Urologic complications after simultaneous pancreas-kidney transplantation: hand-sewn versus stapled duodenocystostomy.
Pancreas transplantation with bladder drainage of exocrine secretions may be associated with significant urologic complications. Stapled and hand-sewn duodenocystostomies were compared in 61 recipients of simultaneous pancreas-kidney transplants. Both methods resulted in similar urologic complication and allograft survival rates. Duodenal segment leaks were associated with significant morbidity and decreased patient and allograft survival.
Douzdjian
V
V
Department of Surgery, University of Texas Medical Branch, Galveston 77555-0542, USA.
Gugliuzza
K K
KK
Fish
J C
JC
D000328:Adult; D000714:Anastomosis, Surgical; D003559:Cystostomy; D003922:Diabetes Mellitus, Type 1 / Q000601:surgery*; D004385:Duodenostomy; D005260:Female; D052776:Female Urogenital Diseases / Q000209:etiology*; D006084:Graft Rejection / Q000209:etiology; D006417:Hematuria / Q000209:etiology; D006801:Humans; D016030:Kidney Transplantation; D008297:Male; D052801:Male Urogenital Diseases; D008875:Middle Aged; D016035:Pancreas Transplantation; D011183:Postoperative Complications / Q000209:etiology*; D013528:Surgical Staplers; D013529:Surgical Wound Dehiscence / Q000209:etiology; D013530:Surgical Wound Infection / Q000209:etiology; D013536:Suture Techniques; D014552:Urinary Tract Infections / Q000209:etiology