Abdominal pain and vomiting in a pancreas transplant recipient

TY - JOUR

T1 - Abdominal pain and vomiting in a pancreas transplant recipient

AU - Craig-Schapiro, Rebecca

AU - Atiemo, Kofi

AU - Leventhal, Joseph

N1 - Funding Information: Each month, the American Journal of Transplantation will feature Images in Transplantation, a journal‐based CME activity, chosen to educate partici‐ pants on current developments in the science and imaging of transplantation. Participants can earn 1 AMA PRA Category 1 Credit™ per article at their own pace. This month’s feature article is titled: “Abdominal pain and vomiting in a pancreas transplant recipient.” Accreditation and Designation Statement This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of John Wiley & Sons, Inc., the American Society of Transplant Surgeons, and the American Society of Transplantation. John Wiley & Sons, Inc. is accredited by the ACCME to provide continuing medical education for physicians, and fulfills the requirements of the American Board of Surgery (ABS) for Maintenance of Certification (MOC). John Wiley & Sons, Inc. designates this journal‐based CME activity for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should only claim credit commensurate with the extent of their participation in the activity. Statement of Need Gastrointestinal complaints are common following pancreas transplantation and represent a clinical challenge for transplant providers. Because of the broad differential diagnosis, establishing a timely diagnosis and appropriate management can be critical for graft preservation. Purpose of Activity This activity was designed to aid providers in the accurate interpretation of imaging, diagnosis, and correct treatment of intestinal complications fol‐ lowing pancreas transplantation. Identification of Practice Gap Complaints of gastrointestinal symptomatology following pancreas transplantation are common, and the differential diagnosis in this setting is broad. Optimal and timely initiation of therapy depends on establishing an accurate diagnosis and can have critical implications on graft preservation. This activity will help participants recognize an uncommon cause of bowel obstruction after pancreas transplantation that carries a high risk of graft loss. Additionally, this activity will help participants formulate a treatment plan. Learning Objectives Upon completion of this educational activity, participants will be able to: • Understand complications associated with enteric drainage of pancreas grafts. • Recognize characteristic imaging features associated with this complication. • Identify risk factors associated with the development of this complication. • Formulate successful treatment strategies. Target Audience This activity has been designed to meet the educational needs of physicians, surgeons, and radiologists involved in the field of transplantation. Disclosures No commercial support has been accepted related to the development or publication of this activity. John Wiley & Sons, Inc. has reviewed all disclo‐ sures and resolved or managed all identified conflicts of interest, as applicable. Editor‐in‐Chief Allan D. Kirk, MD, PhD, FACS, has no relevant financial relationships to disclose. Editors Sandy Feng, MD, PhD, discloses stock ownership or equity in Abbott, Amgen, Charles River Labs, Eli Lily, Glaxo‐Smith Klein, Hospira, Johnson and Johnson, Express Scripts, Medco, Merck, Pfizer, and Stryker; and research support from Cumberland, Novartis, and Quark. Matthew H. Levine, MD, PhD, discloses research support from Pfizer. CME Manager, ASTS Ellie Proffitt, CHES, has no relevant financial relationships to disclose. Authors Rebecca Craig‐Schapiro, MD, PhD, Kofi Atiemo, MD, and Joseph Leventhal, MD, PhD, have no relevant financial relationships to disclose. This manuscript underwent peer review in line with the standards of editorial integrity and publication ethics maintained by the American Journal of Transplantation. The peer reviewers have no relevant financial relationships to disclose. The peer review process for the American Journal of Transplantation is blinded. As such, the identities of the reviewers are not disclosed in line with the standard accepted practices of medical journal peer review. Instructions on Receiving CME Credit This activity is designed to be completed within an hour. Physicians should claim only those credits that reflect the time actually spent in the activity. This activity will be available for CME credit for 12 months following its publication date. At that time, it will be reviewed and potentially updated and extended for an additional 12 months. Physicians must correctly answer 75% or more of the posttest items to claim MOC credit. Follow these steps to participate, answer the questions, and claim your CME credit: • Log on to https://www.wileyhealthlearning.com/ajt • Read the learning objectives, target audience, and activity disclosures. • Read the article in print or online format. • Reflect on the article. • Access the CME Exam, and choose the best answer to each question. • Complete the required evaluation and print your CME certificate.

PY - 2018/9

Y1 - 2018/9

KW - clinical decision-making

KW - clinical research/practice

KW - complication

KW - diagnostic techniques and imaging

KW - pancreas/simultaneous pancreas-kidney transplantation

UR - http://www.scopus.com/inward/record.url?scp=85052526333&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85052526333&partnerID=8YFLogxK

U2 - 10.1111/ajt.14988

DO - 10.1111/ajt.14988

M3 - Editorial

C2 - 30161298

AN - SCOPUS:85052526333

VL - 18

SP - 2362

EP - 2364

JO - American Journal of Transplantation

JF - American Journal of Transplantation

SN - 1600-6135

IS - 9

ER -