Metabolic effects of urinary diversion of exocrine secretions in pancreatic transplantation

Dai D. Nghiem, Thomas A. Gonwa, Robert J. Corry

Research output: Contribution to journalArticle

44 Scopus citations

Abstract

We have compared the metabolic consequences of two forms of exocrine drainage for pancreaticoduodenal transplant, duodenojejunostomy (DJ) and duodenocystostomy (DC). DC offered the advantage of avoiding opening of the recipient small intestine with its potential for wound sepsis, as well as a reliable method for early detection of pancreatic rejection as measured by an abrupt fall in urinary amylase and bicarbonate concentration. However, DC led to a large urinary loss of bicarbonate with a concomitant mild metabolic acidosis. During periods of renal dysfunction, the patients with DC developed severe hyperchloremic acidosis. Use of DC for pancreatic exocrine diversion may require patients to take supplemental bicarbonate even with a well-functioniong renal transplant.

Original languageEnglish (US)
Pages (from-to)70-72
Number of pages3
JournalTransplantation
Volume43
Issue number1
DOIs
StatePublished - Jan 1987

ASJC Scopus subject areas

  • Transplantation

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