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[Pancreas transplantation: multislice computed tomography follow-up]
Carla Cappelli1, Emanuele Neri, Ugo Boggi
1Divisione di Radiologia Diagnostica e Interventistica, Università degli Studi di Pisa, Pisa.
La Radiologia Medica
|November 13, 2003
Summary
Multislice computed tomography (MSCT) effectively monitors patients after pancreas or kidney-pancreas transplants. This imaging technique identifies surgical methods and detects serious complications in transplanted organs.
Area of Science:
- Medical Imaging
- Transplantation Surgery
- Nephrology
Background:
- Pancreas transplantation offers a definitive treatment for type 1 diabetes mellitus.
- Monitoring post-transplant patients is crucial for early complication detection and management.
Purpose of the Study:
- To evaluate the utility of multislice computed tomography (MSCT) in the follow-up of patients undergoing solitary pancreas or combined kidney-pancreas transplantation.
- To assess MSCT's capability in identifying surgical techniques and post-operative complications.
Main Methods:
- Sixteen patients (8 solitary pancreas, 8 kidney-pancreas) were evaluated using MSCT.
- Specific imaging phases (arterial, portal, urographic) were employed based on transplant type.
- Thoracic MSCT was included for suspected pulmonary complications.
Main Results:
- MSCT accurately identified surgical techniques in all cases.
- Major complications detected included arterial graft thrombosis/stenosis, pancreatic infarction, and infections.
- MSCT visualized graft status and identified various post-transplant complications.
Conclusions:
- Multislice computed tomography (MSCT) is a valuable tool for monitoring pancreas and kidney-pancreas transplant recipients.
- MSCT aids in the early detection of complications related to the transplanted organs and immunosuppressive therapy.