Pancreas Transplantation: Indications, Techniques, and Outcomes.
Journal Article (Journal Article;Review)
Pancreas transplantation treats insulin-dependent diabetes with or without concurrent end-stage renal disease. Pancreas transplantation increases survival versus no transplant, increases survival when performed as simultaneous pancreas-kidney versus deceased-donor kidney alone, and improves quality of life. Careful donor and recipient selection are paramount to good outcomes. Several technical variations exist for implantation: portal versus systemic vascular drainage and jejunal versus duodenal versus bladder exocrine drainage. Complications are most frequently technical in the first year and immunologic thereafter. Graft rejection is challenging to diagnose and is treated selectively. Islet cell transplantation currently has inferior outcomes to whole-organ pancreas transplantation.
Full Text
Duke Authors
Cited Authors
- Samoylova, ML; Borle, D; Ravindra, KV
Published Date
- February 2019
Published In
Volume / Issue
- 99 / 1
Start / End Page
- 87 - 101
PubMed ID
- 30471744
Electronic International Standard Serial Number (EISSN)
- 1558-3171
Digital Object Identifier (DOI)
- 10.1016/j.suc.2018.09.007
Language
- eng
Conference Location
- United States