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Pancreas transplantation with enteroanastomosis to native duodenum poses technical challenges, offers improved endoscopic access for scheduled biopsies and therapeutic interventions

from American Journal of Transplantation

To facilitate endoscopic access for rejection surveillance and stenting of the pancreas, this study abandoned the duodenojejunostomy (DJ) in favor of duodenoduodenostomy (DD) in pancreas transplantation (PTx). From September 2012 to September 2013 we performed 40 PTx with DD; 20 solitary-PTx (S-PTx) and 20 simultaneous pancreas and kidney transplantation (SPK). The study compared the outcomes with results from 40 PTx-DJ (10 S-PTx and 30 SPK) from the preceding era. The DD-enteroanastomoses were performed successfully. more

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