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Indications for Pancreas Transplantation

  • Frederick C. Goetz

Abstract

Because the pancreas is a vascularized organ, transplantation of segmental or whole pancreas grafts carries with it roughly the same risks as does transplantation of other major vascularized organs. Kidney, liver, heart, or heart and lung all present a combination of complex problems to the transplant team, including management of immunosuppression and the special surgical and technical demands peculiar to the organ. Yet pancreas transplantation differs sharply from these other procedures in one central feature: it does not save the patient’s life in an immediate and visible fashion. There can be no doubt that this benefit is conferred when pancreas grafting is successful, but this benefit is primarily in the nature of improved quality of life plus the promise of eventual enhanced length of life.

Keywords

Pancreas Transplantation Uremic Patient Diabetic Polyneuropathy Normal Blood Glucose Level Transplant Team 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

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    Bohman SO, Wilczek H, Tyden G, Jaremko G, Lundgren G, Groth CG: Recurrent diabetic nephropathy in renal allografts placed in diabetic patients and protective effect of simultaneous pancreatic transplantation. Transplant Proc 19:2290, 1987.PubMedGoogle Scholar
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    Bilous RW, Mauer SM, Sutherland DER, Steffes MW: Glomerular structure and function following successful pancreas transplantation (PTX) for insulin-dependent diabetes mellitus (IDDM). Abstract 171, Annual meeting of the American Diabetes Association, June 1987, Indianapolis, IN.Google Scholar
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    Sutherland DER, Goetz FC, Najarian JS: One hundred pancreas transplants at a single institution. Ann Surg 200:414, 1984.PubMedCrossRefGoogle Scholar
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    Ramsay RC, Rice SW, Sutherland DER, Goetz FC, Najarian JS: Visual status following pancreas transplantation for Type I diabetes mellitus. Transplant Proc 18:1774, 1986.Google Scholar
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    van der Vliet JA, Navarro X, Kennedy WR, Goetz FC, Najarian JS, Sutherland DER: The effect of pancreas transplantation on diabetic polyneuropathy. Transplantation 45:368, 1988.PubMedCrossRefGoogle Scholar

Copyright information

© Kluwer Academic Publishers 1988

Authors and Affiliations

  • Frederick C. Goetz

There are no affiliations available

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