TY - JOUR
T1 - Radiologic features of pancreatic and biliary complications following composite visceral transplantation
AU - Borhani, Amir A.
AU - Dasyam, Anil K.
AU - Papachristou, Georgios
AU - Furlan, Alessandro
AU - Almusa, Omar
AU - Abu-Elmagd, Kareem
AU - Costa, Guilherme
AU - Slivka, Adam
AU - Bae, Kyongtae T.
N1 - Publisher Copyright:
© 2014, Springer Science+Business Media New York.
PY - 2015/8/12
Y1 - 2015/8/12
N2 - Small bowel transplantation is a surgical technique reserved for patients with end-stage intestinal failure. Despite its inherent technical difficulties, it has emerged as the standard of care for these patients. This article reviews the background and different surgical techniques for this procedure and then fully describes the spectrum of imaging findings of pancreatic and biliary complications, which have a prevalence of up to 17%, after this procedure based on 23-year single-center experience. The pancreaticobiliary complications encountered in our experience and discussed in this article include: ampullary stenosis, biliary cast, choledocholithiasis, bile leak, recurrent cholangitis, acute pancreatitis, chronic pancreatitis, and pancreatic duct fistula. Familiarity with the broad spectrum of PB complications and their variable manifestations will help radiologists to accurately diagnose these complications which have relatively high morbidity and mortality in these immune-compromised patients.
AB - Small bowel transplantation is a surgical technique reserved for patients with end-stage intestinal failure. Despite its inherent technical difficulties, it has emerged as the standard of care for these patients. This article reviews the background and different surgical techniques for this procedure and then fully describes the spectrum of imaging findings of pancreatic and biliary complications, which have a prevalence of up to 17%, after this procedure based on 23-year single-center experience. The pancreaticobiliary complications encountered in our experience and discussed in this article include: ampullary stenosis, biliary cast, choledocholithiasis, bile leak, recurrent cholangitis, acute pancreatitis, chronic pancreatitis, and pancreatic duct fistula. Familiarity with the broad spectrum of PB complications and their variable manifestations will help radiologists to accurately diagnose these complications which have relatively high morbidity and mortality in these immune-compromised patients.
KW - Biliary complication
KW - Composite small bowel transplantation
KW - Multivisceral transplantation
KW - Pancreatic complication
KW - Small bowel transplantation
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U2 - 10.1007/s00261-014-0338-z
DO - 10.1007/s00261-014-0338-z
M3 - Review article
C2 - 25549783
AN - SCOPUS:84938879180
SN - 0942-8925
VL - 40
SP - 1961
EP - 1970
JO - Abdominal Imaging
JF - Abdominal Imaging
IS - 6
ER -