title: Gastric outlet obstruction by a donor aortic tube after en bloc liver pancreas transplantation: a case report.
abstract: We present the case of a 30-year-old female suffering from a type five maturity onset diabetes of the young deficiency, resulting in type 1 diabetes and terminal renal insufficiency. She also had chronic and refractory pruritis due to primary sclerosing cholangitis-like fibrosis. She underwent combined en bloc liver and pancreas transplantation and kidney transplantation. The postoperative course was complicated by a gastric outlet obstruction due to compression of the native gastroduodenal junction by the donor aortic tube. This was treated by construction of a roux-en-Y gastrojejunostomy at posttransplant day 24. To our knowledge, compression of the gastroduodenal junction by a donor aortic tube after combined liver and pancreas (or multivisceral) transplantation has not been reported previously.
authors.affiliation: Department of Abdominal Transplant Surgery, University Hospitals Leuven, Herestraat 49, B-3000 Leuven, Belgium.
authors.forename: B
authors.initials: B
authors.lastname: Deylgat
authors.forename: H
authors.initials: H
authors.lastname: Topal
authors.forename: N
authors.initials: N
authors.lastname: Meurisse
authors.forename: I
authors.initials: I
authors.lastname: Jochmans
authors.forename: R
authors.initials: R
authors.lastname: Aerts
authors.forename: D
authors.initials: D
authors.lastname: Vanbeckevoort
authors.forename: D
authors.initials: D
authors.lastname: Monbaliu
authors.forename: J
authors.initials: J
authors.lastname: Pirenne
mesh_terms: D000328:Adult; D000713:Anastomosis, Roux-en-Y; D001011:Aorta / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects*; D015209:Cholangitis, Sclerosing / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D003922:Diabetes Mellitus, Type 1 / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D003928:Diabetic Nephropathies / Q000209:etiology / Q000601:surgery; D005260:Female; D015390:Gastric Bypass; D017219:Gastric Outlet Obstruction / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D006801:Humans; D016030:Kidney Transplantation; D016031:Liver Transplantation / Q000009:adverse effects*; D016035:Pancreas Transplantation / Q000009:adverse effects*; D051437:Renal Insufficiency / Q000209:etiology / Q000601:surgery; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome