Successful reuse of portal-enteric technique in pancreas retransplantation.
BACKGROUND
The portal venous and enteric drainage (P-E) technique was developed to avoid systemic hyperinsulinemia and bladder related complications. Pancreas retransplantation (Re-Tx) is an important option for patients who have lost their primary grafts. It is unknown whether the P-E technique can be repeated safely in patients who have lost their first pancreas transplant.


METHODS
Five patients who lost their pancreas graft after simultaneous kidney-pancreas transplantation with P-E drainage underwent pancreas Re-Tx, again using the P-E technique.


RESULTS
P-E Re-Tx was successful in all 5 patients without any technical difficulties or complications.


CONCLUSIONS
The P-E technique can be reused with excellent results in pancreas Re-Tx.
Reddy
K S
KS
Department of Surgery, University of Kentucky Chandler Medical Center, Lexington 40536, USA.
Shokouh-Amiri
H
H
Stratta
R J
RJ
Gaber
A O
AO
D000293:Adolescent; D000328:Adult; D004322:Drainage / Q000379:methods*; D005260:Female; D006084:Graft Rejection / Q000209:etiology; D006801:Humans; D007422:Intestines / Q000601:surgery*; D016030:Kidney Transplantation / Q000379:methods; D008297:Male; D016035:Pancreas Transplantation / Q000379:methods*; D011169:Portal Vein / Q000601:surgery*; D011183:Postoperative Complications; D012086:Reoperation