Relaparotomy After Pancreas Transplantation: Causes and Outcomes

Manrique, Alejandro; Jiménez, C.; Lopez, Roberto; Cambra, F.; Morales, José; Andrés, Amado; Gutiérrez, E.; Ortuño, T; Pulido, Jorge Calvo; Sesma, Álvaro García; Moreno, Enrique

doi:10.1016/j.transproceed.2009.06.165

Cited by 59 publications

(52 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Our relaparotomy rates of 21.8% at one month and 34% overall are similar to those reported elsewhere [14,15,18]. Congruent with the recent �ndings of Manrique et al [14], reoperation was associated with poorer gra, but not patient, survival.…”

Section: Discussionsupporting

confidence: 90%

“…Congruent with the recent �ndings of Manrique et al [14], reoperation was associated with poorer gra, but not patient, survival. e �ve-year patient, pancreas, and kidney survival aer SPK transplantation in this series are 94%, 77%, and 89%, respectively.…”

Section: Discussionmentioning

confidence: 76%

“…It leads to improved quality of life, independence from exogenous insulin administration, normalisation of glucose homeostasis, and can ameliorate diabetes-mediated organ dysfunction [8][9][10][11][12]. Despite continuing improvements in patient and allogra survival aer SPK transplantation, surgical complications leading to organ loss or reoperation are common [13][14][15]. is series examines the outcomes of Australia's largest whole-organ pancreas transplant service over the last decade.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Surgical Morbidity of Simultaneous Kidney and Pancreas Transplantation: A Single-Centre Experience in the Tacrolimus Era

Thwaites

Lam

Yao

et al. 2013

ISRN Transplantation

View full text Add to dashboard Cite

Introduction. Simultaneous pancreas and kidney (SPK) transplantation is performed to restore normoglycaemia and renal function in patients with Type I diabetes mellitus and end-stage renal failure. We aimed to evaluate the impact of major postoperative complications to patient and gra survival outcomes. Method. Using a prospectively collected database over a 10-year period, major postoperative complications requiring return to operating theatre as well as patient and gra survival outcomes were analysed retrospectively. Results. �etween January 2001 and May 2010, 165 patients underwent �rst-time SPK transplantation. Median age of recipients was 39.8 years (range, 16.9-53.2). Enteric drainage was used in 149 patients, and bladder drainage was used in 16. Median follow-up time was 5.2 years (range 1.1-10.3). Fiy-six patients (34%) returned to operating theatre at least once. Pancreatic allogra loss secondary to vascular thrombosis occurred in 12 patients (7%), and 2 patients (1.2%) required transplant pancreatectomy due to debilitating pancreatic enzyme leaks. At 1 and 5 years, patient survival was 98% and 94%; pancreas gra survival, 86% and 77%; kidney gra survival 96% and 89%, respectively. Conclusion. SPK is a safe and effective treatment for Type I diabetes mellitus and end-stage renal failure although surgical reintervention is required in approximately one-third of patients. Preventing vascular thrombosis remains a major challenge.

show abstract

Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 76%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Surgical Morbidity of Simultaneous Kidney and Pancreas Transplantation: A Single-Centre Experience in the Tacrolimus Era

Thwaites

Lam

Yao

et al. 2013

ISRN Transplantation

View full text Add to dashboard Cite

show abstract

“…In one study, bleeding complications following pancreas transplant were among the leading causes for relaparotomy, second only to vascular graft thrombosis. In addition, relaparotomy following pancreas transplant has been associated with lower graft survival (7).…”

mentioning

confidence: 99%

Clinical Outcomes Associated With the Early Postoperative Use of Heparin in Pancreas Transplantation

Scheffert

Taber²,

Pilch³

et al. 2014

Transplantation

View full text Add to dashboard Cite

show abstract

“…Cerrahi komplikasyonların hasta ve pankreas sağkalımı, parasal açıdan önemli bir sorun olduğu başka bir çalışmada gösterilmiştir (11). EBPN hastalarında yapılan başka bir çalışmada yeniden ameliyat oranının %32,2 olduğu gösterilmiştir (12). Çalışmamızda ise karın içi abse ve diğer nedenlerle yapılan yeniden ameliyat oranlarının anlamlı olmamakla birlikte PAK grubunda daha fazla olduğu (sırayla grup 1-2, %20-%45,8, p: 0,072) görüldü.…”

Section: Bulgularunclassified

Is the Type of Pancreas Transplantation and Exocrine Anastomosis Method Important for Successful Pancreas Transplantation? Experience of Akdeniz University Hospital

Yılmaz¹,

Gurkan²,

Koçak³

et al. 2012

Turk Neph Dial Transpl

View full text Add to dashboard Cite

ÖzAMAÇ: Çalışmamızda, böbrek nakli sonrası (PAKT) ve böbrek ile eş zamanlı yapılan pankreas nakillerinin (EBPN) ve bu nakillerdeki egzokrin ağızlaştırma yöntemlerinden enterik ve mesane ağızlaştırmanın etkinlik ve güvenilirliğinin karşılaştırılması amaçlanmıştır. RESultS: Patient and graft survival, reoperation necessity and other complications were similar in both types of pancreas transplantation and exocrine anastomosis methods. But blood glucose control was better in SPKT and enteric type anastomosis. GEREÇ vecoNcluSıoN: Blood glucose control is better in patients with pancreas transplantation performed concomitantly with renal transplantation and with enteric anastomosis.

show abstract

Relaparotomy After Pancreas Transplantation: Causes and Outcomes

Cited by 59 publications

References 8 publications

Surgical Morbidity of Simultaneous Kidney and Pancreas Transplantation: A Single-Centre Experience in the Tacrolimus Era

Surgical Morbidity of Simultaneous Kidney and Pancreas Transplantation: A Single-Centre Experience in the Tacrolimus Era

Clinical Outcomes Associated With the Early Postoperative Use of Heparin in Pancreas Transplantation

Is the Type of Pancreas Transplantation and Exocrine Anastomosis Method Important for Successful Pancreas Transplantation? Experience of Akdeniz University Hospital

Contact Info

Product

Resources

About