Open AccessEnteric conversion after bladder‐drained pancreatic transplantation; a simple and safe salvage procedure
Author(s) -
Connolly Elizabeth M.,
Baktavatsalam Ramasamy,
O'Malley Kieran,
Little Dillie M.,
Hickey David P.
Publication year - 2001
Publication title -
european journal of surgery
Language(s) - English
Resource type - Journals
eISSN - 1741-9271
pISSN - 1102-4151
DOI - 10.1080/110241501750215276
Subject(s) - medicine , surgery , transplantation , urinary system , metabolic acidosis , ileus , bladder stones , complication
Objective: To present our experience with conversion from bladder to enteric drainage after simultaneous pancreatic and renal transplants, so that new transplant centres know that it is both safe and effective. Design: Retrospective study. Settings: Teaching hospital, Republic of Ireland. Subjects: Six patients who had simultaneous pancreatic and renal transplants for insulin‐dependent diabetes and who subsequently developed complications of bladder drainage including recurrent episodes of dehydration and metabolic acidosis ( n = 3), haematuria ( n = 2), and urinary tract infections ( n = 1). Intervention: Conversion to enteric drainage. Main outcome measure: Resolution of symptoms. Results: All symptoms resolved, but one patient each developed pulmonary oedema, haematuria, and prolonged ileus. All three complications resolved on conservative treatment. All patients are well with surviving grafts a mean of 40 months later (range 19–50). Conclusion: Conversion to enteric drainage is safe and effective in patients with refractory metabolic or urological complications of bladder drainage after simultaneous pancreatic and renal transplantation. Copyright © 2001 Taylor and Francis Ltd.