Endoscopic techniques for diagnosis and correction of complications after retroperitoneal pancreas transplantation
Abstract
Relevance. Timely diagnosis and treatment of postoperative complications after pancreas transplantation is an actual problem of modern clinical transplantation.
Purpose. The assessment of the endoscopy potential for the diagnosis and correction of postoperative complications after pancreas transplantation.
Materials and methods. Since October 2011, simultaneous retroperitoneal pancreas-kidney transplantation has been performed in 27 patients. In 8 cases, the use of endoscopic techniques allowed a timely identification and treatment of the complications occurred.
Conclusions. Endoscopic techniques proved to be highly efficient in the diagnosis and treatment of surgical complications and immunological impairments after retroperitoneal pancreas transplantation.
About the Authors
A. V. Pinchuk
N.V. Sklifosovsky Research Institute for Emergency Medicine of Moscow Healthcare Department, Moscow
Russian Federation
Russian Federation
I. V. Dmitriev
N.V. Sklifosovsky Research Institute for Emergency Medicine of Moscow Healthcare Department, Moscow
Russian Federation
Russian Federation
Yu. S. Teterin
N.V. Sklifosovsky Research Institute for Emergency Medicine of Moscow Healthcare Department, Moscow
Russian Federation
Russian Federation
A. G. Balkarov
N.V. Sklifosovsky Research Institute for Emergency Medicine of Moscow Healthcare Department, Moscow
Russian Federation
Russian Federation
N. V. Shmarina
N.V. Sklifosovsky Research Institute for Emergency Medicine of Moscow Healthcare Department, Moscow
Russian Federation
Russian Federation
R. V. Storozhev
N.V. Sklifosovsky Research Institute for Emergency Medicine of Moscow Healthcare Department, Moscow
Russian Federation
Russian Federation
Yu. A. Anisimov
N.V. Sklifosovsky Research Institute for Emergency Medicine of Moscow Healthcare Department, Moscow
Russian Federation
Russian Federation
A. S. Kondrashkin
N.V. Sklifosovsky Research Institute for Emergency Medicine of Moscow Healthcare Department, Moscow
Russian Federation
Russian Federation
References
1. Gruessner R.W.G., Sutherland D.E.R., eds. Transplantation of the pancreas. New York: Springer, 2004. 206–237.
2. Hakim N.S., Stratta R.J., Gray D., et al., eds. Pancreas, islet, and stem cell transplantation for diabetes. 2nd ed. Oxford university press, 2010. 179–189.
3. Corry R.J., Shapiro R., eds. Pancreatic Transplantation. New York: Informa Healthcare, 2007. 159–170.
4. Troppmann C., Gruessner A.C., Dunn D.L., et al. Surgical complications requiring early relaparotomy after pancreas transplantation: a multivariate risk factor and economic impact analysis of the cyclosporine era. Ann Surg. 1998; 227 (2): 255–268.
5. Humar A., Kandaswamy R., Granger D., et al. Decreased surgical risks of pancreas transplantation in the modern era. Ann Surg. 2000; 231 (2): 269–275.
6. Michalak G., Czerwiński J., Kwiatkowski A., et al. Surgical complications observed in simultaneous pancreas-kidney transplantation: thirteen years of experience of one center. Transplant Proc. 2002; 34 (2): 661–662.
7. Walter M., Jazra M., Kykalos S., et al. 125 Cases of duodenoduodenostomy in pancreas transplantation: a single-centre experience of an alternative enteric drainage. Transpl Int. 2014; 27 (8): 805–815.
8. Ono S., Kuroki T., Kitazato A., et al. Simultaneous pancreas and kidney composite graft transplantation with retroperitoneal systemic-enteric drainage. Ann Transplant. 2014; 19: 586–590.
9. M. Khubutia, A. Pinchuk, I. Dmitriev, R. Storozhev. Simultaneous pancreaskidney transplantation with duodenoduodenal anastomosis. Transplant Proc. 2014; 46 (6): 1905–1909.
10. Shokouh-Amiri H., Zibari G.B. Portalendocrine and gastric-exocrine drainage technique in pancreatic transplantation. Int J Organ Transplant Med. 2011; 2 (2): 76–84.
11. Zuk K., Durlik M., Rydzewski A., Rydzewska G. In vivo endomicroscopy of donor duodenum improves early detection of pancreas rejection in a recipient of simultaneous duodenum-drained pancreas-kidney transplantation: a case report. Wideochir Inne Tech Maloinwazyjne. 2013; 8 (4): 366–368.
12. Barresi L., Tarantino I., Granata A., et al. Pancreatic cystic lesions: How endoscopic ultrasound morphology and endoscopic ultrasound fine needle aspiration help unlock the diagnostic puzzle. World J Gastrointest Endosc. 2012; 4 (6): 247–259.
13. Chen J.L., Lee R.C., Shyr Y.M., et al. Imaging spectrum after pancreas transplantation with enteric drainage. Korean J Radiol. 2014; 15 (1): 45–53.
14. Zacharias N., Gallichio M.H., Conti D.J. Graft-versus-Host Disease after Living-Unrelated Kidney Transplantation. Case Rep Transplant. 2014. ID971426. doi: 10.1155/2014/971426.
Review
For citations:
Pinchuk A.V., Dmitriev I.V., Teterin Yu.S., Balkarov A.G., Shmarina N.V., Storozhev R.V., Anisimov Yu.A., Kondrashkin A.S. Endoscopic techniques for diagnosis and correction of complications after retroperitoneal pancreas transplantation. Transplantologiya. The Russian Journal of Transplantation. 2016;(1):6-12.
Views:
805
Email this article 