT) with bladder drainage (BD). Review of 55 SKPT with BD performed between 1989 and 1995 demonstrated patient, kidney, and pancreas survival rates of 95%, 89%, and 78%, respectively, with a mean follow-up of 41 months (range 12-78 months). Over this follow-up period 78% of these patients experienced a urinary tract infection, 27% had hematuria, and 38% had at least one hospital admission for dehydration. Recent experience with primary enteric drainage of the exocrine secretions of the transplanted pancreas (n = 11) has demonstrated the total absence of these complications (follow-up range 2-12 months). These results suggest the value of continuous re-evaluation of surgical techniques as the care of transplant patients evolve.
AB - The purpose of this study was to define the incidence of urologic and metabolic complications after simultaneous kidney/pancreas transplantation (SKPT) with bladder drainage (BD). Review of 55 SKPT with BD performed between 1989 and 1995 demonstrated patient, kidney, and pancreas survival rates of 95%, 89%, and 78%, respectively, with a mean follow-up of 41 months (range 12-78 months). Over this follow-up period 78% of these patients experienced a urinary tract infection, 27% had hematuria, and 38% had at least one hospital admission for dehydration. Recent experience with primary enteric drainage of the exocrine secretions of the transplanted pancreas (n = 11) has demonstrated the total absence of these complications (follow-up range 2-12 months). These results suggest the value of continuous re-evaluation of surgical techniques as the care of transplant patients evolve.
KW - Diabetes mellitus
KW - Kidney/pancreas
KW - Technique
KW - Transplantation
UR - http://www.scopus.com/inward/record.url?scp=0030972713&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0030972713&partnerID=8YFLogxK
M3 - Article
C2 - 9193842
AN - SCOPUS:0030972713
SN - 0902-0063
VL - 11
SP - 201
EP - 205
JO - Clinical Transplantation
JF - Clinical Transplantation
IS - 3
ER -