Arterio-Enteric Fistula in Failed Enteric-Drained Pancreas Transplants: An Impending Danger

Manuel Villa; Eric Siskind; Natalia Jaimes; Donna Eckstein; Madhu Bhaskaran; Mala Sachdeva; Kenar Jhaveri; Kellie Calderon; Craig Greben; Lauren Sharan; Gene Coppa; Kambhampaty Krishnasastry; Ernesto Molmenti; Jeffrey Nicastro

doi:10.1055/s-0033-1349169

International Journal of Angiology, Table of Contents

Int J Angiol 2014; 23(01): 065-068
DOI: 10.1055/s-0033-1349169

Case Report

Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Arterio-Enteric Fistula in Failed Enteric-Drained Pancreas Transplants: An Impending Danger

Manuel Villa

¹Department of Transplantation, North Shore Long Island Jewish Health System-Hofstra University School of Medicine, Manhasset, New York

,

Eric Siskind

¹Department of Transplantation, North Shore Long Island Jewish Health System-Hofstra University School of Medicine, Manhasset, New York

,

Natalia Jaimes

¹Department of Transplantation, North Shore Long Island Jewish Health System-Hofstra University School of Medicine, Manhasset, New York

,

Donna Eckstein

¹Department of Transplantation, North Shore Long Island Jewish Health System-Hofstra University School of Medicine, Manhasset, New York

,

Madhu Bhaskaran

¹Department of Transplantation, North Shore Long Island Jewish Health System-Hofstra University School of Medicine, Manhasset, New York

,

Mala Sachdeva

¹Department of Transplantation, North Shore Long Island Jewish Health System-Hofstra University School of Medicine, Manhasset, New York

,

Kenar Jhaveri

¹Department of Transplantation, North Shore Long Island Jewish Health System-Hofstra University School of Medicine, Manhasset, New York

,

Kellie Calderon

¹Department of Transplantation, North Shore Long Island Jewish Health System-Hofstra University School of Medicine, Manhasset, New York

,

Craig Greben

¹Department of Transplantation, North Shore Long Island Jewish Health System-Hofstra University School of Medicine, Manhasset, New York

,

Lauren Sharan

¹Department of Transplantation, North Shore Long Island Jewish Health System-Hofstra University School of Medicine, Manhasset, New York

,

Gene Coppa

¹Department of Transplantation, North Shore Long Island Jewish Health System-Hofstra University School of Medicine, Manhasset, New York

,

Kambhampaty Krishnasastry

¹Department of Transplantation, North Shore Long Island Jewish Health System-Hofstra University School of Medicine, Manhasset, New York

,

Ernesto Molmenti

¹Department of Transplantation, North Shore Long Island Jewish Health System-Hofstra University School of Medicine, Manhasset, New York

,

Jeffrey Nicastro

¹Department of Transplantation, North Shore Long Island Jewish Health System-Hofstra University School of Medicine, Manhasset, New York

› Author Affiliations

Abstract

Enteric drainage is the preferred method of exocrine diversion in simultaneous kidney–pancreas transplantation. Because of improvements in immunosuppression, enteric drainage has become the preferred method of pancreas transplantation in general. Although associated with less potential complications than bladder-drained pancreas, potentially lethal arterio-enteric fistulas in the setting of nonfunctioning allografts represent a constant threat. We herein present a case report, a review of the literature, and a call for caution.

Keywords

arterio-enteric fistula - enteric-drained pancreas transplant - gastrointestinal bleeding - endovascular stenting - allograft pancreatectomy

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References

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