title: World's longest surviving liver-pancreas recipient.
abstract: In July 1988, the liver and pancreas of a cadaveric donor were transplanted separately into a man with type 1 diabetes with end-stage chronic hepatitis B virus. Two features of the operation may help explain the patient's current status as the longest-lived liver-pancreas recipient. One was enteric drainage of pancreatic exocrine secretions. The other was delivery of the pancreas venous effluent to the host portal system and then directly to the hepatic allograft.
authors.affiliation: New York University School of Medicine and Lenox Hill Hospital, New York, NY, USA.
authors.forename: Albert M
authors.initials: AM
authors.lastname: Harary
authors.forename: Kareem
authors.initials: K
authors.lastname: Abu-Elmagd
authors.forename: Ngoc
authors.initials: N
authors.lastname: Thai
authors.forename: Ron
authors.initials: R
authors.lastname: Shapiro
authors.forename: Satoru
authors.initials: S
authors.lastname: Todo
authors.forename: John J
authors.initials: JJ
authors.lastname: Fung
authors.forename: Thomas E
authors.initials: TE
authors.lastname: Starzl
mesh_terms: D000293:Adolescent; D003922:Diabetes Mellitus, Type 1 / Q000150:complications / Q000601:surgery*; D019694:Hepatitis B, Chronic / Q000150:complications / Q000601:surgery*; D006801:Humans; D016031:Liver Transplantation / Q000379:methods / Q000502:physiology*; D008297:Male; D016035:Pancreas Transplantation / Q000379:methods / Q000502:physiology*; D017741:Survivors; D013997:Time Factors; D016896:Treatment Outcome