Accessibility of Percutaneous Biopsy in Retrocolic-Placed Pancreatic Grafts With a Duodeno-Duodenostomy.

Autor:	Bassaganyas C; Radiology Department, Centre Diagnòstic per la Imatge (CDI), Hospital Clinic de Barcelona, Barcelona, Spain.; Universitat de Barcelona, Barcelona, Spain., Darnell A; Radiology Department, Centre Diagnòstic per la Imatge (CDI), Hospital Clinic de Barcelona, Barcelona, Spain., Soler-Perromat A; Radiology Department, Centre Diagnòstic per la Imatge (CDI), Hospital Clinic de Barcelona, Barcelona, Spain., Rafart G; Radiology Department, Centre Diagnòstic per la Imatge (CDI), Hospital Clinic de Barcelona, Barcelona, Spain., Ventura-Aguiar P; Nephrology and Kidney Transplant Department, Institut Clínic de Nefrologia i Urologia (ICNU), Hospital Clinic de Barcelona, Barcelona, Spain., Cuatrecasas M; Pathology Department, Centre de Diagnòstic Biomèdic (CDB), Hospital Clinic de Barcelona, Barcelona, Spain., Ferrer-Fàbrega J; Hepatobiliopancreatic Surgery and Liver & Pancreas Transplant Department, Institut Clínic de Malalties Digestives i Metabòliques (ICMDM), Hospital Clinic de Barcelona, Barcelona, Spain., Ayuso C; Radiology Department, Centre Diagnòstic per la Imatge (CDI), Hospital Clinic de Barcelona, Barcelona, Spain.; Universitat de Barcelona, Barcelona, Spain.; Agust Pi i Sunyer Biomedical Research Institute (IDIBAPS), Barcelona, Spain., García-Criado Á; Radiology Department, Centre Diagnòstic per la Imatge (CDI), Hospital Clinic de Barcelona, Barcelona, Spain.; Universitat de Barcelona, Barcelona, Spain.
Jazyk:	angličtina
Zdroj:	Transplant international : official journal of the European Society for Organ Transplantation [Transpl Int] 2024 Aug 06; Vol. 37, pp. 12682. Date of Electronic Publication: 2024 Aug 06 (Print Publication: 2024).
DOI:	10.3389/ti.2024.12682
Abstrakt:	Duodeno-duodenostomy (DD) has been proposed as a more physiological alternative to conventional duodeno-jejunostomy (DJ) for pancreas transplantation. Accessibility of percutaneous biopsies in these grafts has not yet been assessed. We conducted a retrospective study including all pancreatic percutaneous graft biopsies requested between November 2009 and July 2021. Whenever possible, biopsies were performed under ultrasound (US) guidance or computed tomography (CT) guidance when the US approach failed. Patients were classified into two groups according to surgical technique (DJ and DD). Accessibility, success for histological diagnosis and complications were compared. Biopsy was performed in 93/136 (68.4%) patients in the DJ group and 116/132 (87.9%) of the DD group ( p = 0.0001). The graft was not accessible for biopsy mainly due to intestinal loop interposition (n = 29 DJ, n = 10 DD). Adequate sample for histological diagnosis was obtained in 86/93 (92.5%) of the DJ group and 102/116 (87.9%) of the DD group ( p = 0.2777). One minor complication was noted in the DD group. The retrocolic position of the DD pancreatic graft does not limit access to percutaneous biopsy. This is a safe technique with a high histological diagnostic success rate. Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. (Copyright © 2024 Bassaganyas, Darnell, Soler-Perromat, Rafart, Ventura-Aguiar, Cuatrecasas, Ferrer-Fàbrega, Ayuso and García-Criado.)
Databáze:	MEDLINE
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