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门静脉-肠道引流式胰腺移植治疗广泛胰腺切除术后内分泌和外分泌功能不全患者

Pancreas Transplantation With Portal-Enteric Drainage for Patients With Endocrine and Exocrine Insufficiency From Extensive Pancreatic Resection.

作者信息

Barbas Andrew S, Al-Adra David P, Goldaracena Nicolas, Dib Martin J, Selzner Markus, Sapisochin Gonzalo, Cattral Mark S, McGilvray Ian D

机构信息

Department of Surgery, Duke University Medical Center, Durham, NC.

Multi-Organ Transplant Program, University of Toronto, Toronto, Ontario, Canada.

出版信息

Transplant Direct. 2017 Aug 9;3(9):e203. doi: 10.1097/TXD.0000000000000721. eCollection 2017 Sep.

DOI:10.1097/TXD.0000000000000721
PMID:28894791
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5585419/
Abstract

Although the primary indication for pancreas transplantation is type I diabetes, a small number of patients requires pancreas transplantation to manage combined endocrine and exocrine insufficiency that develops after extensive native pancreatic resection. The objective of this case report was to describe the operative and clinical course in 3 such patients and present an alternative technical approach.

摘要

尽管胰腺移植的主要适应症是I型糖尿病，但仍有少数患者需要通过胰腺移植来治疗在广泛的自体胰腺切除术后出现的内分泌和外分泌联合功能不全。本病例报告的目的是描述3例此类患者的手术和临床过程，并介绍一种替代技术方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab85/5585419/cf8afcec6fb7/txd-3-e203-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab85/5585419/06a0eeea0fd1/txd-3-e203-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab85/5585419/8c1b1a908d7e/txd-3-e203-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab85/5585419/cf8afcec6fb7/txd-3-e203-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab85/5585419/06a0eeea0fd1/txd-3-e203-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab85/5585419/8c1b1a908d7e/txd-3-e203-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab85/5585419/cf8afcec6fb7/txd-3-e203-g003.jpg

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1
Pancreas Transplantation With Portal-Enteric Drainage for Patients With Endocrine and Exocrine Insufficiency From Extensive Pancreatic Resection.门静脉-肠道引流式胰腺移植治疗广泛胰腺切除术后内分泌和外分泌功能不全患者
Transplant Direct. 2017 Aug 9;3(9):e203. doi: 10.1097/TXD.0000000000000721. eCollection 2017 Sep.
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本文引用的文献

1
A comparison of long-term outcomes of portal versus systemic venous drainage in pancreatic transplantation: a systematic review and meta-analysis.胰腺移植中门静脉与体静脉引流的长期结局比较：一项系统评价与荟萃分析。
Clin Transplant. 2015 Oct;29(10):882-92. doi: 10.1111/ctr.12588. Epub 2015 Aug 22.
2
Portal venous versus systemic venous drainage of pancreas grafts: impact on long-term results.门静脉与体静脉引流胰腺移植物：对长期结果的影响。
Am J Transplant. 2012 Jan;12(1):226-32. doi: 10.1111/j.1600-6143.2011.03756.x. Epub 2011 Nov 4.
3
Pancreas allotransplants in patients with a previous total pancreatectomy for chronic pancreatitis.
曾因慢性胰腺炎接受全胰切除术的患者的胰腺同种异体移植。
J Am Coll Surg. 2008 Mar;206(3):458-65. doi: 10.1016/j.jamcollsurg.2007.09.004. Epub 2007 Nov 12.
4
Transplant options for patients undergoing total pancreatectomy for chronic pancreatitis.慢性胰腺炎患者接受全胰切除术后的移植选择。
J Am Coll Surg. 2004 Apr;198(4):559-67; discussion 568-9. doi: 10.1016/j.jamcollsurg.2003.11.024.
5
A prospective comparison of simultaneous kidney-pancreas transplantation with systemic-enteric versus portal-enteric drainage.同期肾胰联合移植采用系统-肠内引流与门静脉-肠内引流的前瞻性比较。
Ann Surg. 2001 Jun;233(6):740-51. doi: 10.1097/00000658-200106000-00003.
6
Portal venous and enteric exocrine drainage versus systemic venous and bladder exocrine drainage of pancreas grafts: clinical outcome of 40 consecutive transplant recipients.胰腺移植的门静脉和肠道外分泌引流与体静脉和膀胱外分泌引流的比较：40例连续移植受者的临床结果
Ann Surg. 2000 Nov;232(5):688-95. doi: 10.1097/00000658-200011000-00011.
7
A prospective comparison of systemic-bladder versus portal-enteric drainage in vascularized pancreas transplantation.血管化胰腺移植中系统性膀胱引流与门静脉-肠道引流的前瞻性比较。
Surgery. 2000 Feb;127(2):217-26. doi: 10.1067/msy.2000.103160.
8
Results of pancreas transplantation with portal venous and enteric drainage.门静脉和肠道引流胰腺移植的结果
Ann Surg. 1995 Jun;221(6):613-22; discussion 622-4. doi: 10.1097/00000658-199506000-00001.
9
Pancreaticoduodenal transplantation with enteric drainage following native total pancreatectomy for chronic pancreatitis: a case report.慢性胰腺炎行全胰切除术后胰十二指肠移植并肠道引流：一例报告
Pancreas. 1991 Jul;6(4):479-88. doi: 10.1097/00006676-199107000-00017.