主页 > 医学信息 >
【文摘发布】胰腺移植外分泌十二指肠引流：初
Authore Roover A, Coimbra C, Detry O, et al.
source:Transplantation. 2007 Sep 27;84:795-7
Abstract：Pancreas graft survival has continuously improved over the years to become a main treatment option of uncontrolled complicated diabetes. Rejection remains the major challenge as it often goes unnoticed until severe damage of the graft manifests itself by elevated blood sugar. Pancreas enzymes monitoring in the blood and in the urine is a sensitive marker of rejection but lack of specificity. Biopsy remains the gold standard. Cystoscopy-guided biopsy of bladder-drained pancreas has a good success rate for obtaining tissue but the vesical drainage exposes to metabolic and urologic morbidity. Percutaneous pancreas biopsy can be performed with a low morbidity rate but severe complications can occur. We discuss a technique of pancreas transplantation with the drainage of exocrine secretions of the pancreatic graft in the recipient duodenum, which permits easy monitoring of the graft by upper endoscopy of the duodenum. 本人已认领该文编译，48小时后若未提交译文，请其他战友自由认领。 通过受体十二指肠引流移植胰腺：初步经验
摘要：近年来胰腺移植存活者不断改善，已成为治疗不受控制的复杂糖尿病一个主要治疗选择。排斥反应依然是主要的挑战，因为它不易被觉察直到血糖的升高显示移植物严重损伤。检测血和尿中胰酶是排斥反应敏感的标志物但是缺乏特异性。活检仍然是金标准。膀胱镜引导下活检，膀胱引流的胰腺有很好的成功率但是膀胱引流易致代谢和泌尿外科的死亡。经皮胰腺活检操作的死亡率虽低但可能发生严重并发症。我们讨论把移植胰腺外分泌物引流入受体十二指肠的一种胰腺移植技术，此技术可以通过十二指肠镜方便的检测移植物。 [标签:content1][标签:content2]
阅读本文的人还阅读：
作者:admin@医学,生命科学 2011-05-24 05:11
医学,生命科学网