Pancreas Graft Duct Management

Since 1994, the proportion of enteric drained (ED) versus bladder drained (BD) US pancreas transplant cases has increased. For those cases with a complete record for analysis, 50% reported using ED as the duct management method. In 1998, 60% of cases where duct management was reported were ED (Figure 7). The use of a Roux-en-Y loop with ED has been decreasing in cases where duct management method was reported: from 58% in 1995 to 29% in 1998.

Figure 7

By duct management technique, pancreas graft survival rates at one year for 1996-1999 US cadaveric SPK cases were BD 85% and ED 84% (Figure 8);

Figure 8

kidney graft survival rates were BD 89% and ED 93% (Figure 9).

Figure 9

By duct management technique, pancreas graft survival rates at one year for 1996-1999 US cadaveric PAK cases were BD 81% versus ED 68% (Figure 10).

Figure 10

By duct management technique, pancreas graft survival rates at one year for 1996-1999 US cadaveric PTA cases were BD 78% versus ED 63% (Figure 11).

Figure 11

Since 1994, the proportion of ED versus BD non-US pancreas transplant cases has increased: 14% in 1994 and 52% in 1998 (Figure 12).

Figure 12

For 1996-1999 non-US cadaveric SPK cases, pancreas graft survival rates at one year were BD 80% and ED 72%; kidney graft survival rates were BD 88% and ED 80%. There were no significant differences in pancreas graft survival for 1996 - 1999 cadaveric SPK non-US and US cases by duct management (Table 1). There were too few non-US PAK and PTA cases for analysis.

Table 1