Endoscopic findings following retroperitoneal pancreas transplantation
Alexey V Pinchuk1, Ilya V Dmitriev1, Nonna V Shmarina1
1Department of Pancreas and Kidney Transplantation, Sklifosovsky Research and Clinical Institute for Emergency Medicine, Moscow, Russia.
Aim:
An evaluation of the efficacy of endoscopic methods for the diagnosis and correction of surgical and immunological complications after retroperitoneal pancreas transplantation.
Materials And Methods:
From October 2011 to March 2015, 27 patients underwent simultaneous retroperitoneal pancreas-kidney transplantation (SPKT). Diagnostic oesophagogastroduodenoscopy (EGD) with protocol biopsy of the donor and recipient duodenal mucosa and endoscopic retrograde pancreatography (ERP) were performed to detect possible complications. Endoscopic stenting of the main pancreatic duct with plastic stents and three-stage endoscopic hemostasis were conducted to correct the identified complications.
Results:
Endoscopic methods showed high efficiency in the timely diagnosis and adequate correction of complications after retroperitoneal pancreas transplantation.
