FIRST NATIONAL EXPERIENCE OF RETROPERITONEAL PANCREAS TRANSPLANTATION WITH THE FORMATION OF DUODENO-DUODENAL ANASTOMOSIS

Abstract

Simultaneous pancreas-kidney transplantation is a valid therapeutic option for patients with type 1 diabetes mel- litus (DM) and secondary diabetic nephropathy, which enables to achieve an insulin-independent euglycemic state with normalization of glycosylated hemoglobin levels, prevent the secondary complications of diabetes and consequently improve patients, quality of life. There are various transplantation procedures exist. Although pancreas is transplanted because of its endocrine function, one of the main issues, which prevent the successful development of pancreas transplantation, is an exocrine drainage. The aim of this paper was to summarize our first experience of retroperitoneal pancreas transplantation with the formation of duodeno-duodenal anastomosis for enteric drainage.

Keywords

• retroperitoneal pancreas transplantation
• duodeno-duodenostomy
• exocrine drainage