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门静脉-肠道技术在胰腺再次移植中的成功复用。

Successful reuse of portal-enteric technique in pancreas retransplantation.

作者信息

Reddy K S, Shokouh-Amiri H, Stratta R J, Gaber A O

机构信息

Department of Surgery, University of Kentucky Chandler Medical Center, Lexington 40536, USA.

出版信息

Transplantation. 2000 Jun 15;69(11):2443-5. doi: 10.1097/00007890-200006150-00040.

Abstract

BACKGROUND

The portal venous and enteric drainage (P-E) technique was developed to avoid systemic hyperinsulinemia and bladder related complications. Pancreas retransplantation (Re-Tx) is an important option for patients who have lost their primary grafts. It is unknown whether the P-E technique can be repeated safely in patients who have lost their first pancreas transplant.

METHODS

Five patients who lost their pancreas graft after simultaneous kidney-pancreas transplantation with P-E drainage underwent pancreas Re-Tx, again using the P-E technique.

RESULTS

P-E Re-Tx was successful in all 5 patients without any technical difficulties or complications.

CONCLUSION

The P-E technique can be reused with excellent results in pancreas Re-Tx.

摘要

背景

门静脉和肠道引流(P-E)技术的开发是为了避免全身性高胰岛素血症和膀胱相关并发症。胰腺再次移植(Re-Tx)是原发性移植物丢失患者的重要选择。对于首次胰腺移植失败的患者,P-E技术能否安全重复应用尚不清楚。

方法

5例在肾胰腺联合移植并采用P-E引流后胰腺移植物丢失的患者接受了胰腺Re-Tx,再次使用P-E技术。

结果

所有5例患者的P-E Re-Tx均成功,无任何技术困难或并发症。

结论

P-E技术可在胰腺Re-Tx中重复使用,效果良好。

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