Pancreaticocystostomy revision for obstructive pancreatitis and pancreatic fistula after segmental pancreatic transplantation

Robert M. Esterl, Navyash Gupta, Jeffrey C. Reese, Bhargavi K. Patel, Ralph B. Fairchild, Harvey Solomon, Paul J. Garvin

Research output: Contribution to journalArticle

Abstract

Combined kidney-pancreas transplantation is an effective surgical therapy for end-stage renal failure secondary to type I diabetes mellitus. However, obstructive pancreatitis and pancreaticocutaneous fistula remain significant postoperative complications unique to extraperitoneal segmental pancreatic transplantation. We present our experience with 13 patients (7 with obstructive pancreatitis and 6 with pancreaticocutaneous fistulae) after segmental extraperitoneal pancreatic transplantation, who subsequently underwent intraperitoneal reconstruction of the pancreaticocystostomy. This reconstruction was successful in 11 of 13 (85%) patients with minimal morbidity and no mortality. This intraperitoneal approach to reconstruction of the pancreaticocystostomy after segmental extraperitoneal pancreatic transplantation is a safe and effective means of graft salvage and this technique has not been described in the literature.

Original languageEnglish (US)
Pages (from-to)287-293
Number of pages7
JournalClinical Transplantation
Volume10
Issue number3
StatePublished - Aug 20 1996

Keywords

  • Obstructive pancreatitis
  • Pancreatic transplantation
  • Pancreaticocutaneous fistula
  • Pancreaticocystostomy

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    Esterl, R. M., Gupta, N., Reese, J. C., Patel, B. K., Fairchild, R. B., Solomon, H., & Garvin, P. J. (1996). Pancreaticocystostomy revision for obstructive pancreatitis and pancreatic fistula after segmental pancreatic transplantation. Clinical Transplantation, 10(3), 287-293.