Skip to main content

Transplantation of the Pancreas or Pancreatic Islet Cells

A Clinical Laboratory Perspective

  • Chapter
Clinical Pathology of Pancreatic Disorders

Part of the book series: Pathology and Laboratory Medicine ((PLM,volume 2))

  • 77 Accesses

Abstract

Loss of the exocrine and endocrine pancreatic functions leaves the patient with serious digestive and metabolic problems. Causes of exocrine loss include cystic fibrosis, atrophic pancreatitis, chronic pancreatitis, infarction of the pancreas, surgical removal of the gland, atherosclerosis of the pancreas, pancreatic cysts, and other miscellaneous causes. More than about 85% of the acinar cells must be lost before abnormalities appear, indicating that the normal pancreas has tremendous exocrine reserves. Abdominal discomfort and abnormalities in digestion, including steatorrhea, weight loss, constipation or diarrhea, and flatulence, are typical findings.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 89.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Libman I, Songer T, LaPorte R (1993) How many people in the U.S. have IDDM? Diabetes Care 5:841, 842.

    Google Scholar 

  2. Karvonen M, Toumilehto J, Libman I, LaPorte R (1993) A review of the recent epidemiological data on the worldwide incidence of Type 1 (insulin-dependent) diabetes mellitus. Diabetologia 36:883–892.

    PubMed  CAS  Google Scholar 

  3. Tajima N, Matsushima M (1994) Complications and prognosis of children with IDDM. Diabetes Res Clin Pract 24 Suppl:S165-S170.

    PubMed  Google Scholar 

  4. Modan M, Karp M, Bauman B, Gordon O, Danon YL, Laron Z (1991) Mortality in Israeli Jewish patients with type 1 (insulin-dependent) diabetes mellitus diagnosed prior to 18 years of age: a population-based study. Diabetologia 34:515–520.

    PubMed  CAS  Google Scholar 

  5. Malone JI (1994) Understanding diabetes in children. Adv Pediatr 41:33–52.

    PubMed  CAS  Google Scholar 

  6. Eisenbarth GS (1986) Type 1 diabetes mellitus: a chronic autoimmune disease. N Engl J Med 314:1360–1368.

    PubMed  CAS  Google Scholar 

  7. Todd JA, Bain SC (1992) A practical approach to identification of susceptibility genes for IDDM. Diabetes 41:1029–1034.

    PubMed  CAS  Google Scholar 

  8. Maclaren N, Riley W, Skordis N, Atkinson M, Spillar R, Silverstein J, et al. (1988) Inherited susceptibility to insulin-dependent diabetes is associated with HLA-DR1, while DR5 is protective. Autoimmunity 1:197–205.

    PubMed  CAS  Google Scholar 

  9. Olmos P, A’Hern R, Heaton DA, Millward BA, Risley D, Pyke DA, et al. (1988) The significance of the concordance rate for type I (insulin-dependent) diabetes mellitus in identical twins. Diabetologia 31:747–750.

    PubMed  CAS  Google Scholar 

  10. Winter WE, Takeshi C, Schatz D (1993) The genetics of autoimmune diabetes. Am J Dis Child 147:1282–1290.

    PubMed  CAS  Google Scholar 

  11. Abbas AK, Lichtman AH, Pober JS (1994) Self-tolerance and autoimmunity. In: Cellular and molecular immunology, 2nd ed., Philadelphia, Saunders Co., pp. 376–392.

    Google Scholar 

  12. Hagopian WA, Sanjeefi CB, Kockum I, Landin-Olsson M, Karlsen AE, Sundkvist G, et al. (1995) Glutamate decarboxylase-, insulin-, and islet cell-antibodies and HLA typing to detect diabetes in a general population-based study of Swedish children. J Clin Invest 95:1505–1511.

    PubMed  CAS  Google Scholar 

  13. Crawford JM, Cotran RS (1994) The pancreas. In: Robbins pathologic basis of disease, 5th ed., Cotran RS, Kumar V, Robbins SL, Schoen FJ, eds. Philadelphia, W. B. Saunders Co., pp. 897–925.

    Google Scholar 

  14. Verge CF, Howard NJ, Irwig L, Simpson JM, Mackerras D, Silink M (1994) Environmental factors in childhood IDDM. Diabetes Care 17:1381–1389.

    PubMed  CAS  Google Scholar 

  15. Karjalainen J, Martin JM, Knip M, Ilonen J, Robinson BH, Savilahti E, et al. (1992) A bovine albumin peptide as a possible trigger of insulin-dependent diabetes mellitus. N Engl J Med 327:302–307.

