Drainage of the exocrine pancreas in clinical transplantation: Comparison of bladder versus enteric drainage in a consecutive series

Thomas C. Pearson, Pablo J. Santamaria, Kristine L. Routenberg, David P. O'Brien, John D. Whelchel, John F. Neylan, Christian P. Larsen

Research output: Contribution to journalArticle

23 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)201-205
Number of pages5
JournalClinical Transplantation
Volume11
Issue number3
StatePublished - Jun 1997

Keywords

  • Diabetes mellitus
  • Kidney/pancreas
  • Technique
  • Transplantation

ASJC Scopus subject areas

  • Transplantation

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    Pearson, T. C., Santamaria, P. J., Routenberg, K. L., O'Brien, D. P., Whelchel, J. D., Neylan, J. F., & Larsen, C. P. (1997). Drainage of the exocrine pancreas in clinical transplantation: Comparison of bladder versus enteric drainage in a consecutive series. Clinical Transplantation, 11(3), 201-205.