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Two-stage Enteric Exclusion to Salvage a Pancreas Transplant After an Early Post-transplant Leak

Early technical complications after pancreas transplantation are almost always unsalvageable. The two most common complications are vascular thrombosis and duodenal anastomotic leaks. We present a case of a duodenal stump leak that led to a large abscess and severe sepsis. The pancreas was salvaged...

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Detalles Bibliográficos
Autores principales: Rofaiel, George, Pan, Gilbert, Martinez, Eryberto, Kim, Robin, Campsen, Jeffrey
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6786838/
https://www.ncbi.nlm.nih.gov/pubmed/31616610
http://dx.doi.org/10.7759/cureus.5379
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author Rofaiel, George
Pan, Gilbert
Martinez, Eryberto
Kim, Robin
Campsen, Jeffrey
author_facet Rofaiel, George
Pan, Gilbert
Martinez, Eryberto
Kim, Robin
Campsen, Jeffrey
author_sort Rofaiel, George
collection PubMed
description Early technical complications after pancreas transplantation are almost always unsalvageable. The two most common complications are vascular thrombosis and duodenal anastomotic leaks. We present a case of a duodenal stump leak that led to a large abscess and severe sepsis. The pancreas was salvaged by repairing the leak and creating a proximal diverting ileostomy. Several months later, the ileostomy was reversed. This was done by creating a defunctionalized Roux limb to exclude the pancreas. The patient healed well and continued to enjoy excellent glucose control.
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spelling pubmed-67868382019-10-15 Two-stage Enteric Exclusion to Salvage a Pancreas Transplant After an Early Post-transplant Leak Rofaiel, George Pan, Gilbert Martinez, Eryberto Kim, Robin Campsen, Jeffrey Cureus General Surgery Early technical complications after pancreas transplantation are almost always unsalvageable. The two most common complications are vascular thrombosis and duodenal anastomotic leaks. We present a case of a duodenal stump leak that led to a large abscess and severe sepsis. The pancreas was salvaged by repairing the leak and creating a proximal diverting ileostomy. Several months later, the ileostomy was reversed. This was done by creating a defunctionalized Roux limb to exclude the pancreas. The patient healed well and continued to enjoy excellent glucose control. Cureus 2019-08-13 /pmc/articles/PMC6786838/ /pubmed/31616610 http://dx.doi.org/10.7759/cureus.5379 Text en Copyright © 2019, Rofaiel et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle General Surgery
Rofaiel, George
Pan, Gilbert
Martinez, Eryberto
Kim, Robin
Campsen, Jeffrey
Two-stage Enteric Exclusion to Salvage a Pancreas Transplant After an Early Post-transplant Leak
title Two-stage Enteric Exclusion to Salvage a Pancreas Transplant After an Early Post-transplant Leak
title_full Two-stage Enteric Exclusion to Salvage a Pancreas Transplant After an Early Post-transplant Leak
title_fullStr Two-stage Enteric Exclusion to Salvage a Pancreas Transplant After an Early Post-transplant Leak
title_full_unstemmed Two-stage Enteric Exclusion to Salvage a Pancreas Transplant After an Early Post-transplant Leak
title_short Two-stage Enteric Exclusion to Salvage a Pancreas Transplant After an Early Post-transplant Leak
title_sort two-stage enteric exclusion to salvage a pancreas transplant after an early post-transplant leak
topic General Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6786838/
https://www.ncbi.nlm.nih.gov/pubmed/31616610
http://dx.doi.org/10.7759/cureus.5379
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