Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Kahn, J; Iberer, F; Kniepeiss, D; Duller, D; Jakoby, E; Tscheliessnigg, K.
Retroperitoneal pancreas transplantation with systemic-enteric drainage--case report.
Clin Transplant. 2008; 22(5): 674-676.
Doi: 10.1111/j.1399-0012.2008.00830.x
(- Case Report)
Web of Science
PubMed
FullText
FullText_MUG
- Führende Autor*innen der Med Uni Graz
- Kahn Judith
- Co-Autor*innen der Med Uni Graz
- Iberer Florian
- Jakoby Estrella
- Kniepeiss Daniela
- Tscheliessnigg Karlheinz
- Wagner Doris
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- Abstract:
- Enteric drainage and intraperitoneal graft position is the preferred technique for pancreas transplantation at most transplant centers. The technique of retroperitoneal pancreas transplantation was first described by Boggi et al. [Transplantation,79 (2005), 1137]. In this case report, a modified model of retroperitoneal pancreas transplantation with systemic-enteric drainage is presented. A 48-yr-old patient underwent combined retroperitoneal pancreas and kidney transplantation because of type-I-diabetes, and diabetic nephropathy. At the time of transplantation, the patient had a body mass index of 31 and severe atherosclerosis of the iliac vessels. After mobilization of the colon and mesocolon ascendens, the vessels of the pancreas graft were anastomosed end-to-side to the aorta and to the inferior caval vein of the recipient. For exocrinous drainage, a side-to-side duodenojejunostomy was performed after bringing a jejunal loop through a window in the right colon mesentery. The graft was in a retroperitoneal position. The patient was insulin-independent after 48 h, the lipase and amylase levels were within the normal range. The first experience with retroperitoneal pancreas transplantation with systemic-enteric drainage showed that the technique was safe and had technical advantages when compared with the classic method.
- Find related publications in this database (using NLM MeSH Indexing)
- Female -
- Humans -
- Kidney Transplantation - methods
- Middle Aged -
- Pancreas Transplantation - methods
- Retroperitoneal Space -
- Find related publications in this database (Keywords)
- retroperitoneal pancreas transplantation
- system-enteric damage