    PubMed  CAS  Google Scholar 

  16. Federlin K, Otten A, Helmke K (1987) Islet cell antibodies and viral infections. Exp Clin Endocrinol 89:368–374.

    PubMed  CAS  Google Scholar 

  17. Frisk G, Nilsson E, Tuvemo T, Friman G, Diderholm, H (1992) The possible role of Coxsackie A and ECHO viruses in the pathogenesis of type 1 diabetes mellitus studied by IgM analyses. J Infection 24:13–22.

    CAS  Google Scholar 

  18. Atkinson MA, Maclaren NK (1994) The pathogenesis of insulin-dependent diabetes mellitus. N Engl J Med 331:1428–1436.

    PubMed  CAS  Google Scholar 

  19. Nerup J, Mandrup-Poulsen T, Helqvist S, Anderson HU, Podiot F, Reimers JI, et al. (1994) On the pathogenesis of IDDM. Diabetologia 37 Suppl 2:S82-S89.

    PubMed  Google Scholar 

  20. Asayama K, Kooy NW, Burr IM (1986) Effect of vitamin E deficiency and selenium deficiency on insulin secretory reserve and free radical scavenging systems in islets; decrease of islet manganosuperoxide dismutase. J Lab Clin Med 1986; 107:464–495.

    Google Scholar 

  21. Shah, SC, Malone JI, Simpson NE (1989) A randomized trial of intensive insulin therapy in newly diagnosed insulin-dependent diabetes mellitus. N Engl J Med 320:350–354.

    Google Scholar 

  22. Koivisto VA, Aro A, Cantell K (1984) Remissions in newly-diagnosed type 1 (insulin-dependent) diabetic patients: influence of interferon as an adjunct to insulin therapy. Diabetologia 27:193–7.

    PubMed  CAS  Google Scholar 

  23. Green M, Michaels MG (1992) Infectious complications of solid-organ transplantation in children. Adv Pediatr Infect Dis 7:181–204.

    PubMed  CAS  Google Scholar 

  24. Paya CV (1993) Fungal infections in solid-organ transplantation. Clin Infect Dis 16:677–688.

    PubMed  CAS  Google Scholar 

  25. Dummer S, Kusne S (1993) Liver transplantation and related infections. Semin Respir Infect 8; 191–198.

    PubMed  CAS  Google Scholar 

  26. Stratta R (1993) J Clinical patterns and treatment of cytomegalovirus infection after solid-organ transplantation. Transplant Proc 25(5 Suppl 4): 15–21.

    PubMed  CAS  Google Scholar 

  27. Lu CY, Sicher SC, Vazques MA (1993) Prevention and treatment of renal allograft rejection: new therapeutic approaches and new insights into established therapies. J Am Soc Nephrol 4:1239–1256.

    PubMed  CAS  Google Scholar 

  28. Vathsala A, Woo KT, Lim CH (1991) Pharmacokinetics and nephrotoxicity of cyclosporine. Ann Acad Med Singapore 20:507–512.

    PubMed  CAS  Google Scholar 

  29. Distant DA, Gonwa TA (1993) The kidney in liver transplantation. J Am Soc Nephrol 4:129–136.

    PubMed  CAS  Google Scholar 

  30. Marsh JW, Vehe KL, White HM (1992) Immunosuppressants. Gastroenterol Clin N Am 21:679–693.

    CAS  Google Scholar 

  31. Akagi H, Reynolds A, Hjelm M (1991) Cyclosporin A and its metabolites, distribution in blood and tissues. J Int Med Res 19:1–18.

    PubMed  CAS  Google Scholar 

  32. Sutherland DER, Gores PF, Farney AC, Wahoff DC, Matas AJ, Dunn DL, et al. (1993) Evolution of kidney, pancreas, and islet transplantation of patients with diabetes at the University of Minnesota. Am J Surg 166:456–491.

    PubMed  CAS  Google Scholar 

  33. Alejandro R (1995) Transplantation of islets of Langerhans in patients with insulin-dependent diabetes mellitus. Scan J Gastroenterol 30 Suppl 208:125–128.

    Google Scholar 

  34. Federlin KF (1993) The connection of experiment and clinic exemplified by the transplantation of islets of Langerhans. Exp Clin Endocrinol 101:334–345.

    PubMed  CAS  Google Scholar 

  35. Hering BJ, Browatzki CC, Schultz A, Bretzel RG, Federlin KF (1993) Clinical islet transplantation—registry report, accomplishments in the past and future research needs. Cell Transplant 2:269–282.

    PubMed  CAS  Google Scholar 

  36. Maki T, Mullon CJP, Solomon BA, Monaco AP (1995) Novel delivery of pancreatic islet cells to treat insulin-dependent diabetes mellitus. Clin Pharmacokinet 28:471–482.

    PubMed  CAS  Google Scholar 

  37. London NJM, Donnelly PK (1994) Techniques of pancreas and islet transplantation. Baili Clin Gastroenterol 8:517–532.

    CAS  Google Scholar 

  38. Phillips MG, Ed., (1994) UNOS organ procurement, preservation, and distribution in transplantation. UNOS, Richmond, VA, 10:38–45.

    Google Scholar 

  39. Superdock KR, Helderman JH (1993) Immunosuppressive drugs and their effect. Sem Respir Infect 8:152–159.

    CAS  Google Scholar 

  40. Thomson AW, Starzl TE (1993) New immunosuppressive drugs: mechanistic insights and potential therapeutic advances. Immunol Rev 136:71–98.

    PubMed  CAS  Google Scholar 

  41. Tocci MJ, Sigal NH (1992) Recent advances in the mechanism of action of cyclosporine and FK506. Curr Opinion Nephrol Hyperten 1:236–242.

    CAS  Google Scholar 

  42. Morris RE (1993) New small molecule immunosuppressants for transplantation: review of essential concepts. J Heart Lung Transplant 12:S275-S286.

    PubMed  CAS  Google Scholar 

  43. Fontes P, Rao AS, Demetris AJ, Zeevi A, Trucco M, Carroll P, et al. (1994) Bone marrow augmentation of donor-cell chimerism in kidney, liver, and pancreas islet transplantation. Lancet 334:151–155.

    Google Scholar 

  44. Wallemacq PE, Reding R (1993) FK506 (tacrolimus) a novel immunosuppressant in organ transplantation: clinical, biomedical, and analytical aspects. Clin Chem 39:2219–2228.

    PubMed  CAS  Google Scholar 

  45. Shaw LM, Bowers L, Demers L, Freeman D, Moyer T, Sanghvi A, et al. (1987) Critical issues in cyclosporine monitoring: report of the task force on cyclosporine monitoring. Clin Chem 33:1269–1288.

    CAS  Google Scholar 

  46. LeGatt DF, Coates JE, Simpson AI, Shalapay CE, Rintoul BJ, Yatscoff RW (1994) A comparison of cyclosporine assays using sequential samples from selected transplant patients. Clin Biochem 27:43–48.

    PubMed  CAS  Google Scholar 

  47. Janeway CA Jr, Travers P (1994) Recognition of antigen. In: Immunobiology, The immune system in health and disease; Garland Publishing, pp. 4:18–4:30.

    Google Scholar 

  48. Suthanthiran M, Strom TB (1994) Renal transplantation. N Engl J Med 331:365–376.

    PubMed  CAS  Google Scholar 

  49. Johnson AH, Hurley CK, Alper CA, Yunis EJ (1991) HLA: The major histocompatibility complex of man. In: Clinical diagnosis and management by laboratory methods, 18th ed., Philadelphia, W. B. Saunders Co., pp. 761–794.

    Google Scholar 

  50. Ogura K (1993) Sensitization, Clin Transplants 1992;357–359.

    Google Scholar 

  51. Shoskes DA, Wood KJ (1994) Indirect presentation of MHC antigens in transplantation. Immunol Today 15:32–38.

    PubMed  CAS  Google Scholar 

  52. Miceli MC, Parnes JR (1991) The roles of CD4 and CD8 in T cell activation. Semin Immunol 3:133–141.

    PubMed  CAS  Google Scholar 

  53. Karuppan SS, Lindholm A, Moller E (1992) Fewer acute rejection episodes and improved outcome in kidney-transplanted patients with selection criteria based on crossmatching. Transplantation 53:666–673.

    PubMed  CAS  Google Scholar 

  54. Mahoney RJ, Ault KA, Given SR, Adams RJ, Breggia AC, Paris PA, et al. (1990) The flow cytometric crossmatch and early renal transplant loss. Transplantation 49:527–535.

