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