Outcomes after Peripancreatic Fluid Drainage in Patients with Simultaneous Pancreas-Kidney Transplantation |
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| Affiliation: | 1. Department of Radiology and Biomedical Imaging, San Francisco, 505 Parnassus Ave, M-361, San Francisco, CA 94143;2. School of Medicine, University of California, San Francisco, 505 Parnassus Ave, M-361, San Francisco, CA 94143;3. Thomas Jefferson Medical School, Philadelphia, Pennsylvania;1. Department of Radiology and Biomedical Imaging, 505 Parnassus Avenue, M-361, University of California-San Francisco, CA 94143;2. Division of Gastroenterology/Hepatology, 505 Parnassus Avenue, M-361, University of California-San Francisco, CA 94143;1. University of Kentucky College of Medicine, Lexington, Kentucky;2. Division of Vascular and Interventional Radiology, Department of Radiology, University of Texas Southwestern Medical Center, Dallas, Texas;3. Department of Radiology, Houston Methodist Hospital, Houston, Texas;1. Charles T. Dotter Department of Interventional Radiology, Dotter Interventional Institute, 3181 SW Sam Jackson Park Road, Portland, OR 97239;2. Department of Gastroenterology and Hepatology, 3181 SW Sam Jackson Park Road, Portland, OR 97239;1. Médecins Sans Frontières, Eshowe, South Africa;2. Harvard Medical School, Department of Global Health and Social Medicine, Boston, MA 02115, USA |
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| Abstract: | PurposeTo determine the clinical outcomes of patients who underwent image-guided drainage of peripancreatic fluid collections after simultaneous pancreas-kidney (SPK) transplantation.Materials and MethodsA retrospective review of all patients who underwent peripancreatic fluid collection drainage after SPK, from January 2000 to August 2017, at a single institution was performed. Patient characteristics, surgical technique, medication regimen, microbial analysis, and clinical outcomes were reviewed. Thirty-one patients requiring a total of 41 drainages were included in this study. The median age was 44 years (range 30–58 years), and median time between SPK and drainage was 28 days (range 8 to 3,401 days). Fisher’s exact test, unpaired Student t-tests, and Pearson correlations were used for statistical analysis.ResultsFever (51%) and abdominal pain (31%) were the most common presenting symptoms. The average amount of fluid drained at the time of drain placement was 97 mL (SD 240 mL). The average time spent with a drain in place was 33 days (SD 31 days). Microorganisms were isolated in the fluid of 22 of 41 drainages (54%), with mixed gastrointestinal flora being the most common. No further intervention was needed in 34 of 41 drainages (82%). However, drainage failed in 5 of 31 patients (16%), requiring surgical intervention with removal of the pancreas transplant.ConclusionsPercutaneous drainage of peripancreatic fluid collections after SPK transplantation is a safe and effective treatment option. |
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