A technique for portal pancreatic transplantation with enteric drainage.
Twelve patients were operated upon using this technique. Early results show that hyperinsulinemia has abated in these patients and that the need for postoperative bicarbonate replacement, admissions for dehydration or hematuria resulting from pancreatic exocrine drainage into the bladder are also eliminated (9). This new technique of portal pancreatic transplantation is suitable for patients undergoing combined pancreatic and renal transplantation in whom rejection of the pancreas can be monitored through the function of the renal allograft. The procedure is technically feasible and safe. However, large trials are needed to document the full benefits and continued safety of this new procedure.
Gaber
A O
AO
Department of Surgery, University of Tennessee, Memphis 38163.
Shokouh-Amiri
H
H
Grewal
H P
HP
Britt
L G
LG
D000714:Anastomosis, Surgical / Q000379:methods; D003928:Diabetic Nephropathies / Q000601:surgery*; D004386:Duodenum / Q000601:surgery; D006801:Humans; D007083:Iliac Artery / Q000601:surgery; D007583:Jejunum / Q000601:surgery; D007676:Kidney Failure, Chronic / Q000601:surgery*; D016030:Kidney Transplantation / Q000379:methods*; D008642:Mesenteric Veins / Q000601:surgery; D016035:Pancreas Transplantation / Q000379:methods*; D011169:Portal Vein / Q000601:surgery*