J Korean Radiol Soc.
1994 Nov;31(5):901-906.
Preliminary Reports of Pancreas Transplantation: Assessment of Post Operative Radiologic Imaging
Abstract
- PURPOSE
We report seven cases of pancreas transplantation, first performed in Korea, in the context of
postsurgical radiologic studies.
MATERIALS AND METHODS
All patients with insulin-dependent diabetes mellitus received transplants from
cadevaric(n=6) or living related donor(n=1). Retrospective analysis of 27 US(including 19 Duplex US), two CT,
four MRi, and three scintigraphy for these patients was made with surgico-pathological correlation in five
cases.
RESULT:Of the seven patients, three-month graft survival was five and one-year survival was two. One
patient died of abdominal abscess following surgery. US gave the valuable informations regarding the graff
swelling, vascular complication, and perigraff fluid collection. RBC bleeding scan was effective of the presence
or absence and location of intestinal bleeding. CT was useful in determining the extent and severity of the
pancreatitis. MRI gave a little information about functional status of the grafted pancreas.
CONCLUSION
The choice of appropriate imaging modalities for postsurgical work up in patients who had
pacreas transplantation depends on the clinical conditions of the patients and complications suspected. Further
prospective studies appear to be necessary to eatablish the interval and modality choice for early detection of
the complication.