| Autor: |
Gazi B, Zibari, Mohammad Kazem, Fallahzadeh, Alireza, Hamidian Jahromi, Joseph, Zakhary, David, Dies, Greg, Wellman, Neeraj, Singh, Hosein, Shokouh-Amiri |
| Rok vydání: |
2014 |
| Předmět: |
|
| Zdroj: |
The Journal of the Louisiana State Medical Society : official organ of the Louisiana State Medical Society. 166(5) |
| ISSN: |
0024-6921 |
| Popis: |
The aim of this study is to report our six-year experience with portal-endocrine and gastric-exocrine drainage technique of pancreatic transplantation, which was first developed and implemented at our center in 2007.In this study, the outcomes of all patients at our center who had pancreas transplantation with portal-endocrine and gastric-exocrine drainage technique were evaluated.From October 2007 to November 2013, 38 patients had pancreas transplantation with this technique - 31 simultaneous kidney pancreas and seven pancreas alone. Median duration of follow-up was 3.8 years. One-, three-, and five-year patient and graft survival rates were 94%, 87%, 70% and 83%, 65%, 49%, respectively. For pancreas allograft dysfunction evaluation, 51 upper endoscopies were performed in 14 patients; donor duodenal biopsies were successfully obtained in 45 (88%). We detected nine episodes of acute rejection (eight patients) and seven episodes of cytomegalovirus (CMV) duodenitis (six patients). No patient developed any complication due to upper endoscopy.Portal-endocrine and gastric-exocrine drainage technique of pancreas transplantation provides lifelong easy access to the transplanted duodenum for evaluation of pancreatic allograft dysfunction. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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