Endoscopic findings following retroperitoneal pancreas transplantation

Clin Transplant. 2017 Jul;31(7). doi: 10.1111/ctr.12989. Epub 2017 May 22.

Abstract

Aim: An evaluation of the efficacy of endoscopic methods for the diagnosis and correction of surgical and immunological complications after retroperitoneal pancreas transplantation.

Materials and methods: From October 2011 to March 2015, 27 patients underwent simultaneous retroperitoneal pancreas-kidney transplantation (SPKT). Diagnostic oesophagogastroduodenoscopy (EGD) with protocol biopsy of the donor and recipient duodenal mucosa and endoscopic retrograde pancreatography (ERP) were performed to detect possible complications. Endoscopic stenting of the main pancreatic duct with plastic stents and three-stage endoscopic hemostasis were conducted to correct the identified complications.

Results: Endoscopic methods showed high efficiency in the timely diagnosis and adequate correction of complications after retroperitoneal pancreas transplantation.

Keywords: endoscopic findings; immunological complications; retroperitoneal pancreas transplantation; surgical complications.

MeSH terms

  • Adolescent
  • Adult
  • Child
  • Child, Preschool
  • Cholangiopancreatography, Endoscopic Retrograde / methods*
  • Female
  • Follow-Up Studies
  • Humans
  • Kidney Transplantation / methods*
  • Male
  • Middle Aged
  • Pancreas / diagnostic imaging*
  • Pancreas Transplantation / methods*
  • Prognosis
  • Retroperitoneal Space / diagnostic imaging*
  • Young Adult