Abstract

PALADINI, Hugo José et al. Four years of experience in the use of multidetector computer tomography in pancreas transplantation: a lesson learned together with surgeons. Rev. argent. radiol. [online]. 2013, vol.77, n.1, pp.31-38. ISSN 1852-9992.

Purpose. To gain knowledge of normal postoperative findings on Multidetector Computed Tomography (MDCT) in patients with pancreas transplant and describe the most frequent complications. Topic review. Pancreatic transplantation is currently the only definitive treatment for diabetic patients. In recent years, its use has increased as therapeutic strategy. According to the INCUCAI, in 2001 9 transplants were performed, increasing to 74 in 2011. This increase creates a need for radiologists to gain knowledge of the normal postoperative anatomy and learn to identify the most frequent postoperative complications. The imaging methods used are Doppler / ultrasound, MDCT, conventional angiography and MRI. In patients with good renal function in whom ultrasound is not diagnostic for characterization of complications, the next step is MDCT. At our hospital, 25 pancreatic transplants were performed in 2008-2012. Postoperative complications were suspected clinically or by ultrasound in 19 of them. Fifteen of them were evaluated by CT for further characterization Imaging findings or procedure details. As we learn the surgical techniques that were performed, normal images are described, allowing a correct interpretation of MDCT findings in these patients. The most common post operative complications were: - Vascular: thrombosis, arteriovenous fistula, pseudoaneurysm - Non vascular: pancreatitis, pancreatic fistulas, collections, pneumoperitoneum, ileus. Conclusion: MDCT is a useful method for assessing patients with pancreas transplantation. A clear understanding of the unique anatomy and possible postoperative complications is crucial for the radiologist to guide the monitoring and treatment of this patient.

Keywords : Pancreatic Transplantation; Computed tomography; Postsurgical normal anatomy; Complications.

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