title: Enteric conversion after bladder-drained pancreatic transplantation; a simple and safe salvage procedure.
abstract: OBJECTIVE
  To present our experience with conversion from bladder to enteric drainage after simultaneous pancreatic and renal transplants, so that new transplant centres know that it is both safe and effective.
  
  
  METHODS
  Retrospective study.
  
  
  METHODS
  Teaching hospital, Republic of Ireland.
  
  
  METHODS
  Six patients who had simultaneous pancreatic and renal transplants for insulin-dependent diabetes and who subsequently developed complications of bladder drainage including recurrent episodes of dehydration and metabolic acidosis (n = 3), haematuria (n = 2), and urinary tract infections (n = 1).
  
  
  METHODS
  Conversion to enteric drainage.
  
  
  METHODS
  Resolution of symptoms.
  
  
  RESULTS
  All symptoms resolved, but one patient each developed pulmonary oedema, haematuria, and prolonged ileus. All three complications resolved on conservative treatment. All patients are well with surviving grafts a mean of 40 months later (range 19-50).
  
  
  CONCLUSIONS
  Conversion to enteric drainage is safe and effective in patients with refractory metabolic or urological complications of bladder drainage after simultaneous pancreatic and renal transplantation.
authors: Department of Urology and Transplantation, Beaumont Hospital, Dublin, Ireland. liz_connolly@hotmail.com
authors: E M
authors: EM
authors: Connolly
authors: R
authors: R
authors: Baktavatsalam
authors: K
authors: K
authors: O'Malley
authors: D M
authors: DM
authors: Little
authors: D P
authors: DP
authors: Hickey
mesh_terms: D000328:Adult; D003922:Diabetes Mellitus, Type 1 / Q000601:surgery*; D004322:Drainage / Q000379:methods*; D005260:Female; D006801:Humans; D007422:Intestines; D016030:Kidney Transplantation; D008297:Male; D008875:Middle Aged; D016035:Pancreas Transplantation / Q000009:adverse effects* / Q000379:methods*; D001743:Urinary Bladder