Back to Search Start Over

Pancreatitis necessitating urinary undiversion in a bladder-drained pancreas transplant.

Authors :
Boudreaux JP
Nealon WH
Carson RC
Fish JC
Source :
Transplantation proceedings [Transplant Proc] 1990 Apr; Vol. 22 (2), pp. 641-2.
Publication Year :
1990

Abstract

After successful combined pancreaticoduodeno-renal transplant in an insulin-dependent diabetic, recurrent episodes of transplant pancreatitis were treated with Foley catheter drainage. The apparent cause of pancreatitis was increased pressure on the pancreatic duct due to infrequent voiding and a large bladder. A frequent voiding program partially relieved the pancreatitis, but final resolution necessitated conversion of the pancreaticoduodeno-cystostomy to a Roux-en-Y duodenojejunostomy at 6 months posttransplant. Both renal and pancreatic function are stable after 1 year, with no recurrence of pancreatitis since urinary undiversion. We believe pressure pancreatitis or urine reflux pancreatitis to be an infrequently reported cause of graft dysfunction in bladder-drained pancreas transplant recipients.

Details

Language :
English
ISSN :
0041-1345
Volume :
22
Issue :
2
Database :
MEDLINE
Journal :
Transplantation proceedings
Publication Type :
Academic Journal
Accession number :
1691545