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TRANSPLANT IMAGING Table of Contents   
Year : 2014  |  Volume : 24  |  Issue : 4  |  Page : 339-349
Imaging in pancreatic transplants


1 Department of Radiology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA
2 Department of Radiology, University of Washington Harborview Medical Center, Seattle, Washington, USA

Correspondence Address:
Matthew T Heller
University of Pittsburgh Medical Center, 200 Lothrop Street, Suite 3950 PST, Pittsburgh, Pennsylvania - 15213
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-3026.143896

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Pancreatic transplantation, performed alone or in conjunction with kidney transplantation, is an effective treatment for advanced type I diabetes mellitus and select patients with type II diabetes mellitus. Following advancements in surgical technique, postoperative management, and immunosuppression, pancreatic transplantation has significantly improved the length and quality of life for patients suffering from pancreatic dysfunction. While computed tomography (CT) and magnetic resonance imaging (MRI) have more limited utility, ultrasound is the preferred initial imaging modality to evaluate the transplanted pancreas; gray-scale assesses the parenchyma and fluid collections, while Doppler interrogation assesses vascular flow and viability. Ultrasound is also useful to guide percutaneous interventions for the transplanted pancreas. With knowledge of the surgical anatomy and common complications, the abdominal radiologist plays a central role in the perioperative and postoperative evaluation of the transplanted pancreas.


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