The aim of this poster is to describe imaging features of main anastomotic techniques used in pancreatic transplantation and to describe the imaging features of early complications after transplantation illustrated by sample cases.

Pancreas transplantation is recommended for patients with type I diabetes not controlled with insulin. Patients with severe kidney damage will be subjects to kidney-pancreas transplantation. The main goal is to avoid late diabetes complications. Pancreas transplantation is associated with improvement of life quality and expectancy. This surgical treatment helps patients to stabilize their glycaemia and therefore diminishes the risk of secondary complications.

Surgical technique: In our hospital the complex duodenum-pancreas is placed intra peritoneal in the right iliac fossa. The pancreas is placed transversely. The donor pancreas is retrieved with the duodenum which is transected right below the pylorus and distally in the 3rd portion of the duodenum. Three types of anastomosis are created: ●Arterial anastomosis is performed between the superior mesenteric artery and the splenic artery of the donor and the external iliac artery of the recipient ( Fig 1). ●Venous anastomosis: between the portal vein...

Knowing the normal implantation of pancreatic transplantation is important for the accurate radiological analysis. Early identification of the potential complications can be crucial for the patient's outcome in case of vascular complications, pancreatitis, digestive leaks. In our institution grayscale and Doppler US and CT evaluation plays an important role in the postoperative management of the pancreas graft. A structures report template may be useful.

I. Turcanu; Villejuif/FR - Author at Paul Brousse Hospital M. Lewin-Zeitoun; Villejuif/FR - nothing to disclose M.-R. Pogana; Villejuif/FR - nothing to disclose A. T. Radu; Villejuif/FR - nothing to disclose

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