Intraoperative ultrasound examination is useful for monitoring transplanted islets: A case report

Naoaki Sakata, Masafumi Goto, Yoshimatsu Gumpei, Masamichi Mizuma, Fuyuhiko Motoi, Susumu Satomi, Michiaki Unno

Research output: Contribution to journalArticlepeer-review

11 Citations (Scopus)

Abstract

A 39-y-old man, who had an episode of pancreatic bleeding due to chronic pancreatitis, received total pancreatectomy with islet autotransplantation (TP with IAT). Intraoperative ultrasound (US) examination was done to detect transplanted islets and evaluate the quality of US imaging. Islet isolation from the resected total pancreas was performed and approximately 230,000 islet equivalents (IEQ) (the tissue volume was 600 μL and the purity was 30%) were acquired. A double lumen catheter, used for transplantation and for monitoring the portal vein pressure, was inserted into the portal vein via the superior mesenteric vein, and the tip of the catheter was positioned at the bifurcation of the anterior and posterior branch of the portal vein to selectively infuse the islets into the right lobe of the liver in order to prevent total liver embolization. Intraoperative US examination (central frequency 7.5 MHz, Nemio™ XG, Toshiba Medical System Co.) was started at the same time as the transplantation. US examination revealed the transplanted islets as hyperechoic clusters that flowed from the tip of the catheter to the periphery of the portal vein. There were no findings of portal thrombosis or bleeding in the US image, and also no increase of the portal vein pressure during transplantation. In conclusion, we succeeded in visualizing human islets using US, which enabled us to perform islet transplantation safely. The hyperechoic images were considered to be viable islets. Intraoperative US examination can be useful for detecting islets at transplantation in a clinical setting.

Original languageEnglish
Pages (from-to)339-342
Number of pages4
JournalIslets
Volume4
Issue number5
DOIs
Publication statusPublished - 2012

Keywords

  • Arteriovenous malformation
  • Chronic pancreatitis
  • Islet autotransplantation
  • Islet transplantation
  • Total pancreatectomy
  • Ultrasound

ASJC Scopus subject areas

  • Endocrinology, Diabetes and Metabolism
  • Endocrinology

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