Postoperative CT in pancreas transplantation

Aim To examine the usage and value of computed tomography (CT) following simultaneous pancreas and kidney (SPK) transplantation. Materials and methods Indications for postoperative CT, key findings, and their influence on management were determined by retrospective analysis. Results Ninety-eight pat...

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Bibliographic Details
Published in:Clinical radiology 2015-11, Vol.70 (11), p.1220-1228
Main Authors: Powell, F.E, Harper, S.J.F, Callaghan, C.J, Shaw, A, Godfrey, E.M, Bradley, J.A, Watson, C.J.E, Pettigrew, G.J
Format: Article
Language:English
Subjects:
Adult
Allografts - diagnostic imaging
Blood Glucose - metabolism
Female
Graft Survival
Humans
Kaplan-Meier Estimate
Kidney Transplantation - methods
Male
Pancreas - diagnostic imaging
Pancreas Transplantation - methods
Postoperative Care - methods
Postoperative Complications - diagnostic imaging
Radiology
Retrospective Studies
Tomography, X-Ray Computed
Transplantation, Homologous - methods
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Summary:Aim To examine the usage and value of computed tomography (CT) following simultaneous pancreas and kidney (SPK) transplantation. Materials and methods Indications for postoperative CT, key findings, and their influence on management were determined by retrospective analysis. Results Ninety-eight patients underwent 313 CT examinations. Common indications for the examinations included suspected intra-abdominal collection (31.1%) and elevated serum amylase/lipase (24.1%). CT findings most frequently showed non-specific mild inflammation (27.6%), a normal scan (17.1%) and fluid collections (16.3%). High capillary blood glucose (CBG) was associated with resultant CT demonstration of graft vascular abnormalities, but otherwise, particular clinical indications were not associated with specific CT findings. Conclusion Clinical findings in patients with SPK transplants are non-specific. The pattern of abnormalities encountered is significantly different to those seen in native pancreatic disease and demands a tailored protocol. CT enables accurate depiction of vascular abnormalities and fluid collections, thus reducing the number of surgical interventions that might otherwise be required. Elevated CBG should prompt urgent CT to exclude potentially reversible vascular complications.
ISSN:0009-9260
1365-229X
DOI:10.1016/j.crad.2015.06.086