Pancreas-kidney and pancreas transplantation for the treatment of diabetes mellitus.
Kidney transplantation is the treatment of choice for end-stage diabetic nephropathy, but the ultimate treatment today for type 1 diabetes mellitus is the whole vascularized pancreas transplant. Although its use is increasing, pancreas transplantation remains an uncommonly used therapeutic option that normalizes glucose levels and results in stabilization or improvement in secondary complications far better than any other strategy available for treatment of type 1 diabetes. These documented benefits of a simultaneous kidney and pancreas transplant are the basis for its acceptance as an appropriate therapy for patients who have type 1 diabetes mellitus and end-stage renal disease.
Lipshutz
Gerald S
GS
Kidney and Pancreas Transplant Program, Department of Surgery, 77-120 CHS, David Geffen School of Medicine at UCLA, Los Angeles, CA 90095, USA. glipshutz@mednet.ucla.edu
Wilkinson
Alan H
AH
D003920:Diabetes Mellitus / Q000401:mortality / Q000601:surgery*; D003925:Diabetic Angiopathies / Q000517:prevention & control; D003928:Diabetic Nephropathies / Q000517:prevention & control; D003930:Diabetic Retinopathy / Q000517:prevention & control; D006801:Humans; D016030:Kidney Transplantation / Q000009:adverse effects; D016035:Pancreas Transplantation / Q000009:adverse effects; D010195:Pancreatitis / Q000209:etiology; D013927:Thrombosis / Q000209:etiology; D014019:Tissue Donors; D009927:Tissue and Organ Procurement