A prospective randomized clinical trial of perioperative treatment with octreotide in pancreas transplantation

Enrico Benedetti, Noreen T. Coady, Massimo Asolati, Ty Dunn, Beverly M. Stormoen, Amelia M. Bartholomew, Eva M. Vasquez, Raymond Pollak

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26 Scopus citations

Abstract

BACKGROUND: Technical failures continue to plague clinical pancreas transplantation. The somastatin analogue octreotide has been shown able to decrease morbidity after pancreatic resection. We studied the effect of perioperative treatment with octreotide on technical complications after pancreas transplant. PATIENTS AND METHODS: Seventeen recipients of bladder- drained transplant were randomized to receive either octreotide, 100 μg TID SQ for 5 days after transplant (n = 10) or no additional treatment (n = 7). We compared the two groups in terms of patient and graft survival and incidence of graft pancreatitis, intra-abdominal infections, and anastomotic leaks. RESULTS: In the untreated group, 1 patient developed a bladder leak and 2 had intra-abdominal infections, while no complications occurred in the octreotide-treated patients (P = 0.05). Six month patient and pancreas survival was 100% and 90%, respectively, in octreotide-treated patients versus 86% and 86% in the control group (P = NS). CONCLUSION: Perioperative treatment with octreotide seems able to reduce the incidence of technical complications after pancreas transplantation.

Original languageEnglish (US)
Pages (from-to)14-17
Number of pages4
JournalAmerican journal of surgery
Volume175
Issue number1
DOIs
StatePublished - Jan 1 1998

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    Benedetti, E., Coady, N. T., Asolati, M., Dunn, T., Stormoen, B. M., Bartholomew, A. M., Vasquez, E. M., & Pollak, R. (1998). A prospective randomized clinical trial of perioperative treatment with octreotide in pancreas transplantation. American journal of surgery, 175(1), 14-17. https://doi.org/10.1016/S0002-9610(97)00236-5