Improved results in pancreatic transplantation by avoidance of nonimmunological graft failures.

Abstract:

:Twenty eight consecutive combined renal and pancreatic transplantations with enteric exocrine diversion were performed between June 1984 and May 1986. The one-year actuarial patient survival and renal and pancreatic graft survival were 90%, 67%, and 69%, respectively. Nineteen pancreatic grafts and eighteen renal grafts are currently functioning at 1-24 months. Of the pancreatic graft losses only 2 were attributable to nonimmunological complications. No pancreatic graft was lost due to pancreaticoenteric leakage or vascular thrombosis. This was achieved by reducing the cold ischemia time and by adopting an aggressive anticoagulant policy. In all patients with functioning grafts the fasting blood glucose, glycosylated hemoglobin level, and oral glucose tolerance test were normal. The intravenous glucose tolerance test was normal in most of the patients but subnormal in some.

journal_name

Transplantation

journal_title

Transplantation

authors

Tydén G,Brattström C,Lundgren G,Ostman J,Gunnarsson R,Groth CG

doi

10.1097/00007890-198705000-00014

subject

Has Abstract

pub_date

1987-05-01 00:00:00

pages

674-6

issue

5

eissn

0041-1337

issn

1534-6080

journal_volume

43

pub_type

杂志文章
  • Fatal hemophagocytic syndrome after living-related liver transplantation: a report of two cases.

    abstract:BACKGROUND:Hemophagocytic syndrome (HPS) is a serious hematological disorder caused by activated T lymphocytes in immunologically compromised patients. There is no report of HPS in liver transplant recipients. METHODS:Among 135 patients who underwent living-related liver transplantation between June 1990 and October 2...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200112150-00024

    authors: Chisuwa H,Hashikura Y,Nakazawa Y,Kamijo T,Nakazawa K,Nakayama J,Oh-Ishi T,Ikegami T,Terada M,Kawasaki S

    更新日期:2001-12-15 00:00:00

  • Frequency of kidney rejection in diabetic patients undergoing simultaneous kidney and pancreatic islet cell transplantation.

    abstract::An increased frequency of kidney rejection has been reported in diabetic patients who have simultaneous pancreas and kidney transplantation compared with patients who have a kidney transplant alone. Kidney graft outcome is similar in the two groups. The mechanism for increased kidney graft rejection with a simultaneou...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199304000-00015

    authors: Carroll PB,Ricordi C,Shapiro R,Rilo HR,Fontes P,Scantlebury V,Irish W,Tzakis AG,Starzl TE

    更新日期:1993-04-01 00:00:00

  • Effect of histological damage on long-term kidney transplant outcome.

    abstract:BACKGROUND:Chronic renal allograft failure remains a major challenge to overcome. Factors such as donor quality, delayed graft function (DGF), acute rejection, and immunosuppression are known to affect long-term outcome, but their relationship to histological damage to graft outcome is unclear. METHODS:Protocol kidney...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200102270-00006

    authors: Nankivell BJ,Fenton-Lee CA,Kuypers DR,Cheung E,Allen RD,O'Connell PJ,Chapman JR

    更新日期:2001-02-27 00:00:00

  • The role of donor-recipient relationship in long-term outcomes of living donor renal transplantation.

    abstract:BACKGROUND:Graft failure related to acute and chronic rejection remains an important problem in transplantation. An association has been reported between microchimerism and the development of tolerance. Since it has been established that cells of fetal origin can be found in maternal tissues long after parturition, and...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e3181705a0f

    authors: Miles CD,Schaubel DE,Liu D,Port FK,Rao PS

    更新日期:2008-05-27 00:00:00

  • Characterization of antiidiotypic antibodies to donor HLA that develop after liver transplantation.

    abstract::Several studies have reported the development of antiidiotypic antibodies to anti-HLA alloantibodies in renal allograft transplant recipients, postulating their potential beneficial role in allograft survival. In order to evaluate the role of anti-HLA antiidiotypic antibodies in human liver transplant recipients and t...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199308000-00037

    authors: Chauhan B,Phelan DL,Marsh JW,Mohanakumar T

    更新日期:1993-08-01 00:00:00

  • Induction of kidney allograft tolerance by soluble CD83 associated with prevalence of tolerogenic dendritic cells and indoleamine 2,3-dioxygenase.

    abstract:BACKGROUND:Tolerogenic dendritic cells (Tol-DCs) play a critical role in inducing and maintaining tolerance. Recognizing that both T-cell inactivation and activation are contingent on signals provided by DCs and that graft-specific activated T cells are major mediators of transplant rejection, we aimed to create an env...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e3182007bbf

    authors: Lan Z,Ge W,Arp J,Jiang J,Liu W,Gordon D,Healey D,DeBenedette M,Nicolette C,Garcia B,Wang H

