Role of radiological methods of diagnostics at simultaneous pancreas-kidney transplantation
Abstract
Aim of investigation. To characterize radiological methods of diagnostics of surgical complications after simultateous pankreas-kidney transplantation (SPKT).
Material and methods. From January, 2008 to June, 2014 overall 40 patients with the type 1 diabetes mellitus complicated by terminal diabetic nephropathy, underwent SPKT, including 17 cases (42,5%) — of intraperitoneal transplantation and 23 (57,5%) — of retroperitoneal transplantation. Mean age of patients was 35,7±6,36 year. Of all recipients 19 were women (47,5%) and 21 — men (52,5%). Results. Of 15 patients after SPKT 21 surgical complications were diagnosed, overwhelming majority of them have been corrected successfully. Only in one case the pancreatic transplant was lost due to postoperative surgical complications.
Conclusions. Duly diagnostics and the proven choice of miniinvasive techniques for treatment of surgical complications became possible due to wide and urgent application of the whole spectrum of available radiological methods.
About the Authors
A. V. Pinchuk
Federal government-financed healthcare institution «Sklifosovsky Research Institute of Emergency Medicine» Public healthcare institution of Moscow healthcare department
Russian Federation
Russian Federation
I. V. Dmitriev
Federal government-financed healthcare institution «Sklifosovsky Research Institute of Emergency Medicine» Public healthcare institution of Moscow healthcare department
Russian Federation
Russian Federation
I. E. Selina
Federal government-financed healthcare institution «Sklifosovsky Research Institute of Emergency Medicine» Public healthcare institution of Moscow healthcare department
Russian Federation
Russian Federation
R. Sh. Muslimov
Federal government-financed healthcare institution «Sklifosovsky Research Institute of Emergency Medicine» Public healthcare institution of Moscow healthcare department
Russian Federation
Russian Federation
Ye. A. Lapshina
Federal government-financed healthcare institution «Sklifosovsky Research Institute of Emergency Medicine» Public healthcare institution of Moscow healthcare department
Russian Federation
Russian Federation
M. V. Parkhomenko
Federal government-financed healthcare institution «Sklifosovsky Research Institute of Emergency Medicine» Public healthcare institution of Moscow healthcare department
Russian Federation
Russian Federation
A. S. Kondrashkin
Federal government-financed healthcare institution «Sklifosovsky Research Institute of Emergency Medicine» Public healthcare institution of Moscow healthcare department
Russian Federation
Russian Federation
References
1. Leone J.P., Christensen K. Posoperative manadgment. In: Transplantation of the pancreas / Eds. W.G. Gruessner, E.R. Sutherland. New York: Springer, 2004:179-266.
2. Pancreatic Transplantation / Eds. R.J. Corry, R. Shapiro. New York: Informa Healthcare, 2007:159-70.
3. Pancreas, islet, and stem cell transplantation for diabetes / Eds. N.S. Hakim, R.J. Stratta, D. Gray, P. Friend, Coleman. 2nd ed. Oxford university press. 2010:179- 89.
4. Troppmann C. Surgical complication. In: Transplantation of the pancreas / Eds. W.G. Gruessner, E.R. Sutherland. New York: Springer, 2004:206-37.
5. Troppmann C., Gruessner A.C., Dunn D.L., Suther- land D.E., Gruessner R.W. Surgical complications requiring early relaparotomy after pancreas transplantation: a multivariate risk factor and economic impact analysis of the cyclosporine era. Ann surg. 1998; 227 (2):255-68.
6. Chen J.L., Lee R.C., Shyr Y.M., Wang S.E.,Tseng H.S., Wang H.K., Huang S.S., Chang C.Y. Imaging spectrum after pancreas transplantation with enteric drainage. Korean J Radiol 2014; 15(1):45-53.
7. Lall C.G., Sandrasegaran K., Maglinte D.T., Fridell J.A. Bowel complications seen on CT after pancreas transplantation with enteric drainage. AJR. Am J Roentgenol 2006; 187(5):1288-95.
8. Hampson F.A., Freeman S.J., Ertner J., Drage M., Butler A., Watson C.J., Shaw A.S. Pancreatic transplantation: surgical technique, normal radiological appearances and complications. Insights Imaging 2010; 1(5-6):339-47.
9. Freund M.C., Steurer W., Gassner E.M., Unsinn K.M., Rieger M., Koenigsrainer A., Margreiter R., Jaschke W.R. Spectrum of imaging findings after pancreas transplantation with enteric exocrine drainage: Part 1, posttransplantation anatomy. AJR. Am J Roentgenol 2004; 182(4):911-7.
10. Freund M.C., Steurer W., Gassner E.M., Unsinn K.M., Rieger M., Koenigsrainer A., Margreiter R., Jaschke W.R. Spectrum of imaging findings after pancreas transplantation with enteric exocrine drainage: Part 2, posttransplantation complications. AJR. Am J Roentgenol 2004; 182(4):919-25.
Review
For citations:
Pinchuk A.V., Dmitriev I.V., Selina I.E., Muslimov R.Sh., Lapshina Ye.A., Parkhomenko M.V., Kondrashkin A.S. Role of radiological methods of diagnostics at simultaneous pancreas-kidney transplantation. Russian Journal of Gastroenterology, Hepatology, Coloproctology. 2015;25(6):18-24. (In Russ.)
Views:
144
Email this article 
