Connolly E M, Baktavatsalam R, O'Malley K, Little D M, Hickey D P
Department of Urology and Transplantation, Beaumont Hospital, Dublin, Ireland.
Eur J Surg. 2001 May;167(5):371-4. doi: 10.1080/110241501750215276.
To present our experience with conversion from bladder to enteric drainage after simultaneous pancreatic and renal transplants, so that new transplant centres know that it is both safe and effective.
Retrospective study.
Teaching hospital, Republic of Ireland.
Six patients who had simultaneous pancreatic and renal transplants for insulin-dependent diabetes and who subsequently developed complications of bladder drainage including recurrent episodes of dehydration and metabolic acidosis (n = 3), haematuria (n = 2), and urinary tract infections (n = 1).
Conversion to enteric drainage.
Resolution of symptoms.
All symptoms resolved, but one patient each developed pulmonary oedema, haematuria, and prolonged ileus. All three complications resolved on conservative treatment. All patients are well with surviving grafts a mean of 40 months later (range 19-50).
Conversion to enteric drainage is safe and effective in patients with refractory metabolic or urological complications of bladder drainage after simultaneous pancreatic and renal transplantation.
介绍我们在胰肾联合移植后将膀胱引流转换为肠道引流的经验，以便新的移植中心了解这种方法既安全又有效。
回顾性研究。
爱尔兰共和国的教学医院。
6例因胰岛素依赖型糖尿病接受胰肾联合移植的患者，这些患者随后出现膀胱引流并发症，包括反复出现脱水和代谢性酸中毒（3例）、血尿（2例）和尿路感染（1例）。
转换为肠道引流。
症状缓解情况。
所有症状均得到缓解，但有1例患者分别出现了肺水肿、血尿和肠梗阻延长。所有这三种并发症经保守治疗后均得到缓解。所有患者情况良好，移植肾平均存活40个月（范围19 - 50个月）。
对于胰肾联合移植后膀胱引流出现难治性代谢或泌尿系统并发症的患者，转换为肠道引流是安全有效的。