    PubMed  CAS  Google Scholar 

  55. Ogura K, Terasaki PI, Koyama H, Chia J, Imagawa DK, Busuttil RW (1994) High one-month liver graft failure rates in flow cytometry crossmatch-positive recipients. Clin Transplant 8:111–115.

    PubMed  CAS  Google Scholar 

  56. Ogura K, Terasaki PI, Johnson C, Mendez R, Rosenthal JT, Ettenger R, et al. (1993) The significance of a positive flow cytometry crossmatch test in primary kidney transplantation. Transplantation 56:294–298.

    PubMed  CAS  Google Scholar 

  57. Scornik JC, Brunson ME, Schaub B, Howard RJ, Pfaff WW (1994) The crossmatch in renal transplantation. Evaluation of flow cytometry as a replacement for standard cytotoxicity. Transplantation 57:621–625.

    PubMed  CAS  Google Scholar 

  58. al Hussein KA, Shenton BK, Bell A, Talbot D, Clark KR, Rigg KM (1994) Characterization of donor-directed antibody class in the post-transplant period using flow cytometry in renal transplantation. Transplant Int 7:182–189.

    Google Scholar 

  59. Scornik JC, LeFor WM, Cicciarelli JC, Brunson ME, Bogaard T, Howard RJ, et al. (1992) Hyperacute and acute kidney graft rejection due to antibodies against B cells. Transplantation 54:61–64.

    PubMed  CAS  Google Scholar 

  60. Reinke P, Fietze E, Docke WD, Kern F, Ewert R, Volk HD (1994) Late acute rejection in long-term renal allograft recipients. Diagnostic and predictive value of circulating activated T cells. Transplantation 58:35–41.

    PubMed  CAS  Google Scholar 

  61. Garavoy MR, Reinschmidt MA, Bigos M, Perkins H, Colombe B, Feduska N, et al. (1983) Transplant Proc 15:1939–1944.

    Google Scholar 

  62. Wang GX, Terashita GY, Terasaki PI (1989) Platelet crossmatching for kidney transplants by flow cytometry. Transplantation 48:959–961.

    PubMed  CAS  Google Scholar 

  63. Wahlberg J, Bengtsson M, Bergstrom C, Gannedahl G, Festin R, Lewen G, et al. (1994) Impact of flow cytometry cross-matching results on the outcome of cadaveric kidney transplantation. Transplant Proc 26:1752–1753.

    PubMed  CAS  Google Scholar 

  64. Eisenstein BI (1990) The polymerase chain reaction. N Engl J Med 322:178–183.

    PubMed  CAS  Google Scholar 

  65. Housman D (1995) Human DNA polymorphism. N Engl J Med 332:318–320.

    PubMed  CAS  Google Scholar 

  66. Opelz G, Mytilineos J, Scherer S, Dunckley H, Trejaut J, Chapman J, et al. (1991) Lancet 338:461–463.

    PubMed  CAS  Google Scholar 

  67. Williams GM, Hume DM, Hudson RP Jr, Morris PJ, Kano K, Milgrom F (1968) “Hyperacute” renal-homograft rejection in man. N Engl J Med 279:611–618.

    PubMed  CAS  Google Scholar 

  68. Terasaki PI, Cecka JM, Lim E, Takemoto S, Cho Y, Gjentson D, et al. Clin Transplants 1991;409–430.

    Google Scholar 

  69. Squifflet JP, Moudry K, Sutherland DER (1988) Is HLA matching relevant in pancreas transplantation? Transplant Int 1:26–29.

    CAS  Google Scholar 

  70. Waldman WJ, Knight DA, Adams PW, Orosz CG, Sedmak DD (1993) In vitro induction of endothelial HLA class II antigen expression by cytomegalovirus-activated CD4+ T cells. Transplantation 56:1504–1512.

    PubMed  CAS  Google Scholar 

  71. Sherlock CH, Denegri JF, Ashley RL (1991) Serological responses to cytomegalovirus during renal transplant rejection. Transplantation 52:272–275.

    PubMed  CAS  Google Scholar 

  72. Dunn DL, Mayoral JL, Gillingham KJ, Loeffler CM, Brayman KL, Kramer MA, et al. (1991) Treatment of invasive cytomegalovirus disease in solid organ transplant patients with ganciclovir. Transplantation 51:98–106.

    PubMed  CAS  Google Scholar 

  73. Wold AD (1992) Shell vial assay for the rapid detection of viral infections. In: Clinical microbiology procedures handbook, section 8.6; Isenbert HD., ed, Washington, DC, American Society for Microbiology. Vol 2, pp. 8.6.1–8.6.10.

