title: Controversies in pancreas transplantation.
abstract: Pancreas transplants are now highly effective for patients with diabetes mellitus. Improvements in outcomes have primarily been due to significant reductions in technical failures and immunological graft loss. In this short review we discuss three areas of controversy in the field of pancreas transplantation. Notwithstanding the controversies we have highlighted, in line with the American Diabetic Association position statement, simultaneous pancreas-kidney transplants and pancreas after kidney transplants should be routine for diabetic kidney recipients, and a pancreas transplant alone is appropriate for non-uremic labile diabetic patients.
authors.affiliation: Department of Surgery, University of Minnesota Minneapolis, MN, USA - chinni@umn.edu.
authors.forename: S
authors.initials: S
authors.lastname: Chinnakotla
authors.forename: K
authors.initials: K
authors.lastname: Majumder
authors.forename: D E
authors.initials: DE
authors.lastname: Sutherland
mesh_terms: D003920:Diabetes Mellitus / Q000601:surgery*; D017408:Guidelines as Topic; D006801:Humans; D016030:Kidney Transplantation / Q000639:trends; D016035:Pancreas Transplantation / Q000639:trends; D018570:Risk Assessment; D012307:Risk Factors; D016896:Treatment Outcome