Skip to main content

Advertisement

SpringerLink
Log in

Successful Management of a Proximal Pancreatic Duct Fistula Following Pancreatic Transplantation

  • Case Report
  • Published:
Digestive Diseases and Sciences Aims and scope Submit manuscript

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4

References

  1. Becker YT, Collins BH, Sollinger HW (1998) Technical complications of pancreas transplantation. Curr Opin Organ Transplant 3:253–257

    Google Scholar 

  2. Kusne K, Chakrabarti P, Akhavan-Heidari M, Corry RJ (1999) Association of bacterial and fungal infections with surgical complications in pancreas transplant recipients. Transplantation 67(7):S174

    Article  Google Scholar 

  3. Gruessner RWG, Sutherland DER, Troppmann C, et al. (1997) The surgical risk of pancreas transplantation in the cyclosporine era: an overview. J Am Coll Surg 185:128–144

    Article  PubMed  CAS  Google Scholar 

  4. Troppmann C, Gruessner AC, Dunn DL, Sutherland DE, Gruessner RW (1998) Surgical complications requiring early relaparotomy after pancreas transplantation: a multivariate risk factor and economic impact analysis of the cyclosporine era. Ann Surg 227(2):255–268

    Article  PubMed  CAS  Google Scholar 

  5. Pirsch JD, Odorico JS, D’Alessandro AM, Knechtle SJ, Becker BN, Sollinger HW (1998) Posttransplant infection in enteric versus bladder-drained simultaneous pancreas-kidney transplant recipients. Transplantation 27 66(12):1746–1750

    Article  CAS  Google Scholar 

  6. Cavallini G, Frulloni L (2001) Somatostatin and octreotide in acute pancreatitis: the never-ending story. Dig Liver Dis 33(2):192–201

    Article  PubMed  CAS  Google Scholar 

  7. Stratta RJ, Taylor RJ, Lowell JA, Bynon JS, Cattral M, Langnas AN, Shaw BW Jr (1993) Selective use of Sandostatin in vascularized pancreas transplantation. Am J Surg 166(6):598–604, discussion 604–605

    Article  PubMed  CAS  Google Scholar 

  8. Gruessner AC, Sutherland DE (1998) Analysis of United States (US) and non-US pancreas transplants as reported to the International Pancreas Transplant Registry (IPTR) and to the United Network for Organ Sharing (UNOS). Clin Transplant 53–73

    Google Scholar 

  9. Stratta RJ, Gaber AO, Shokouh-Amiri MH, Egidi MF, Grewal HP, Reddy KS, Hathaway DK, Winsett RP, Alloway RR, Gaber LW, Britt LG (1998) Experience with portal-enteric pancreas transplant at the University of Tennessee-Memphis. Clin Transpl 239–253

    Google Scholar 

  10. Odorico JS, Heisey DM, Voss BJ, et al. (1998) Donor factors affecting outcome after pancreas transplantation. Transplant Proc 30:276–277

    Article  PubMed  CAS  Google Scholar 

  11. Sutherland DER, Cecka M, Gruessner A (2001) Newsletter from the International Pancreas Transplant Registry

  12. Steurer W, Bonatti H, Obrist P, Spechtenhauser B, Ladurner R, Mark W, Gardetto A, Margreiter R, Königsrainer A (2000) Incidence of intraabdominal infection (IAI) in a consecutive series of 40 enteric drained pancreas transplants with Fk506 and MMF immunosuppression. Transplant Int 13(Suppl 1):195–198

    Article  Google Scholar 

  13. Stratta RJ, Gaber AO, Shokouh-Amiri MH, Reddy KS, Egidi MF, Grewal HP, Gaber LW (2000) A prospective comparison of systemic-bladder versus portal-enteric drainage in vascularized pancreas transplantation. Surgery 127(2):217–226

    Article  PubMed  CAS  Google Scholar 

  14. Stratta RJ, Gaber AO, Shokouh-Amiri MH, Reddy KS, Egidi MF, Grewal HP (1999) Allograft pancreatectomy after pancreas transplantation with systemic-bladder versus portal-enteric drainage. Clin Transplant 13(6):465–472

