title: Evaluating steatosis in pancreatic transplant.
abstract: Pancreatic transplant remains the only treatment that cures insulin-dependent diabetes mellitus. It is recognized by transplant surgeons that donor pancreases with excessive fat infiltration have a poorer clinical outcome, resulting in significant recipient morbidity and mortality. However, no objective measure of pancreatic fat infiltration exists, and no study has been done that correlates the level of fat infiltration with clinical outcome. There have been significant radiologic advances that allow assessment of fat content of organs, and these could be used to accurately quantify the extent of pancreatic fat infiltration. We reviewed the literature regarding pancreatic steatosis, and examined ways in which the level of steatosis could be objectively measured before transplant, thereby improving clinical outcome.
authors.affiliation: Imperial College Healthcare NHS Trust, West London Renal and Transplant Centre, Hammersmith Hospital, Du Cane Road, London, W12 0HS, UK. aneeshaverma1@gmail.com
authors.forename: Aneesha Ratan
authors.initials: AR
authors.lastname: Verma
authors.forename: Vassilios
authors.initials: V
authors.lastname: Papalois
mesh_terms: D000273:Adipose Tissue / Q000000981:diagnostic imaging / Q000473:pathology*; D003922:Diabetes Mellitus, Type 1 / Q000601:surgery*; D046148:Donor Selection; D019160:Endosonography; D006801:Humans; D009682:Magnetic Resonance Spectroscopy; D010179:Pancreas / Q000473:pathology / Q000601:surgery*; D016035:Pancreas Transplantation / Q000009:adverse effects; D010182:Pancreatic Diseases / Q000175:diagnosis* / Q000473:pathology; D011237:Predictive Value of Tests; D018570:Risk Assessment; D012307:Risk Factors; D014019:Tissue Donors / Q000600:supply & distribution*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome