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.
Department of Surgery, University of Texas Medical Branch, Galveston 77555-0542, USA.
V
V
Douzdjian
K K
KK
Gugliuzza
J C
JC
Fish
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