title: [Pancreas transplantation: multislice computed tomography follow-up].
abstract: OBJECTIVE
  Solitary pancreas or combined kidney-pancreas transplantation is currently the only therapeutic procedure for complete resolution of diabetes mellitus type I. The aim of the present study is to investigate the role of multislice computed tomography (MSCT) in the follow-up of patients subjected to solitary pancreas or combined kidney-pancreas transplantation.
  
  
  METHODS
  Sixteen patients who had undergone solitary pancreas (n=8) or combined kidney-pancreas (n=8) transplantation, with systemic-bladder (n=6) or portal-enteric (n=10) pancreatic drainage were evaluated with MSCT (Light Speed Plus, GE Medical System). In solitary pancreas follow-up the MSCT study included arterial and portal phases; in combined kidney-pancreas transplanted patients the urographic phase was included. The acquisition was performed with 1.25 mm collimation, 0.6 mm reconstruction interval and a pitch of 6. An MSCT scan of the thorax was included in patients suspected of having lung complications.
  
  
  RESULTS
  In all cases MSCT allowed identification of the surgical technique performed, evaluation of the transplanted pancreas, and assessment of complications, if present. The following major complications were identified: thrombosis or stenosis of the arterial graft, pancreatic infarction, ectasia of the common iliac artery and arterial graft, dehiscence of the duodenocystostomy, infected abdominal collections, pulmonary infections.
  
  
  CONCLUSIONS
  MSCT is able to detect complications arising in the transplanted organs and those related to immunosuppressive therapy, and confirms its usefulness in the follow-up of solitary pancreas or combined kidney-pancreas transplanted patients.
authors: Divisione di Radiologia Diagnostica e Interventistica, Università degli Studi di Pisa, Pisa.
authors: Carla
authors: C
authors: Cappelli
authors: Emanuele
authors: E
authors: Neri
authors: Ugo
authors: U
authors: Boggi
authors: Roberto
authors: R
authors: Cioni
authors: Salvatore
authors: S
authors: Mazzeo
authors: Fabio
authors: F
authors: Vistoli
authors: Franco
authors: F
authors: Mosca
authors: Carlo
authors: C
authors: Bartolozzi
mesh_terms: D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D016030:Kidney Transplantation; D008297:Male; D008875:Middle Aged; D016035:Pancreas Transplantation / Q000000981:diagnostic imaging*; D036542:Tomography, Spiral Computed