Surgery>>>>>Transplantation
Question 6#

After completion of the vascular anastomoses, drainage of a transplanted pancreas is accomplished by anastomosis to:

A. Right colon
B. Left colon
C. Duodenum
D. Bladder or small bowel

Correct Answer is D

Comment:

Over the years, different surgical techniques have been described for:

  1. the management of exocrine pancreatic secretions and
  2. the type of venous drainage.

For the secretions, the two most common techniques are drainage of the duodenal segment to the bladder (bladder drainage) or to the small bowel (enteric drainage) (Figs. below). For venous drainage, systemic venous drainage is preferred over portal venous drainage.

Whole-organ transplant with systemic vein and bladder exocrine drainage. 

 

Whole-organ transplant with systemic vein and bladder exocrine drainage.