Pancreas Transplantation With Portal-Enteric Drainage for Patients With Endocrine and Exocrine Insufficiency From Extensive Pancreatic Resection

Andrew S. Barbas, MD; David P. Al-Adra, MD, PhD; Nicolas Goldaracena, MD; Martin J. Dib, MD; Markus Selzner, MD; Gonzalo Sapisochin, MD; Mark S. Cattral, MD; Ian D. McGilvray, MD, PhD

doi:10.1097/TXD.0000000000000721

Transplantation Direct (Sep 2017)

Pancreas Transplantation With Portal-Enteric Drainage for Patients With Endocrine and Exocrine Insufficiency From Extensive Pancreatic Resection

Andrew S. Barbas, MD,
David P. Al-Adra, MD, PhD,
Nicolas Goldaracena, MD,
Martin J. Dib, MD,
Markus Selzner, MD,
Gonzalo Sapisochin, MD,
Mark S. Cattral, MD,
Ian D. McGilvray, MD, PhD

Affiliations

Andrew S. Barbas, MD: 1 Department of Surgery, Duke University Medical Center, Durham, NC.
David P. Al-Adra, MD, PhD: 2 Multi-Organ Transplant Program, University of Toronto, Toronto, Ontario, Canada.
Nicolas Goldaracena, MD: 2 Multi-Organ Transplant Program, University of Toronto, Toronto, Ontario, Canada.
Martin J. Dib, MD: 3 Department of Surgery, University of Wisconsin School of Medicine and Public Health, Madison, WI.
Markus Selzner, MD: 2 Multi-Organ Transplant Program, University of Toronto, Toronto, Ontario, Canada.
Gonzalo Sapisochin, MD: 2 Multi-Organ Transplant Program, University of Toronto, Toronto, Ontario, Canada.
Mark S. Cattral, MD: 2 Multi-Organ Transplant Program, University of Toronto, Toronto, Ontario, Canada.
Ian D. McGilvray, MD, PhD: 2 Multi-Organ Transplant Program, University of Toronto, Toronto, Ontario, Canada.

DOI: https://doi.org/10.1097/TXD.0000000000000721
Journal volume & issue: Vol. 3, no. 9
p. e203

Abstract

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Abstract. Although the primary indication for pancreas transplantation is type I diabetes, a small number of patients requires pancreas transplantation to manage combined endocrine and exocrine insufficiency that develops after extensive native pancreatic resection. The objective of this case report was to describe the operative and clinical course in 3 such patients and present an alternative technical approach.

Published in Transplantation Direct

ISSN: 2373-8731 (Online)
Publisher: Wolters Kluwer
Country of publisher: United States
LCC subjects: Medicine: Surgery
Website: http://journals.lww.com/transplantationdirect/Pages/default.aspx

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