    更新日期:2010-12-27 00:00:00

  • Differential effects of injections of anti-mu and anti-delta monoclonal antibodies on B-cell populations in adult mice: regulation of xenoreactive natural antibody-producing cells.

    abstract:BACKGROUND:The depletion of differential B cell and xenoreactive natural antibodies (XNA) by anti-delta and anti-mu injections was analyzed in adult mice. Sequential treatment with anti-delta and then anti-mu induces a complete depletion of B cells and XNA and represents a potential approach to induce xenograft toleran...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199912150-00017

    authors: Chentoufi AA,Nizet Y,Havaux X,De La Parra B,Cormont F,Hermans D,Bazin H,Latinne D

    更新日期:1999-12-15 00:00:00

  • Increase of proliferating renal progenitor cells in acute tubular necrosis underlying delayed graft function.

    abstract:BACKGROUND:Delayed graft function (DGF) is associated with acute tubular necrosis. In this setting, surviving tubular cells may proliferate and replace injured cells. CD133Pax-2cells may play a role in the regeneration of tubular damage. The aim of this study was to demonstrate the presence of these cells in human kidn...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e31816a8891

    authors: Loverre A,Capobianco C,Ditonno P,Battaglia M,Grandaliano G,Schena FP

    更新日期:2008-04-27 00:00:00

  • CD4+CD45RO+CD25-/lowCD127+: CD4+CD45RO+CD25hiCD127-/low Ratio in Peripheral Blood: A Useful Biomarker to Detect Cardiac Allograft Vasculopathy in Heart Transplanted Patients.

    abstract:BACKGROUND:Cardiac allograft vasculopathy (CAV) is a major limitation in long-term graft survival after heart transplantation (HTx). Its prediction and detection at an early stage is a challenge because an accurate, minimally invasive blood test is lacking. The aim of this study was to analyze the relationship of Tact ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000000493

    authors: Roldán C,Mirabet S,Cecilia C,Brossa V,Roig E,Martín C,Gelpí C

    更新日期:2015-07-01 00:00:00

  • Induction of antiidiotypic antibodies by blood transfusions. Characterization of T cell alloantigen-specific receptors by sera from transfused mice.

    abstract::Balb/c (H-2d) mice were transfused weekly with 0.1 ml of whole blood from C3H (H-2k) mice. One week after 3 blood transfusions (BT), the mice were bled and the sera collected and pooled. The 3BT serum was absorbed twice with C3H lymphocytes and IgG isolated by ion-exchange chromatography. Balb/c anti-C3H, Balb/c anti-...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198612000-00011

    authors: Singal DP,Ludwin D,Joseph S,Blajchman MA,Ofosu FA,Liao SK

    更新日期:1986-12-01 00:00:00

  • The lymphatic drainage of the rat prostate and its status as an immunologically privileged site.

    abstract::Recent suggestions that the rat prostate is an alymphatic, immunologically privileged site stimulated further investigation of its status using a variety of techniques. Fixation of certain organs by vascular perfusion of glutaraldehyde followed by plastic embedding avoids the distortion and stromal reorganization that...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-197902000-00011

    authors: Neaves WB,Billingham RE

    更新日期:1979-02-01 00:00:00

  • Long-term Renal Function in Living Kidney Donors Who Had Histological Abnormalities at Donation.

    abstract:BACKGROUND:Recent evidence suggests that living kidney donors are at an increased risk of end-stage renal disease. However, predicting which donors will have renal dysfunction remains challenging, particularly among those with no clinical evidence of disease at the time of donation. Although renal biopsies are not rout...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000001236

    authors: Fahmy LM,Massie AB,Muzaale AD,Bagnasco SM,Orandi BJ,Alejo JL,Boyarsky BJ,Anjum SK,Montgomery RA,Dagher NN,Segev DL

    更新日期:2016-06-01 00:00:00

  • Seasonal variation in outpatient blood pressure in stable renal transplant recipients.

    abstract::Seasonal variation in blood pressure (BP) has been described in the general and dialysis populations, with higher recordings noted in the winter than in the summer. This difference has been attributed to changes in weight, ambient temperature, and length of daylight. In this study, we sought to determine whether such ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200112150-00014

    authors: Prasad GV,Nash MM,Zaltzman JS

    更新日期:2001-12-15 00:00:00

  • Failure of B-cold lymphocytotoxins to enhance cadaveric renal allograft survival.

