Post‐pancreatic transplant enteric leaks: The role of the salvage operation

摘要

Abstract Enteric drainage in pancreas transplantation is complicated by an enteric leak in 5%–8%, frequently necessitating pancreatectomy. Pancreatic salvage outcomes are not well studied. Risk factors for enteric leak were examined and outcomes of attempted graft salvage were compared to immediate pancreatectomy. Pancreas transplants performed between 1995 and 2018 were reviewed. Donor, recipient, and organ variables including demographics, donor type, ischemic time, kidney donor profile index, and pancreas donor risk index were analyzed. Among 1153 patients, 33 experienced enteric leaks (2.9%). Donors of allografts that developed leak were older (37.9y vs. 29.0y, p?=?.001), had higher KDPI (37% vs. 24%, p?