title: Single institution outcomes in the first 3 years of pancreas transplantation from brain dead donors.
abstract: BACKGROUND
  A total of 26 pancreas transplants from brain dead donors, including 21 simultaneous pancreas and kidney (SPK) transplantation procedures, have been performed at Fujita Health University Hospital since the new pancreas transplant program was initiated in August 2012. The objective of this study is to investigate the outcomes of pancreatic transplantation in our facility in first 3 years of the program.
  
  
  METHODS
  The background characteristics of the donors and the outcomes of 26 pancreas transplant recipients were analyzed.
  
  
  RESULTS
  The mean age of the recipients was 44.0 years, and all recipients had a long-term history of diabetes (mean: 30.2 years). In the SPK cases, the patients also had a long history of hemodialysis (mean: 6.3 years). Although the average donor age was 41.0 years and more than half of the donors were marginal donors (defined according to Kapur's criteria and Troppmann's criteria), the patient survival and pancreatic graft survival rates were 100% and 91.7%, respectively. Unfortunately, two recipients experienced graft failure due to graft thrombosis, which resulted in graft loss.
  
  
  CONCLUSIONS
  The new pancreas transplant program at Fujita Health University has provided excellent outcomes for patients with type 1 diabetes.
authors.affiliation: Department of Organ Transplant Surgery, Fujita Health University School of Medicine, 1-98 Dengakugakubo, Kutsukake, Toyoake, Aichi, 470-1192, Japan. i-taihei@fujita-hu.ac.jp.
authors.forename: Taihei
authors.initials: T
authors.lastname: Ito
authors.affiliation: Department of Organ Transplant Surgery, Fujita Health University School of Medicine, 1-98 Dengakugakubo, Kutsukake, Toyoake, Aichi, 470-1192, Japan.
authors.forename: Takashi
authors.initials: T
authors.lastname: Kenmochi
authors.affiliation: Department of Organ Transplant Surgery, Fujita Health University School of Medicine, 1-98 Dengakugakubo, Kutsukake, Toyoake, Aichi, 470-1192, Japan.
authors.forename: Shinichiro
authors.initials: S
authors.lastname: Ono
authors.affiliation: Department of Organ Transplant Surgery, Fujita Health University School of Medicine, 1-98 Dengakugakubo, Kutsukake, Toyoake, Aichi, 470-1192, Japan.
authors.forename: Minoru
authors.initials: M
authors.lastname: Oshima
authors.affiliation: Department of Organ Transplant Surgery, Fujita Health University School of Medicine, 1-98 Dengakugakubo, Kutsukake, Toyoake, Aichi, 470-1192, Japan.
authors.forename: Naohiro
authors.initials: N
authors.lastname: Aida
authors.affiliation: Division of Endocrinology and Metabolism, Fujita Health University School of Medicine, Toyoake, Aichi, Japan.
authors.forename: Atsushi
authors.initials: A
authors.lastname: Suzuki
authors.affiliation: Department of Nephrology, Fujita Health University School of Medicine, Toyoake, Aichi, Japan.
authors.forename: Midori
authors.initials: M
authors.lastname: Hasegawa
authors.affiliation: Department of Urology, Fujita Health University School of Medicine, Toyoake, Aichi, Japan.
authors.forename: Mamoru
authors.initials: M
authors.lastname: Kusaka
authors.affiliation: Department of Urology, Fujita Health University School of Medicine, Toyoake, Aichi, Japan.
authors.forename: Kiyotaka
authors.initials: K
authors.lastname: Hoshinaga
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006084:Graft Rejection / Q000401:mortality / Q000517:prevention & control*; D006085:Graft Survival; D006801:Humans; D007165:Immunosuppression Therapy / Q000379:methods*; D007564:Japan / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D016035:Pancreas Transplantation / Q000379:methods* / Q000401:mortality; D012042:Registries; D012189:Retrospective Studies; D015996:Survival Rate / Q000639:trends; D013997:Time Factors; D014019:Tissue Donors; D016896:Treatment Outcome; D055815:Young Adult
keywords: Brain dead donor; Pancreas transplantation; Type 1 diabetes mellitus