title: Duct-enterostomy as a treatment of pancreatic fistula in a bladder-drained pancreas transplant.
abstract: A case of combined pancreaticoduodeno-renal transplant with good graft function was complicated by recurrent episodes of graft pancreatitis treated by vesical catheter drainage. Four months after transplantation, a fistula from the pancreatic body associated with ascitis was identified. Anastomosis between pancreatic fistula and an individualized jejunal loop was performed. The duodenocystostomy was not disconnected. A splint placed inside the wirsung was exteriorized percutaneously through the jejunal loop and removed 30 days after the operation. Both kidney and pancreas grafts are functioning normally 2 years after transplantation.
authors.affiliation: Departamento de Transplantes, Santa Casa de Porto Alegre, Brazil.
authors.forename: M L
authors.initials: ML
authors.lastname: Zanotelli
authors.forename: E E
authors.initials: EE
authors.lastname: Guerra
authors.forename: L F
authors.initials: LF
authors.lastname: Costa
authors.forename: S P
authors.initials: SP
authors.lastname: Vitola
authors.forename: V D
authors.initials: VD
authors.lastname: Garcia
authors.forename: G P
authors.initials: GP
authors.lastname: Cantisani
mesh_terms: D000328:Adult; D003922:Diabetes Mellitus, Type 1 / Q000601:surgery*; D004322:Drainage; D004766:Enterostomy; D005402:Fistula / Q000601:surgery*; D006801:Humans; D016030:Kidney Transplantation; D008297:Male; D016035:Pancreas Transplantation / Q000473:pathology; D010183:Pancreatic Ducts / Q000601:surgery*; D011183:Postoperative Complications / Q000601:surgery*; D001743:Urinary Bladder / Q000601:surgery*