    abstract::In a three-year period between January 1980 and December 1982, 242 consecutive cadaver transplant recipients in one center were tested before transplantation by cytotoxicity against a random panel of T and B lymphocytes at 5 degrees C and 37 degrees C incubation. They were also tested for HLA-A, B, and DR antigens. Ki...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198509000-00006

    authors: Mendez R,Chatterjee SN,Mendez R,Bogaard T

    更新日期:1985-09-01 00:00:00

  • The immediately vascularized skin allograft.

    abstract::A model for immediate vascularization of skin was devised to examine one of the possible explanations for the differential survival rates of transplants of freely grafted skin and organs, i.e., the increased vulnerability of skin to early ischemic necrosis prior to revascularization. Female Fischer (F) rat skin was tr...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-197908000-00011

    authors: Perloff LJ,Barker CF

    更新日期:1979-08-01 00:00:00

  • Time-response studies of the cellular immune response to cell membrane antigens.

    abstract::It was the objective of these experiments to study the time-related changes in the responsiveness of the cellular elements of the immune system following contact with single non-H-2 or multiple H-2 histocompatibility antigens. The reactivity of spleen cells from mice that received injections of spleen cells bearing H-...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198802000-00047

    authors: Graff RJ,Kurtz ME,Russell H,Martin-Morgan D

    更新日期:1988-02-01 00:00:00

  • Membranoproliferative glomerulonephritis type I in renal transplantation patients: a single-center study of a cohort of 68 renal transplants followed up for 11 years.

    abstract:BACKGROUND:To evaluate the long-term outcome of renal transplant patients with membranoproliferative glomerulonephritis (MPGN) type I and the impact of recurrence. METHODS:The outcomes of 68 renal transplants performed between 1976 and 2009 in 63 patients with MPGN were compared with those of 136 controls matched for ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e318218e94e

    authors: Moroni G,Casati C,Quaglini S,Gallelli B,Banfi G,Montagnino G,Messa P

    更新日期:2011-06-15 00:00:00

  • Interaction of mycophenolate mofetil and HLA matching on renal allograft survival.

    abstract:INTRODUCTION:The importance of HLA matching for renal transplantation outcomes has been appreciated for several decades. It has been hypothesized that as pharmacologic immunosuppression becomes stronger and more specific, the impact of HLA matching may be vanishing. Mycophenolate Mofetil (MMF) has been demonstrated to ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200102150-00010

    authors: Meier-Kriesche HU,Ojo AO,Leichtman AB,Magee JC,Rudich SM,Hanson JA,Cibrik DM,Kaplan B

    更新日期:2001-02-15 00:00:00

  • Histological study of urinary bladder transplantation in rats.

    abstract::Patients who require cystectomy are usually treated with an ileal conduit or intestinal neobladder for urinary control. In some of them, however, the bowel segment cannot be used because of previous abdominal surgery or radiation treatment. Bladder transplantation from cadavers may be beneficial to these patients, if ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199704150-00002

    authors: Takeuchi K,Takechi S,Ohoka H,Yokoyama M,Iwata H,Takeuchi M,Matsuda S

    更新日期:1997-04-15 00:00:00

  • The importance of the effect of underlying disease on rejection outcomes following orthotopic liver transplantation.

    abstract::Despite major advances in immunopharmacology, virtually all patients receive the same center-specific immunosuppressive regimen following orthotopic liver transplantation (OLT). The present analysis was performed on the hypothesis that the original disease representing the indication for OLT leads to a different initi...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199602270-00007

    authors: Berlakovich GA,Imhof M,Karner-Hanusch J,Gotzinger P,Gollackner B,Gnant M,Hanelt S,Laufer G,Muhlbacher F,Steininger R

    更新日期:1996-02-27 00:00:00

  • Ischemic preconditioning: a defense mechanism against the reactive oxygen species generated after hepatic ischemia reperfusion.

    abstract:BACKGROUND:Preconditioning protects against both liver and lung damage after hepatic ischemia-reperfusion (I/R). Xanthine and xanthine oxidase (XOD) may contribute to the development of hepatic I/R. OBJECTIVE:To evaluate whether preconditioning could modulate the injurious effects of xanthine/XOD on the liver and lung...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200204270-00004

    authors: Peralta C,Bulbena O,Xaus C,Prats N,Cutrin JC,Poli G,Gelpi E,Roselló-Catafau J

    更新日期:2002-04-27 00:00:00

  • Comparative analysis of live liver donation risk using a comprehensive grading system for severity.

    abstract::We investigated whether right lobe (RL) liver donation is associated with a higher incidence or severity of donor complications than left lobe (LL) liver and left lateral segment (LLS) liver donations. We studied 80 living donors: 35 RL liver donors and 45 LL/LLS liver donors. A modification of the Clavien classificat...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000129406.35825.6d

    authors: Salvalaggio PR,Baker TB,Koffron AJ,Fryer JP,Clark L,Superina RA,Blei AT,Abecassis MM

