Conversion from bladder to ileal drainage for the treatment of metabolic acidosis following simultaneous pancreas and kidney transplantation (a case report)
- VernacularTitle:膀胱引流式胰肾联合移植术后严重代谢性酸中毒的外科治疗
- Author:
Gao-Biao ZHOU
;
Quan HONG
;
Zehou WANG
;
Bin SUN
;
Zhi-Yong YAO
;
Xiao-Min SHI
;
Xian-Chu LI
- Publication Type:Journal Article
- Keywords:
Pancreas;
Kidney;
Organ transplantation;
Acidosis
- From:
Chinese Journal of Urology
2000;0(12):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the therapeutic method of metabolic acidosis in long-term sur- vival patients undergoing simultaneous pancreas and kidney transplantation.Methods A 45-year-old fe- male patient,who had undergone simultaneous pancreas and kidney transplantation(due to diabetic ne- phropathy and uremia)with bladder drainage 2 years before,developed severe metabolic acidosis,and thus underwent surgical conversion from bladder to ileal drainage.The procedure was as follows.The stoma of duo- denocystostomy was isolated and resected.The site of cystostomy was closed in two layers.The graft duode- num was then anastomosed to a loop of the recipient's ileum,which was proximal 40 cm from the ileocecum in a side-to-side manner.Results The metabolic acidosis resolved postoperatively.The patient received conventional immunosuppressants.The hospital stay was 30d.Follow-up of 4 years showed normal pancreas and kidney functions.Conclusions Conversion from bladder to ileal drainage is safe and effective for metabolic acidosis related to the exocrine secretions of bladder drained pancreas graft in simultaneous pancre- as and kidney transplant recipients.
