ISSN: 2165-7092
+44 1478 350008
Rogers J
Tanzania
Research Article
Pancreas Transplantation with Systemic-Enteric Drainage when Portal-Enteric Drainage is Contraindicated
Author(s): Stratta RJ*, Farney AC, Orlando G, Farooq U, Al-Shraideh Y, El-Hennawy H and Rogers J
Stratta RJ*, Farney AC, Orlando G, Farooq U, Al-Shraideh Y, El-Hennawy H and Rogers J
Aim: Although most Pancreas Transplants (PTs) are currently performed with exocrine enteric drainage, <20% also incorporate portal venous delivery of insulin (portal-enteric drainage). The purpose of this study was to analyze outcomes according to surgical technique.
Methods: We retrospectively reviewed outcomes in 202 consecutive PTs in 192 patients at our center. All patients received either r-ATG or alemtuzumab induction with tacrolimus/mycophenolate ± steroids.
Results: From 11/01 to 3/13, we performed 162 simultaneous kidney-PTs (SKPT), 35 sequential PTs after kidney, and 5 PTs alone (40 solitary PTs). A total of 179 (89%) were performed with portal-enteric and 23 with systemic-enteric drainage; all PTs were initially approached as intent-to-treat with portal-enteric drainage. Indications for systemic-enteric drainag.. View More»
DOI:
10.4172/2165-7092.1000134