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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)
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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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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
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