    Google Scholar 

  74. Masih AS, Linder J, Shaw BW Jr, Wood RP, Donovan JP, White R, et al. (1988) Rapid identification of cytomegalovirus in liver allograft biopsies by in situ hybridization. Am J Surg Pathol 12:362–367.

    PubMed  CAS  Google Scholar 

  75. Plotkin SA, Starr SE, Friedman HM, Brayman K, Harris S, Jackson S, et al. (1991) Effect of Towne live virus vaccine on cytomegalovirus disease after renal transplant. Ann Intern Med 114:525–531.

    PubMed  CAS  Google Scholar 

  76. Marsano L, Perrillo RP, Flye MW, Hanto DW, Spitzer ED, Thomas JR, et al. (1990) Comparison of culture and serology for the diagnosis of cytomegalovirus infection in kidney and liver transplant recipients. J Infect Dis 161:454–461.

    PubMed  CAS  Google Scholar 

  77. Halwachs G, Zach R, Pogglitsch H, Holzer H, Tiran A, Iberer F, et al. (1993) A rapid immunocytochemical assay for CMV detection in peripheral blood of organ-transplanted patients in clinical practice. Transplantation 56:338–342.

    PubMed  CAS  Google Scholar 

  78. Sherlock DS (1994) Chronic hepatitis C. Dis Month 40:117–196.

    CAS  Google Scholar 

  79. Belli L, Dusheiko G, Rolles K, Burroughs AK (1991) Liver transplantation for chronic viral hepatitis. [Review] Ital J Gastroenterol 23:36–41.

    PubMed  CAS  Google Scholar 

  80. Shah G, Demetris AJ, Irish W, Scheffel J, Mimms L, Van Thiel DH (1993) Frequency and severity of HCV infection following orthotopic liver transplantation. Effect of donor and recipient serology for HCV using a second generation ELISA test. J Hepatol 18:279–283.

    PubMed  CAS  Google Scholar 

  81. Pereira BJ, Milford EL, Kirkman RL, Quan S, Sayre KR, Johnson PJ, et al. (1992) Prevalence of hepatitis C virus RNA in organ donors positive for hepatitis C antibody and in the recipients of their organs. N Engl J Med 327:910–915.

    PubMed  CAS  Google Scholar 

  82. Martin P, Munoz SJ, Di Bisceglie AM, Rubin R, Waggoner JG, Armenti VT, et al. (1991) Recurrence of hepatitis C virus infection after orthotopic liver transplantation. Hepatol-ogy 13:719–721.

    CAS  Google Scholar 

  83. Rochlani M, Lewis JH, Ramsey GE, Bontempo FA, Shah G, Bowman RA, et al. (1992) Hepatitis C testing. Comparison of Ortho’s EIA and RIBA II tests in 1 182 patients undergoing primary liver transplantation. Am J Clin Pathol 98:8–12.

    PubMed  CAS  Google Scholar 

  84. Poterucha JJ, Rakela J, Lumeng L, Lee CH, Taswell HF, Wiesner RH (1992) Diagnosis of chronic hepatitis C after liver transplantation by the detection of viral sequences with polymerase chain reaction. Hepatology 15:42–45.

    PubMed  CAS  Google Scholar 

  85. Rohr MS, Lesniewski RR, Rubin CA, Johnson RG, Heise ER, McDonald JC, et al. (1993) Risk of liver disease in HCV-seropositive kidney transplant recipients. Ann Surg 217:512–517.

    PubMed  CAS  Google Scholar 

  86. Milfred SK, Lake KD, Anderson DJ, Hayney MS, Love KR, Emery RW, et al. (1994) Practices of cardiothoracic transplant centers regarding hepatitis C-seropositive candidates and donors. Transplantation 57:568–572.

    PubMed  CAS  Google Scholar 

  87. Lim HL, Lau GK, Davis GL, Dolson DJ, Lau JY (1994) Cholestatic hepatitis leading to hepatic failure in a patient with organ-transmitted hepatitis C virus infection. Gastroenterology 106:248–551.

    PubMed  CAS  Google Scholar 

  88. Hopt UT, Buesing M, Schareck WD, Becker HD (1992) Management der exokrinen Pan-creassekretion-ein zentrales Problem der allogenen Pankreastransplantation. Chirurg 63: 186–192.

