The anastomosis is either enteric (exocrine enzymes empty to the bowel) or cystic (enzymes empty to the bladder). Cystic connection is assoc...
The anastomosis is either enteric (exocrine enzymes empty to the bowel) or cystic (enzymes empty to the bladder). Cystic connection is associated with lower rejection rates. Most are performed as simultaneous pancreas/kidney transplants. Up to 35% have mild pancreatitis in the first 4-weeks after transplant. Graft failure is mostly due to rejection (25%) or graft vein thrombosis.
US
• Check for a perigraft collection.
• Doppler used to assess vascularity—look for diastolic flow reversal suggesting venous thrombosis (usually within 6-weeks of transplantation).
• Graft rejection is suggested by organ heterogeneity, pancreatic duct dilatation or a poorly defined gland.
CT
• May be used to assess arterial/venous patency where there is suspicion of thrombosis.
MRI
• Useful for assessing graft vessels without intravenous contrast.
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