Königsrainer A, Zisch R, Dinkhauser L, Artmann W, Margreiter R
Abteilung für Transplantationschirurgie, I. Univ. -Klinik für Chirurgie, Innsbruck.
Rofo. 1989 Aug;151(2):154-7. doi: 10.1055/s-2008-1047150.
In a pilot study, a total of 16 recipients of a combined pancreatic-renal allograft were examined by means of magnetic resonance imaging. Two groups were formed according to the management of the exocrine secretion: In group I patients (n = 8) the pancreatic duct was occluded with an alcoholic prolamine solution, in group II (n = 8) pancreatic juice was diverted either into a Roux-loop of jejunum (IIa, n = 4) or into the urinary bladder (group IIb, n = 4). On the T1-weighted images no difference was found between both groups with respect to signal intensity. In contrast, on T2-weighted images of group IIb, which were in situ for a significantly shorter time, a higher signal intensity was noticed as compared with the other patients. From these findings it is concluded that graft fibrosis may occur even in pancreas transplants with diversion of the exocrine secretion.
在一项初步研究中，共有16名接受胰肾联合移植的受者接受了磁共振成像检查。根据外分泌的处理方式分为两组：在第一组患者（n = 8）中，用醇溶谷蛋白溶液闭塞胰管；在第二组（n = 8）中，胰液被引流至空肠的Roux袢（IIa组，n = 4）或膀胱（IIb组，n = 4）。在T1加权图像上，两组之间在信号强度方面未发现差异。相比之下，在原位时间明显较短的IIb组的T2加权图像上，与其他患者相比，信号强度更高。从这些发现可以得出结论，即使在外分泌被引流的胰腺移植中，移植纤维化也可能发生。