    PubMed  CAS  Google Scholar 

  89. Sollinger HW, Beizer FO (1988) Pancreatic transplantation with urinary tract drainage. In: Pancreatic transplantation, Groth CG, ed. Philadelphia, W.B. Saunders Co., pp. 131–146.

    Google Scholar 

  90. Koenigsrainer A, Steurer W, Aichberger C, Gassner R, Schmid Th, Margreiter R (1991) Pancreatic transplantation with delayed duct occlusion versus bladder drainage: long-term results. Diabetologia 34 Suppl 1:S4-S7.

    Google Scholar 

  91. Secchi A, Dubernard JM, La Rocca E, LeFrancois N, Melandri M, Martin X, et al. (1991) Endocrinometabolic effects of whole versus segmental pancreas allotransplantation in diabetic patients- a two year follow-up. Transplantation 51:635–629.

    Google Scholar 

  92. Rosenlof LK, Earnhardt RC, Pruett TL, Stevenson W C, Douglas MT, Cornett GC, et al. (1992) Pancreas transplantation. An initial experience with systemic and portal drainage of pancreatic allografts. Ann Surg 215:586–597.

    PubMed  CAS  Google Scholar 

  93. Esmatjes E, Fernandez-Cruz L, Ricart MJ, Casamitjana R, Lopez-Boado MA, Astudillo E (1991) Metabolic characteristics in patients with long-term pancreas graft with systemic or portal drainage. Diabetologia 34 Suppl 1:S40-S43.

    PubMed  Google Scholar 

  94. Lott JA (1995) Enzyme tests in gastroenterology. In: Principles and practice of diagnostic enzymology, 2nd ed., Moss DW, Rosalki SB, eds, London, Edward Arnold Publishers, pp. 60–89.

    Google Scholar 

  95. Johnson & Johnson Company, Diagnostics Division, Rochester, NY 14650.

    Google Scholar 

  96. Stratta RJ, Sollinger HW, Perlman SB, D’Alessandro AM, Groshek M, Kalayoglu M, et al. (1989) Early detection of rejection in pancreas transplantation. Diabetes 38 Suppl 1:63–67.

    PubMed  Google Scholar 

  97. Smith JL, Hunsicker LG, Yuh WT, Wright F H Jr, Van Voorhis L, Corry RJ (1989) Appearance of type II diabetes mellitus in type I diabetic recipients of pancreas allografts. Transplantation 47:304–311.

    PubMed  CAS  Google Scholar 

  98. Steiner E, Klima G, Niederweiser D, Koenigsrainer A, Herold M, Margreiter R (1987) Monitoring of the pancreatic allograft by analysis of exocrine secretions. Transplant Proc 19:2336–2338.

    PubMed  CAS  Google Scholar 

  99. Steiner E, Koller J, Geleff S, Dietze O, Koenigsrainer A, Margeiter R (1988) Viability of pancreatic transplants. Chirurg 59:469–471.

    PubMed  CAS  Google Scholar 

  100. Bolinder J, Wahrenberg H, Persson A, Linde B, Tyden G, Groth CG, et al. (1991) Effect of pancreas transplantation on glucose counter-regulation in insulin-depended diabetic patients prone to severe hypoglycemia. J Intern Med 230:527–533.

    PubMed  CAS  Google Scholar 

  101. Boucek P, Bartos V, Vanek I, Hyza Z, Skibova J (1991) Diabetic autonomic neuropathy after pancreas and kidney transplantation. Diabetologia 34 Suppl 1:S121-S124.

    PubMed  Google Scholar 

  102. Caldara R, Martin X, Secchi A, Lefancois N, Touraine JL, Pozza G, et al. (1991) Metabolic control after kidney and pancreas transplantation: whole series results and effects of segmental duct obstruction versus whole pancreas with bladder diversion technique. Diabetologia 34 Suppl 1:S51-S52.

    PubMed  Google Scholar 

  103. Drexel H, Palos G, Koenigsrainer A, Miesenboeck G, Aichberger C, Margreiter R, et al. (1991) Long-term follow-up of glycaemic control and parameters of lipid transport after pancreas transplantation. Diabetologia 34 Suppl 1:S47-S50.

    PubMed  Google Scholar 

  104. Goldman J, Oh HK, Webb MG, Mozes M, Turza N, Kupin WL, et al. (1990) Allogenic whole pancreas transplantation in insulin-depended diabetes mellitus. Henry Ford Hosp Med J 38:246–251.

