title: Successful surgical salvage of pancreas allograft.
abstract: BACKGROUND
  Early and late complications related to the pancreas after simultaneous kidney-pancreas transplantation (SKPT) frequently result in graft loss. The authors describe a surgical rescue technique that allows salvage of the pancreatic graft when surgical complications appear after the transplant.
  
  
  METHODS
  Of 158 patients who underwent SKPT, 7 were identified with posttransplant complications that required surgical salvage of the pancreas allograft. The surgical salvage technique consisted of the following: pancreatoduodenectomy with conversion from whole-pancreas transplant with bladder or enteric diversion to segmental graft with duct injection (three cases) and conversion from whole-pancreas transplant with duct injection (four cases).
  
  
  RESULTS
  Five of seven pancreas allografts are still functioning, with a mean follow-up of 28 months (range, 6-42 months).
  
  
  CONCLUSIONS
  The described surgical treatment may be useful for surgical salvage of the pancreatic allograft, without major impairment of endocrine function.
authors.affiliation: Department of Surgery, San Raffaele Scientific Hospital, Milan, Italy. elenaors@libero.it.
authors.forename: Elena
authors.initials: E
authors.lastname: Orsenigo
authors.forename: Marco
authors.initials: M
authors.lastname: Cristallo
authors.forename: Carlo
authors.initials: C
authors.lastname: Socci
authors.forename: Renato
authors.initials: R
authors.lastname: Castoldi
authors.forename: Paolo
authors.initials: P
authors.lastname: Fiorina
authors.forename: Laura
authors.initials: L
authors.lastname: Invernizzi
authors.forename: Rossana
authors.initials: R
authors.lastname: Caldara
authors.forename: Antonio
authors.initials: A
authors.lastname: Secchi
authors.forename: Valerio
authors.initials: V
authors.lastname: Di Carlo
mesh_terms: D006801:Humans; D016030:Kidney Transplantation / Q000009:adverse effects*; D010179:Pancreas / Q000601:surgery*; D016035:Pancreas Transplantation / Q000009:adverse effects*; D016577:Pancreaticoduodenectomy; D016879:Salvage Therapy; D014184:Transplantation, Homologous