Bezoar-Related Pancreatitis in Enterically Drained Pancreas Transplant

Abstract Simultaneous kidney and pancreas transplantation is currently the treatment of choice for type 1 diabetes mellitus with end-stage renal disease. As a result of improvements in surgical techniques and the efficacy of immunosuppression, patient and graft survival rates have improved dramatica...

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Bibliographic Details
Published in:Transplantation proceedings 2007, Vol.39 (1), p.196-198
Main Authors: Haider, H.H, Illanes, H, Ciancio, G, Miller, J, Burke, G.W
Format: Article
Language:English
Subjects:
Adult
Bezoars - diagnostic imaging
Blindness
Diabetes Mellitus, Type 1 - surgery
Diabetic Retinopathy
Female
Humans
Kidney Failure, Chronic - etiology
Kidney Transplantation
Pancreas Transplantation - adverse effects
Pancreatitis - etiology
Surgery
Tomography, X-Ray Computed
Citations: Items that this one cites
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Summary:Abstract Simultaneous kidney and pancreas transplantation is currently the treatment of choice for type 1 diabetes mellitus with end-stage renal disease. As a result of improvements in surgical techniques and the efficacy of immunosuppression, patient and graft survival rates have improved dramatically over the last two decades. Despite this, it remains a challenging surgical procedure with many potential complications and occasional controversies. Causes of pancreatitis after pancreas transplantation with enteric drainage are not well documented in the literature. We report a case of allograft pancreatitis from pancreatic duct outflow obstruction due to formation of a bezoar in a diverticulized transplant duodeno-jejunal anastomosis. To the best of our knowledge, this is the first case of allograft pancreatitis reported in the literature occurring from bezoar formation.
ISSN:0041-1345
1873-2623
DOI:10.1016/j.transproceed.2006.10.024