Our experience with Roux-Y intestinal drainage in simultaneous kidney and pancreas transplantation.
Enteric drainage is a sound surgical technique in SKP, and it avoids the majority of urological as well as metabolic complications. We did not see an increase in intraabdominal complications or of graft loss due to rejection. Intestinal leak is rare and easily managed provided a Roux-Y loop of jejunum is used. Even though the number of patients was small and the follow-up short, the results of the RY group were at least comparable to the BD group. In view of our results, we plan to use this technique in all our future SKP patients.
Albert Einstein Medical Center, Temple University School of Medicine, Philadelphia, PA 19141, USA.
F
F
Badosa
D
D
Mital
L
L
Sands
M
M
Hisey
R
R
Raja
A
A
Bannett
M
M
Morris
D000328:Adult; D000713:Anastomosis, Roux-en-Y / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006084:Graft Rejection / Q000453:epidemiology; D006801:Humans; D007583:Jejunum / Q000601:surgery; D016030:Kidney Transplantation / Q000379:methods* / Q000502:physiology; D008297:Male; D016035:Pancreas Transplantation / Q000379:methods* / Q000502:physiology; D011183:Postoperative Complications / Q000453:epidemiology; D012189:Retrospective Studies; D013997:Time Factors