    更新日期:2004-06-15 00:00:00

  • Role of donor leukocyte chimerism in establishing the etiology of neutropenia after liver transplantation.

    abstract:BACKGROUND:The quantitation of donor leukocyte chimerism may aid in establishing the etiology of neutropenia after liver transplantation. METHODS:The incidence and clinical and laboratory characteristics of severe neutropenia were studied in adults who have undergone liver transplantation at our institution over the l...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199905270-00011

    authors: Jonsson JR,Gill D,Hogan PG,Clouston AD,Edwards-Smith C,Griffin AD,Balderson GA,Lynch SV,Strong RW,Powell EE

    更新日期:1999-05-27 00:00:00

  • Composite tissue allotransplantation: classification of clinical acute skin rejection.

    abstract:BACKGROUND:Composite tissue allotransplantation (CTA) is a recently introduced option for limb replacement and reconstruction of other nonreconstructible tissue defects. As with recipients of other allotransplants, CTA recipients can experience rejection episodes that are presumed to be mediated by immune mechanisms si...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:

    authors: Cendales LC,Kirk AD,Moresi JM,Ruiz P,Kleiner DE

    更新日期:2005-12-27 00:00:00

  • Noncomposite simultaneous liver and intestinal transplantation.

    abstract::Patients with short-gut syndrome may develop total parenteral nutrition-associated liver disease, which may preclude them from isolated intestinal transplantation and require combined liver and intestinal transplantation. Traditionally, these multiorgan transplantations are performed using en bloc liver and intestinal...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.TP.0000045711.68765.84

    authors: Fishbein T,Florman S,Gondolesi G,Decker R

    更新日期:2003-02-27 00:00:00

  • Failure to alter neonatal transplantation tolerance by the injection of interleukin 2.

    abstract::It has been postulated that the establishment of acquired, neonatal immunologic tolerance is due to a "deficit" in interleukin 2 (IL-2). To test this hypothesis, chickens were made immunologically tolerant to both major and minor histocompatibility antigens by transplantation of skin grafts onto newly hatched recipien...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198802000-00041

    authors: Tempelis CH,Hála K,Krömer G,Schauenstein K,Wick G

    更新日期:1988-02-01 00:00:00

  • Peripheral blood mononuclear cell responses from type 1 diabetic patients and subjects at-risk for type 1 diabetes to human fetal pancreatic tissue proteins.

    abstract:BACKGROUND:Fetal pancreatic tissue has been suggested to be less immunogenic than adult islets. Thus, transplantation of human fetal pancreatic tissue as treatment for type 1 diabetes has been gaining interest. To investigate this question, we tested the peripheral blood mononuclear cell (PBMC) responses from different...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200005150-00028

    authors: Brooks-Worrell BM,Peterson KP,Peterson CM,Palmer JP,Jovanovic L

    更新日期:2000-05-15 00:00:00

  • Variations of the lymphocytotoxicity test. An evaluation of sensitivity and specificity.

    abstract::Multiple variations of the basic lymphocytotoxicity test have been reported to increase test sensitivity. Although these modifications are used routinely in crossmatch tests, as required by federal regulation, there has been no methodical assessment of the relative sensitivities and specificities of these techniques w...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199509000-00016

    authors: Zachary AA,Klingman L,Thorne N,Smerglia AR,Teresi GA

    更新日期:1995-09-15 00:00:00

  • Arterial ketone body ratio as a possible indicator for liver transplantation in fulminant hepatic failure.

    abstract::Arterial ketone body ratio (AKBR [acetoacetate/beta-hydroxybutyrate]) was measured in nineteen patients under medical supportive therapy for fulminant hepatic failure (FHF), in order to evaluate its predictive value relative to liver transplantation. Of the 19 patients 8 (42%) were salvaged and 11 (58%) died. Seven of...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199104000-00009

    authors: Saibara T,Onishi S,Sone J,Yamamoto N,Shimahara Y,Mori K,Ozawa K,Yamamoto Y

    更新日期:1991-04-01 00:00:00

  • Endothelial chimerism in transplantation: Looking for needles in a haystack.

    abstract::Endothelial chimerism in transplanted organs is a fascinating phenomenon, indicative of a mechanism by which progenitor recipient cells replace the donor endothelium. It has been hypothesized that this replacement could lead to a decrease in alloreactivity and thus would positively influence graft outcome. However, re...

    journal_title:Transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/01.tp.0000231446.41051.98

    authors: Koopmans M,Kremer Hovinga IC,Baelde HJ,de Heer E,Bruijn JA,Bajema IM

    更新日期:2006-07-15 00:00:00