A single-centre experience of Roux-en-Y enteric drainage for pancreas transplantation

被引：12

作者：

Amin, Irum ^{[1
]}

Butler, Andrew J. ^{[1
]}

Defries, Gail ^{[1
]}

Russell, Neil K. ^{[1
]}

Harper, Simon J. F. ^{[1
]}

Jah, Asif ^{[1
]}

Saeb-Parsy, Kourosh ^{[1
]}

Pettigrew, Gavin J. ^{[1
]}

Watson, Christopher J. E. ^{[1
]}

机构：

[1] Univ Cambridge, Addenbrookes Hosp, Dept Surg, Level E9,Box 202,Hills Rd, Cambridge CB2 0QQ, England

来源：

TRANSPLANT INTERNATIONAL | 2017年 / 30卷 / 04期

关键词：

anastomotic haemorrhage; duodenal perforation; enteric drainage; pancreas transplant; Roux-en-Y; KIDNEY-TRANSPLANTATION; COMPLICATIONS; RECIPIENTS; OUTCOMES; LEAKS;

D O I：

10.1111/tri.12920

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Exocrine drainage following pancreas transplantation can be achieved by drainage into the bladder or bowel, the latter typically by direct duodenojejunostomy; the use of Roux-en-Y enteric drainage is uncommon. We report a retrospective analysis of a single-centre experience of Roux-en-Y enteric drainage following pancreas transplantation. Over a 14-year period (2001-2015), 204 consecutive adult pancreas transplants were performed (96.6% simultaneous pancreas and kidney transplants), of which 26.0% were from donors after circulatory death (DCD). During a median followup of 67 months (range 13-183 months), 14 (6.9%) recipients experienced complications related to their enteric drainage. Complications during follow-up included early enteric anastomotic haemorrhage (five patients), non-anastomotic enteric bleeding (one patient), small bowel obstruction (four patients) and graft duodenal perforation (two within 6 weeks, five beyond 12 months). No recipient lost their graft as a direct result of complications related to enteric drainage. Patient and pancreas graft survival at 1 year was 99.0% and 94.0% and at 5 years 91.3% and 84.9%, respectively. We conclude that Roux-en-Y enteric drainage following pancreas transplantation is a safe and effective procedure and facilitates graft salvage in the event of graft duodenal perforation.

引用

页码：410 / 419

页数：10