CCTC review Study Guide with
Complete Solutions
Procedure for liver transplant - Answer-Anastomosis of the inferior vena cava, portal vein,
hepatic artery, and the biliary connection via a duct to duct anastomosis (
choledochocholeclochostomy)
Etiology of renal dysfunction immediately post op(...
duodenal segment attached to recipients jejunum, pancreases produces 2L of fluid drainage,
pancreatic enzymes excreted thru the stool
Advantages of Enteric drain (ED) post pancreas transplant - Answer✔✔-More physiologic, fewer
metabolic imbalances because pancreatic secretions are reabsorbed, less post-op complications
Bladder Drainage (BD) post pancreas transplant - Answer✔✔-Easier to monitor for rejection
with urine amylase, may cause dehydration and cystitis. Direct monitoring of graft exocrine
function, easier to perform biopsy, less invasive if complications arise.
Disadvantages of Bladder Drainage (BD) post pancreas transplant - Answer✔✔-Dehydration,
cystitis, UTIs, metabolic acidosis, urine leak, hematuria, 35% go on to need enteric conversion,
pancreatitis
Patients with anastomotic leak post pancreas transplant may present with what? - Answer✔✔-
Elevated serum amylase levels
C-peptide normal range - Answer✔✔-0.8-3.1
What is a sign of late rejection post pancreas transplant? - Answer✔✔-Hyperglycemia
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