Clinical segmental pancreas transplantation without duct anastomosis in diabetic renal allograft recipients.

Abstract:

:Segmental pancreatic allografts with unligated ducts were transplanted intraperitoneally to five diabetic patients who had received renal allografts more than 2 yr earlier. One patient is alive with a functioning graft 10.5 mo later. Two patients rejected their grafts at approximately 2 and 3 mo but are alive 8--9 mo later after resumption of exogenous insulin therapy. In both patients, carbohydrate metabolism was nearly normal during the period of graft function. Two patients died of infectious complications between 1 and 2 mo after transplantation. The main hazard of pancreas transplantation relates to the immunosuppression necessary to prevent rejection, setting the stage for infectious complications. Technically, pancreas transplantation is a feasible and efficient procedure, and, if better methods are developed for preventing rejection, it should be applicable to patients prone to develop secondary complications of diabetes.

journal_name

Diabetes

journal_title

Diabetes

authors

Sutherland DE,Goetz FC,Najarian JS

doi

10.2337/diab.29.1.s10

subject

Has Abstract

pub_date

1980-01-01 00:00:00

pages

10-8

eissn

0012-1797

issn

1939-327X

journal_volume

29 Suppl 1

pub_type

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