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Pancreatic transplants: CT-guided biopsy.
M Bernardino1, M Fernandez, J Neylan
1Department of Radiology, Emory University School of Medicine, Atlanta, GA 30322.
Radiology
|December 1, 1990
Summary
Computed tomographic (CT)-guided biopsies of pancreatic transplants are safe and accurate for diagnosing dysfunction. Simultaneous sampling of the pancreatic head and tail can reveal crucial diagnostic differences.
Area of Science:
- Transplant Surgery
- Radiology
- Pathology
Background:
- Pancreatic allograft dysfunction requires accurate diagnosis.
- Traditional biopsy methods may have limitations in sampling diverse regions.
Purpose of the Study:
- To evaluate the safety and efficacy of computed tomographic (CT)-guided biopsies for pancreatic allografts.
- To assess the diagnostic value of simultaneous sampling from different regions of the pancreatic allograft.
Main Methods:
- Performed 10 CT-guided biopsies of pancreatic allografts in four patients using an 18-gauge needle and biopsy gun.
- Conducted four simultaneous biopsies of the pancreatic head and tail.
Main Results:
- Specimens adequate for diagnosis were obtained in 9 out of 10 biopsies.
- Histologic differences between pancreatic head and tail were noted in 2 out of 4 simultaneous procedures.
- No complications were reported during the procedures.
Conclusions:
- CT-guided biopsy of pancreatic transplants is easy, accurate, and safe.
- Simultaneous sampling of pancreatic head and tail offers valuable diagnostic information potentially missed by standard methods.