    Article  PubMed  CAS  Google Scholar 

  15. Steurer W, Margreiter R, Königsrainer A (2001) Surgical techniques of pancreas transplantation. Acta Chir Austr 33(1):S8–S12

    Article  Google Scholar 

  16. Cooper MM, Wright FH, Smith JL, Corry RJ (1989) Successful treatment of a high-output fistula with a somatostatin analogue following pancreas transplantation. Transplant Proc 21(4):3738–3741

    PubMed  CAS  Google Scholar 

  17. Werner J, Feuerbach S, Uhl W, Buchler MW (2005) Management of acute pancreatitis: from surgery to interventional intensive care. Gut 54(3):426–436

    Article  PubMed  CAS  Google Scholar 

  18. Bosscha K, Hulstaert PF, Hennipman A, Visser MR, Gooszen HG, van Vroonhoven TJ, v d Werken C (1998) Fulminant acute pancreatitis and infected necrosis: results of open management of the abdomen and “planned” reoperations. J Am Coll Surg 187(3):255–262

    Article  PubMed  CAS  Google Scholar 

  19. McFadden DW, Reber HA (1994) Indications for surgery in severe acute pancreatitis. Int J Pancreatol 15(2):83–90

    PubMed  CAS  Google Scholar 

  20. Slavin J, Ghaneh P, Sutton R, Hartley M, Rowlands P, Garvey C, Hughes M, Neoptolemos J (2001) Management of necrotizing pancreatitis. World J Gastroenterol 7(4):476–481

    PubMed  CAS  Google Scholar 

  21. Esterl RM Jr, Stratta RJ, Taylor RJ, Sindhi R, Castaldo P, Sudan D, Lowell JA (1995) Diagnosis and treatment of symptomatic peripancreatic fluid collections after pancreas transplant. Transplant Proc 27(6):3057–3058

    PubMed  Google Scholar 

  22. Nikou GC, Arnaoutis TP, Giamarellos-Bourboulis EJ, Samolada O, Vafiadis-Zouboulis I, Katsilambros N, Arvanitakis C (2001) The significance of the dosage adjustment of octreotide in the treatment of acute pancreatitis of moderate severity. Hepatogastroenterology 48(42):1754–1757

    PubMed  CAS  Google Scholar 

  23. Lai KH, Lo GH, Cheng JS, Fu MT, Wang EM, Chan HH, Wang YY, Hsu PI, Lin CK (2001) Effect of somatostatin on the sphincter of Oddi in patients with acute non-biliary pancreatitis. Gut 49(6):843–846

    Article  PubMed  CAS  Google Scholar 

  24. Uhl W, Anghelacopoulos SE, Friess H, Buchler MW (1999) The role of octreotide and somatostatin in acute and chronic pancreatitis. Digestion 60(Suppl 2):23–31

    Article  PubMed  CAS  Google Scholar 

  25. Leandros E, Antonakis PT, Albanopoulos K, Dervenis C, Konstadoulakis MM (2004) Somatostatin versus octreotide in the treatment of patients with gastrointestinal and pancreatic fistulas. Can J Gastroenterol 18(5):303–306

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of General and Transplant Surgery, University Hospital, 6020, Innsbruck, Austria

    H. Bonatti, W. Tabarelli, N. Berger, H. Wykypiel, R. Margreiter & W. Mark

  2. Department of Radiology, University Hospital, 6020, Innsbruck, Austria

    W. Jaschke

  3. Clinical Department of General and Transplant Surgery, Medical University, Anichstraße 35, 6020, Innsbruck, Austria

    H. Bonatti

Authors
  1. H. Bonatti
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. W. Tabarelli
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. N. Berger
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. H. Wykypiel
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. W. Jaschke
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. R. Margreiter
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. W. Mark
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to H. Bonatti.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Bonatti, H., Tabarelli, W., Berger, N. et al. Successful Management of a Proximal Pancreatic Duct Fistula Following Pancreatic Transplantation. Dig Dis Sci 51, 2026–2030 (2006). https://doi.org/10.1007/s10620-006-9373-0

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10620-006-9373-0

Keywords

Search

Navigation