title: Postoperative CT in pancreas transplantation.
abstract: OBJECTIVE
  To examine the usage and value of computed tomography (CT) following simultaneous pancreas and kidney (SPK) transplantation.
  
  
  METHODS
  Indications for postoperative CT, key findings, and their influence on management were determined by retrospective analysis.
  
  
  RESULTS
  Ninety-eight patients underwent 313 CT examinations. Common indications for the examinations included suspected intra-abdominal collection (31.1%) and elevated serum amylase/lipase (24.1%). CT findings most frequently showed non-specific mild inflammation (27.6%), a normal scan (17.1%) and fluid collections (16.3%). High capillary blood glucose (CBG) was associated with resultant CT demonstration of graft vascular abnormalities, but otherwise, particular clinical indications were not associated with specific CT findings.
  
  
  CONCLUSIONS
  Clinical findings in patients with SPK transplants are non-specific. The pattern of abnormalities encountered is significantly different to those seen in native pancreatic disease and demands a tailored protocol. CT enables accurate depiction of vascular abnormalities and fluid collections, thus reducing the number of surgical interventions that might otherwise be required. Elevated CBG should prompt urgent CT to exclude potentially reversible vascular complications.
authors.affiliation: University Department of Surgery, and NIHR Comprehensive Biomedical Research Centre, Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge CB2 0QQ, UK.
authors.forename: F E
authors.initials: FE
authors.lastname: Powell
authors.affiliation: University Department of Surgery, and NIHR Comprehensive Biomedical Research Centre, Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge CB2 0QQ, UK. Electronic address: sh649@cam.ac.uk.
authors.forename: S J F
authors.initials: SJ
authors.lastname: Harper
authors.affiliation: University Department of Surgery, and NIHR Comprehensive Biomedical Research Centre, Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge CB2 0QQ, UK.
authors.forename: C J
authors.initials: CJ
authors.lastname: Callaghan
authors.affiliation: Department of Radiology, Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge CB2 0QQ, UK.
authors.forename: A
authors.initials: A
authors.lastname: Shaw
authors.affiliation: Department of Radiology, Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge CB2 0QQ, UK.
authors.forename: E M
authors.initials: EM
authors.lastname: Godfrey
authors.affiliation: University Department of Surgery, and NIHR Comprehensive Biomedical Research Centre, Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge CB2 0QQ, UK.
authors.forename: J A
authors.initials: JA
authors.lastname: Bradley
authors.affiliation: University Department of Surgery, and NIHR Comprehensive Biomedical Research Centre, Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge CB2 0QQ, UK.
authors.forename: C J E
authors.initials: CJ
authors.lastname: Watson
authors.affiliation: University Department of Surgery, and NIHR Comprehensive Biomedical Research Centre, Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge CB2 0QQ, UK.
authors.forename: G J
authors.initials: GJ
authors.lastname: Pettigrew
mesh_terms: D000328:Adult; D064591:Allografts / Q000000981:diagnostic imaging; D001786:Blood Glucose / Q000378:metabolism; D005260:Female; D006085:Graft Survival; D006801:Humans; D053208:Kaplan-Meier Estimate; D016030:Kidney Transplantation / Q000379:methods; D008297:Male; D010179:Pancreas / Q000000981:diagnostic imaging*; D016035:Pancreas Transplantation / Q000379:methods*; D011182:Postoperative Care / Q000379:methods; D011183:Postoperative Complications / Q000000981:diagnostic imaging; D012189:Retrospective Studies; D014057:Tomography, X-Ray Computed; D014184:Transplantation, Homologous / Q000379:methods
chemical_list: D001786:Blood Glucose