    PubMed  CAS  Google Scholar 

  105. Holdaas H, Brekke IB, Hartmann A, Bentdal OH, Ganes T, Gjellestad A, et al. (1991) Long-term metabolic control in recipients of combined pancreas and kidney transplants. Diabetologia; 34 Suppl. 1:S68-S70.

    PubMed  Google Scholar 

  106. Kennedy WR, Navarro X, Goetz FC, Sutherland DER, Najarian JS (1990) Effects of pancreatic transplantation on diabetic neuropathy. N Engl J Med 322:1031–1037.

    PubMed  CAS  Google Scholar 

  107. Petersen MR, Vine AK (1990) Progression of diabetic retinopathy after pancreas transplantation. Ophthalmology 97:496–502.

    PubMed  CAS  Google Scholar 

  108. Christiansen E, Andersen HB, Rasmussen K, Christensen NJ, Olgaard K, Kirkegaard P, et al. (1993) Pancreatic 03b2-cell function and glucose metabolism in human segmental pancreas and kidney transplantation. Am J Physiol 264:E441-E449.

    PubMed  CAS  Google Scholar 

  109. Solders G, Tyden G, Persson A, Groth CG (1992) Improvement of nerve conduction in diabetic neuropathy. Diabetes 41:946–951.

    PubMed  CAS  Google Scholar 

  110. Stratta RJ, Perlman SB, Sollinger HW, Kalayoglu M, Beizer FO (1987) Early diagnosis of pancreas allograft rejection. Surg Forum 38:378–380.

    Google Scholar 

  111. Munn SR, Engen DE, Barr D, Carpenter HA, Perkins JD (1990) Differential diagnosis of hypoamylasuria in pancreas allograft recipients with urinary exocrine drainage. Transplantation 49:359–362.

    PubMed  CAS  Google Scholar 

  112. Perkal M, Marsk C, Lorber MI, Markes WH (1992) A three-year experience with serum anodal trypsinogen as a biochemical marker for rejection in pancreatic allografts. Transplantation 53:415–419.

    PubMed  CAS  Google Scholar 

  113. Moukarzel M, Benoit G, Charpentier B, Bouchard P, Bensadoun H, Verdelli G, et al. (1992) Is urinary amylase a reliable index for monitoring whole pancreas endocrine graft function? Transplant Proc 24:925–926.

    PubMed  CAS  Google Scholar 

  114. Marks WH, Borgstrom A, Sollinger H, Marks C (1990) Serum immunoreactive anodal trypsinogen and urinary amylase as biochemical markers for rejection of clinical whole-organ pancreas allografts having exocrine drainage into the urinary bladder. Transplantation 49:112–115.

    PubMed  CAS  Google Scholar 

  115. Brattstrom C, Tyden G, Reinholt FP, Bohman SO, Borgstrom A, Backman L, et al. (1989) Markers for pancreas-graft rejection in humans. Diabetes 38 Suppl 1:57–62.

    PubMed  Google Scholar 

  116. Koenigsrainer A, Tilg H, Reibnegger G, Steurer W, Schmid T, Wachter H, Margreiter R (1992) Pancreatic juice neopterin excretion-a reliable marker of pancreas allograft rejection. Transplant Proc 24:907, 908.

    Google Scholar 

  117. Margreiter R, Ofner D, Reinl J, Koenigsreiter A (1992) Pancreas transplantation—a critical appraisal. Transplant Proc 24:2383–2386.

    PubMed  CAS  Google Scholar 

  118. Abendroth D, Capalbo M, Illner WD, Landgraf R, Land W (1992) Critical analysis of rejection markers sIL-2R, urinary amylase, and lipase in whole-organ pancreas transplantation with exocrine bladder drainage. Transplant Proc 24:786–787.

    PubMed  CAS  Google Scholar 

  119. Pleog RJ, D’Alessandro AM, Groshek M, Gange SJ, Knechtle SJ, Stegall MD, et al. (1994) Efficacy of human anodal trypsinogen for detection of rejection in clinical pancreas transplantation. Transplant Proc 26:531–533.

    Google Scholar 

  120. Ogawa M, Matsusda K, Shibata T, Matsuda Y, Ukai T, Ohta M, et al. (1985) Elevation of serum pancreatic secretory trypsin inhibitor (PSTI) in patients with serious injury. Res Commun Chem Pathol Pharmacol 50:259–266.

