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胰腺移植的泌尿系统并发症。

Urological complications of pancreatic transplantation.

作者信息

Hickey D P, Bakthavatsalam R, Bannon C A, O'Malley K, Corr J, Little D M

机构信息

Department of Urology and Transplantation, Beaumont Hospital, Dublin, Ireland.

出版信息

J Urol. 1997 Jun;157(6):2042-8.

PMID:9146576
Abstract

PURPOSE

Pancreas transplantation is increasingly being used in the treatment of type I insulin-dependent diabetes mellitus. Because bladder drainage of the exocrine pancreatic secretion is the procedure of choice, urological complications are frequent. As the number of these procedures increases the urologist will have an extended role in the management of the postoperative complications, the majority of which are urological.

MATERIALS AND METHODS

The literature from 1985 on the complications related to pancreas transplants was reviewed.

RESULTS

Approximately 50 to 60% of bladder drained pancreas transplant recipients will have a urological complication postoperatively.

CONCLUSIONS

The increasing application of bladder drained pancreas transplantation in the treatment of type I insulin-dependent diabetes mellitus necessitates that the clinical urologist is familiar with the management of complications related to this procedure.

摘要

目的

胰腺移植越来越多地用于治疗I型胰岛素依赖型糖尿病。由于外分泌性胰液经膀胱引流是首选术式,因此泌尿系统并发症很常见。随着此类手术数量的增加,泌尿外科医生在术后并发症的管理中将发挥更大作用,其中大多数并发症都与泌尿系统有关。

材料与方法

回顾了1985年以来有关胰腺移植相关并发症的文献。

结果

接受膀胱引流式胰腺移植的患者术后约50%至60%会出现泌尿系统并发症。

结论

膀胱引流式胰腺移植在I型胰岛素依赖型糖尿病治疗中的应用日益增加,这就要求临床泌尿外科医生熟悉该手术相关并发症的处理。

相似文献

1
Urological complications of pancreatic transplantation.胰腺移植的泌尿系统并发症。
J Urol. 1997 Jun;157(6):2042-8.
2
[Urologic complications of pancreas-kidney simultaneous transplantation].
Actas Urol Esp. 1998 Mar;22(3):193-203.
3
Urological complications after simultaneous pancreas-kidney transplantation.胰肾联合移植术后的泌尿系统并发症。
Transplant Proc. 2009 Jul-Aug;41(6):2457-9. doi: 10.1016/j.transproceed.2009.06.065.
4
Urological complications and enteric conversion after pancreas transplantation with bladder drainage.胰腺移植膀胱引流术后的泌尿系统并发症及肠道改道
Transplant Proc. 1994 Apr;26(2):458-9.
5
Urodynamic testing predicts long-term urological complications following simultaneous pancreas-kidney transplantation.尿动力学检查可预测胰肾联合移植术后的长期泌尿系统并发症。
Clin Transplant. 2003 Feb;17(1):26-31. doi: 10.1034/j.1399-0012.2003.02026.x.
6
Drainage of the exocrine pancreas in clinical transplantation: comparison of bladder versus enteric drainage in a consecutive series.临床胰腺移植中外分泌胰腺的引流:连续系列中膀胱引流与肠道引流的比较
Clin Transplant. 1997 Jun;11(3):201-5.
7
Urological complications of bladder-drained pancreatic allografts.膀胱引流式胰腺移植的泌尿系统并发症
Br J Urol. 1998 Apr;81(4):543-7. doi: 10.1046/j.1464-410x.1998.00619.x.
8
[Renopancreatic transplant. Urologic complications].
Actas Urol Esp. 1997 Nov-Dec;21(10):950-5.
9
Arterial duodenovesical fistula after simultaneous pancreas and kidney transplantation.胰肾联合移植术后的动脉十二指肠膀胱瘘
J Urol. 2000 Oct;164(4):1296.
10
Complications relating to the urinary tract associated with bladder-drained pancreatic transplantation.与膀胱引流式胰腺移植相关的泌尿系统并发症。
Br J Urol. 1998 Feb;81(2):219-23. doi: 10.1046/j.1464-410x.1998.00517.x.

引用本文的文献

1
Exocrine drainage in pancreas transplantation: Complications and management.胰腺移植中的外分泌引流:并发症与处理
World J Transplant. 2020 Dec 28;10(12):392-403. doi: 10.5500/wjt.v10.i12.392.
2
Pancreaticoureteral Fistula: A Rare Complication of Chronic Pancreatitis.胰输尿管瘘:慢性胰腺炎的一种罕见并发症。
N Am J Med Sci. 2016 Mar;8(3):163-6. doi: 10.4103/1947-2714.179134.
3
Advances in pancreas transplantation.胰腺移植的进展。
J R Soc Med. 2016 Apr;109(4):141-6. doi: 10.1177/0141076816636369.
4
Pancreatic anastomosis leak 15 years after simultaneous pancreas-kidney transplantation from late-onset allograft cytomegalovirus duodenal ulcers presenting with gross hematuria.同时进行胰腺-肾脏移植15年后出现胰腺吻合口漏,原因是迟发性移植肾巨细胞病毒感染导致十二指肠溃疡并出现肉眼血尿。
Hawaii J Med Public Health. 2013 Aug;72(8):262-5.