Pancreas Transplantation With Portal-Enteric Drainage for Patients With Endocrine and Exocrine Insufficiency From Extensive Pancreatic Resection

Andrew S Barbas; David P Al-Adra; Nicolas Goldaracena; Martin J Dib; Markus Selzner; Gonzalo Sapisochin; Mark S Cattral; Ian D McGilvray

doi:10.1097/TXD.0000000000000721

Pancreas Transplantation With Portal-Enteric Drainage for Patients With Endocrine and Exocrine Insufficiency From Extensive Pancreatic Resection

Transplant Direct. 2017 Aug 9;3(9):e203. doi: 10.1097/TXD.0000000000000721. eCollection 2017 Sep.

Authors

Andrew S Barbas¹, David P Al-Adra², Nicolas Goldaracena², Martin J Dib³, Markus Selzner², Gonzalo Sapisochin², Mark S Cattral², Ian D McGilvray²

Affiliations

¹ Department of Surgery, Duke University Medical Center, Durham, NC.
² Multi-Organ Transplant Program, University of Toronto, Toronto, Ontario, Canada.
³ Department of Surgery, University of Wisconsin School of Medicine and Public Health, Madison, WI.

Abstract

Although the primary indication for pancreas transplantation is type I diabetes, a small number of patients requires pancreas transplantation to manage combined endocrine and exocrine insufficiency that develops after extensive native pancreatic resection. The objective of this case report was to describe the operative and clinical course in 3 such patients and present an alternative technical approach.