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Pancreas transplantation: clinical considerations
Radiologic Clinics of North America
|March 1, 1987
Summary
Pancreas transplantation success rates have improved, with 32% of grafts functioning currently. Common complications include vascular thrombosis and infections, especially with enteric drainage, often requiring surgical intervention.
Area of Science:
- Transplantation Surgery
- Gastroenterology
- Nephrology
Background:
- Pancreas transplantation has evolved significantly since 1966.
- Over 700 pancreas transplants have been performed since 1977.
- Recipient selection criteria have broadened, including non-diabetic patients.
Purpose of the Study:
- To review the current status and outcomes of pancreas transplantation.
- To discuss evolving techniques and recipient selection.
- To highlight common complications and their management.
Main Methods:
- Review of pancreas transplant data from 69 institutions.
- Analysis of graft and patient survival rates.
- Description of surgical techniques and complication management.
Main Results:
- Currently, 32% of pancreas grafts are functioning (insulin independent).
- 1-year actuarial graft and survival rates are 43% and 88%, respectively.
- Vascular thrombosis and intra-abdominal infections are common complications.
Conclusions:
- Pancreas transplantation outcomes have improved, but complications remain a challenge.
- Enteric drainage is associated with a higher risk of infection.
- Effective management of complications is crucial for successful pancreas allografts.