Reddy K S, Shokouh-Amiri H, Stratta R J, Gaber A O
Department of Surgery, University of Kentucky Chandler Medical Center, Lexington 40536, USA.
Transplantation. 2000 Jun 15;69(11):2443-5. doi: 10.1097/00007890-200006150-00040.
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.
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.
P-E Re-Tx was successful in all 5 patients without any technical difficulties or complications.
The P-E technique can be reused with excellent results in pancreas Re-Tx.
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。
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。
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。
P-E技术可在胰腺Re-Tx中重复使用，效果良好。
