Solid organ pancreas transplantation: a review of the current status and report of one institution's experience.
Pancreas transplantation is a procedure with numerous potential complications for graft and patient. However, the severity of the complications of diabetes, including nephropathy, retinopathy, neuropathy, etc., makes pancreas transplantation a viable alternative, if not necessity, in the end-stage diabetic. The procedure is being performed more and more frequently worldwide with improvements in graft survival and patient quality of life. Options for graft placement, including systemic-versus-portal venous drainage and enteric-versus-bladder exocrine drainage, are raising questions as to the best method for prevention of complications and for monitoring of graft function. A review of pancreas transplantation as well as the experience with 60 such transplants performed between April 1989 and January 1993 at the University of Tennessee, Memphis, is reported.
Hughes
C B
CB
Department of Surgery, University of Tennessee, Memphis 38163.
Grewal
H P
HP
Shokouh-Amiri
M H
MH
Gaber
A O
AO
D006085:Graft Survival; D006801:Humans; D016030:Kidney Transplantation; D016035:Pancreas Transplantation / Q000009:adverse effects / Q000379:methods; D011183:Postoperative Complications / Q000517:prevention & control; D012189:Retrospective Studies