title: Autologous islet transplantation in patients requiring pancreatectomy for neoplasm.
abstract: Autologous islet cell transplantation is a procedure performed to prevent or reduce the severity of diabetes after pancreatic resection. Autologous islet cell transplantation is being used almost exclusively in patients undergoing pancreatectomy because of painful, chronic pancreatitis, or multiple recurrent episodes of pancreatitis that is not controlled by standard medical and surgical treatments. Here, we discuss the possibility of extending the clinical indications for this treatment on the basis of our experience in patients undergoing pancreatic surgery for both nonmalignant and malignant diseases, including patients undergoing completion pancreatectomy because of anastomosis leakage after pancreaticoduodenectomy and those with pancreatic anastomosis deemed at high risk for failure.
authors.affiliation: Pancreatic Surgery Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy.
authors.forename: Gianpaolo
authors.initials: G
authors.lastname: Balzano
authors.forename: Lorenzo
authors.initials: L
authors.lastname: Piemonti
mesh_terms: D003920:Diabetes Mellitus / Q000209:etiology / Q000517:prevention & control; D006801:Humans; D016381:Islets of Langerhans Transplantation; D010180:Pancreatectomy / Q000009:adverse effects; D010190:Pancreatic Neoplasms / Q000601:surgery*; D050500:Pancreatitis, Chronic / Q000601:surgery; D014182:Transplantation, Autologous