Management of complications of simultaneous kidney-pancreas transplantation with temporary venting jejunostomy.

Unlabelled: The majority of simultaneous kidney-pancreas (SPK) transplants are being performed with portal-enteric drainage, which does not allow easy access to the donor pancreas. By adding a temporary venting jejunostomy (TVJ) we have been able to closely monitor patients for bleeding, anastomotic leak and rejection.

Methods: Retrospective chart review of 29 patients undergoing SPK with PE drainage from December 1996 to December 2001.

Partial splenic embolization for hypersplenism before and after liver transplantation.

Partial splenic embolization (PSE) has been demonstrated to be an effective alternative to splenectomy for patients with hypersplenism. Splenectomy in these patients can be associated with an increased risk of perioperative complications, overwhelming post-splenectomy sepsis (OPSS) and mortality. Partial splenic embolization has the advantages of non- operative intervention and resolution of the complications of hypersplenism.