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Introduction of simultaneous pancreas and kidney transplantation programme in Upper Silesia
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Abstract
Material and methods: Five SPK were performed between April 2004 and April 2005. The recipients’ age was 30 to 38 years, duration of IDDM - 19 to 33 years and duration of dialysis therapy - 6 to 26 months. A pancreatic graft was revascularized by a Y-graft anastomosed to the recipient’s iliac artery and portal vein anastomosed to the vena cava inferior. The pancreatic juice was drained using a duodenal segment anastomosed to the jejunum distal to the Treitz ligament. The kidney was transplanted using the standard technique. All patients received a triple immunosupression regimen composed of tacrolimus or cyclosporin A, mycophenolate mofetil and steroids.
Results: At present all patients are alive with well-functioning kidney and pancreatic grafts (serum creatinine at discharge from hospital was 93-160 µmol/l and serum glucose was 3.8-5.8 mmol/l). Surgical complications were observed in 2 patients: haemorrhage requiring early relaparotomy and wound suppuration.
Abstract
Material and methods: Five SPK were performed between April 2004 and April 2005. The recipients’ age was 30 to 38 years, duration of IDDM - 19 to 33 years and duration of dialysis therapy - 6 to 26 months. A pancreatic graft was revascularized by a Y-graft anastomosed to the recipient’s iliac artery and portal vein anastomosed to the vena cava inferior. The pancreatic juice was drained using a duodenal segment anastomosed to the jejunum distal to the Treitz ligament. The kidney was transplanted using the standard technique. All patients received a triple immunosupression regimen composed of tacrolimus or cyclosporin A, mycophenolate mofetil and steroids.
Results: At present all patients are alive with well-functioning kidney and pancreatic grafts (serum creatinine at discharge from hospital was 93-160 µmol/l and serum glucose was 3.8-5.8 mmol/l). Surgical complications were observed in 2 patients: haemorrhage requiring early relaparotomy and wound suppuration.
Keywords
pancreas and kidney transplantation; insulin dependent diabetes mellitus; chronic renal failure
About this articleTitle
Introduction of simultaneous pancreas and kidney transplantation programme in Upper Silesia
Journal
Chirurgia Polska (Polish Surgery)
Issue
Pages
105-112
Published online
2005-09-06
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533
Article views/downloads
891
Bibliographic record
Chirurgia Polska 2005;7(2):105-112.
Keywords
pancreas and kidney transplantation
insulin dependent diabetes mellitus
chronic renal failure
Authors
Jacek Ziaja
Robert Król
Jerzy Chudek
Wojciech Marcinkowski
Jarosław Wilk
Magdalena Szotowska
Anna Kunsdorf-Wnuk
Sylwia Sekta
Andrzej Więcek
Lech Cierpka
