90 Pancreas transplantation

BACKGROUND AND INDICATIONS History Kelly , Lillehei and colleagues performed the first successful ...

Complications Major abdominal surgery carries a number of general risks which are well detailed ...

Enteric conversion Bladder drainage of the exocrine secretions is associated with complications ...

FURTHER READING Al-Qaoud TM, Kaufman DB, Odorico JS, Friend PJ. Pancreas and kidney transplantati...

FUTURE WORK The major limiting factor in pancreas transplantation is greater morbidity compared w...

IMMUNOSUPPRESSION AND FOLLOW-UP Long-term monitoring Blood glucose monitoring is reassuring for t...

Immunosuppression Immunosuppression is split into induction (immediate post transplant) and maint...

Indications The indications for pancreas transplant can be split into those for patients with con...

INTRODUCTION Current World Health Organization estimates are that about 9% of the global populat...

Learning objectives To understand: The indications and patient selection for solid organ • panc...

ORGAN DONATION AND PRESERVATION Organ retrieval Pancreas organ retrieval is standardised in the U...

Organ preservation Static cold storage (SCS) has remained the gold standard preservation method f...

Outcomes There are no randomised controlled trials that compare the outcome of SPK transplantati...

POSTOPERATIVE MANAGEMENT Anticoagulation To minimise the risk of graft thrombosis in the early po...

Patient selection Once the indication for pancreas transplantation is satisfied the patient needs ...

SURGICAL TECHNIQUES Preparation for transplant Once the organ has been inspected and is deemed su...

Transplantation procedure Pancreas transplant can be performed as an intraperitoneal or extraperi...

Types of solid organ pancreas

transplant 1 Simultaneous pancreas–kidney transplant (SPK) . Both organs come from the same decea...