    PubMed  CAS  Google Scholar 

  121. Nyberg G, Olausson M, Norden G, Mjornsted L, Blohme I, Hedman L (1991) Pancreas specific protein (RASP) monitoring in pancreas transplantation. Transplant Proc 23:1604, 1605.

    PubMed  CAS  Google Scholar 

  122. Scharp DW, Laci PE, Santiago JV, McCullough CS, Weide LG, Falqui L, et al. (1990) Insulin independence after islet transplantation into type I diabetic patient. Diabetes 39:515–518.

    PubMed  CAS  Google Scholar 

  123. Groth CG, Orsgren O, Tibell A, Tollemar J, Moeller E, Bolinder J, et al. (1994) Transplantation of porcine fetal pancreas to diabetic patients. Lancet 344:1402–1404.

    PubMed  CAS  Google Scholar 

  124. Socci C, Falqui L, Davalli A. M, Ricordi C, Braghi S, Bertuzzi F, et al. (1991) Fresh human islet transplantation to replace pancreatic endocrine function in type 1 diabetic patients. Report of six cases. Acta Diabet 28:151–157.

    CAS  Google Scholar 

  125. Ricordi, C, ed. (1992) Pancreatic islet cell transplantation. Austin, RG Landes Company.

    Google Scholar 

  126. Peakman M, McNab GL, Heaton ND, Tan KC, Vergani D (1994) Development of techniques for obtaining monodispersed human islet cells. Transplantation 57:384–393.

    PubMed  CAS  Google Scholar 

  127. Zeng Y, Torre MA, Karrison T, Thistlewaite JR (1994) The correlation between donor characteristics and the success of human islet isolation. Transplantation 57:954–958.

    PubMed  CAS  Google Scholar 

  128. Robertson GSM, Chadwick DR, Davies J, Rose S, Contractor H, James RFL, et al. (1994) The effectiveness of components of University of Wisconsin solution in improving human pancreatic islet purification. Transplantation 57:346–354.

    PubMed  CAS  Google Scholar 

  129. Gores PF, Sutherland DER (1993) Pancreatic islet transplantation: is purification necessary? Am J Surg 166:538–542.

    PubMed  CAS  Google Scholar 

  130. Farney AC, Sutherland DER (1993) Pancreas and islet transplantation. In: Go VLW, ed., (1993) The pancreas: biology, pathobiology, and disease, 2nd ed. New York: Raven, pp. 815–835.

    Google Scholar 

  131. Morel P, Kaufman DB, Field MJ, Lloveras JK, Matas AJ, Sutherland DER (1991) Detrimental effect of prednisone on canine islet autograft function. Transplant Proc 24: 1048–1050.

    Google Scholar 

  132. Popkin MK, Callies AL, Colon EA, Lentz RD, Sutherland DER (1993) Psychiatric diagnosis and the surgical outcome of pancreas transplantation in patients with type I diabetes mellitus. Psychosomatics 34:251–258.

    PubMed  CAS  Google Scholar 

  133. Colton CK, Avgoustiniatos ES (1991) Bioengineering in development of the hybrid artificial pancreas. J Biomech Eng 113:152–170.

    PubMed  CAS  Google Scholar 

  134. Soon-Shiong P, Heintz RE, Merideth N, et al. (1994) Insulin independence in a type I diabetic patient after encapsulated islet transplantation. Lancet 343:950–951.

    PubMed  CAS  Google Scholar 

  135. Federlin KF, Bretzel RG, Hering BJ (1992) Islet transplant registry. In Pancreatic islet cell transplantation, Ricordi, C, ed., Austin, RG Landes Company, pp. 463–472.

    Google Scholar 

  136. Hering BJ, Browatzki CC, Schultz A, Bretzel RG, Federlin KF (1993) Clinical islet transplantation-registry report, accomplishments in the past and future research needs. Cell Transplant 2:269–282.

    PubMed  CAS  Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1997 Humana Press Inc.

About this chapter

Cite this chapter

Lott, J.A. (1997). Transplantation of the Pancreas or Pancreatic Islet Cells. In: Lott, J.A. (eds) Clinical Pathology of Pancreatic Disorders. Pathology and Laboratory Medicine, vol 2. Humana Press. https://doi.org/10.1007/978-1-4612-3964-2_1

Download citation

  • DOI: https://doi.org/10.1007/978-1-4612-3964-2_1

  • Publisher Name: Humana Press

  • Print ISBN: 978-1-4612-8443-7

  • Online ISBN: 978-1-4612-3964-2

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics