Reddy M S, White S A, Jaques B C, Torpey N, Manas D M
Department of Hepatobiliary and Transplant Surgery, The Freeman Hospital, Newcastle upon Tyne, Tyne and Wear, UK.
Am J Transplant. 2007 Oct;7(10):2422-4. doi: 10.1111/j.1600-6143.2007.01931.x.
As demand for donor pancreases increases, attempts are being made to utilize even marginal grafts for transplantation. Injury during pancreas recovery can predispose to posttransplant complications and graft loss. Early recognition and correction can salvage these grafts. The authors report an instance of poor segmental perfusion of the pancreas graft that was salvaged by pancreas head resection and enteric drainage through a Roux-en-Y pancreatico-jejunostomy.
随着对供体胰腺需求的增加,人们正在尝试利用甚至是边缘性移植物进行移植。胰腺获取过程中的损伤可能易导致移植后并发症和移植物丢失。早期识别和纠正可挽救这些移植物。作者报告了一例胰腺移植物节段性灌注不佳的病例,该病例通过胰头切除和经Roux-en-Y胰空肠吻合术进行肠道引流得以挽救。