Segmental pancreatic autotransplantation in the pig. 1989

M H Shokouh-Amiri, and S Rahimi-Saber, and H O Andersen
Department of Surgical Gastroenterology C, Rigshospitalet, University of Copenhagen, Denmark.

The pig has been considered unsuitable for experimental pancreatic transplantation. In order to develop a model for segmental transplantation, the vascular anatomy was studied in 41 pigs. No variation in venous drainage of the pancrease was found. In contrast, 3 variations of arterial supply were noted. In 29 of the pigs (71% [95% confidence limits 64-84]), 1 main pancreatic artery to the body and tail of pancreas arose from the splenic artery about 1-2 cm from its origin from the coeliac trunk (type 1). In 6 pigs (14.5%, 6.5-29.2), 1 main pancreatic artery emerged from the splenic artery very close to its origin from coeliac trunk (type 2). In 6 pigs (14.5%, 6.5-29.2), the only pancreatic artery supplying the body and tail of pancreas came from the common hepatic artery (type 3). Taking the vascular anatomy into account, 37 pigs were totally pancreatectomized and autotransplanted segmentally. The graft consisted of the body and tail and corresponded to approximately 60% of the entire gland. The pancreatic duct was occluded with neoprene. The left kidney was removed in all animals. In 19 of the grafts, the venous drainage was to the portal vein. In the remaining 18, the renal vessels were used for vascular anastomosis to the graft. The success rate was 68.42% and 72.22%, respectively. The median follow-up was 9 months (3-15). All transplanted pigs were normoglycemic. It is concluded that the pig is suitable for experimental pancreatic autotransplantation studies if the vascular variations are adequately dealt with.

UI MeSH Term Description Entries
D010179 Pancreas A nodular organ in the ABDOMEN that contains a mixture of ENDOCRINE GLANDS and EXOCRINE GLANDS. The small endocrine portion consists of the ISLETS OF LANGERHANS secreting a number of hormones into the blood stream. The large exocrine portion (EXOCRINE PANCREAS) is a compound acinar gland that secretes several digestive enzymes into the pancreatic ductal system that empties into the DUODENUM.
D005260 Female Females
D000818 Animals Unicellular or multicellular, heterotrophic organisms, that have sensation and the power of voluntary movement. Under the older five kingdom paradigm, Animalia was one of the kingdoms. Under the modern three domain model, Animalia represents one of the many groups in the domain EUKARYOTA. Animal,Metazoa,Animalia
D013552 Swine Any of various animals that constitute the family Suidae and comprise stout-bodied, short-legged omnivorous mammals with thick skin, usually covered with coarse bristles, a rather long mobile snout, and small tail. Included are the genera Babyrousa, Phacochoerus (wart hogs), and Sus, the latter containing the domestic pig (see SUS SCROFA). Phacochoerus,Pigs,Suidae,Warthogs,Wart Hogs,Hog, Wart,Hogs, Wart,Wart Hog
D014182 Transplantation, Autologous Transplantation of an individual's own tissue from one site to another site. Autografting,Autologous Transplantation,Autotransplantation,Autograftings,Autologous Transplantations,Autotransplantations,Transplantations, Autologous
D016035 Pancreas Transplantation The transference of a pancreas from one human or animal to another. Grafting, Pancreas,Transplantation, Pancreas,Graftings, Pancreas,Pancreas Grafting,Pancreas Graftings,Pancreas Transplantations,Transplantations, Pancreas

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