Related Experiment Video
Updated: Jul 31, 2025
13:38
Robotic Pancreatoduodenectomy for Pancreatic Head Cancer: a Case Report of a Standardized Technique
Published on: June 24, 2022
5.3K
OPTN/SRTR 2021 Annual Data Report: Pancreas
Raja Kandaswamy1, Peter G Stock2, Jonathan M Miller3
1Scientific Registry of Transplant Recipients, Hennepin Healthcare Research Institute, Minneapolis, MN; Department of Surgery, University of Minnesota, Minneapolis, MN.
Summary
Pancreas transplant numbers remained stable in 2021, with increased transplants for type 2 diabetes patients and older recipients. Simultaneous pancreas-kidney transplants saw a slight decline, while outcomes remain best for this group.
Area of Science:
- Nephrology
- Transplantation Immunology
- Endocrinology
Background:
- Pancreas transplantation is a vital treatment for select patients with diabetes.
- The COVID-19 pandemic impacted organ transplantation rates globally.
- Understanding trends in pancreas transplantation is crucial for resource allocation and patient care.
Purpose of the Study:
- To analyze the trends in pancreas transplantation in the United States in 2021.
- To evaluate changes in patient demographics, transplant types, and center volume.
- To assess the outcomes of different types of pancreas transplants.
Main Methods:
- Retrospective analysis of pancreas transplant data from the United States in 2020 and 2021.
- Comparison of transplant volumes, patient demographics (type 2 diabetes, age), and transplant categories (simultaneous pancreas-kidney, pancreas-after-kidney, pancreas alone).
- Evaluation of 1-year graft failure rates for kidney and pancreas in simultaneous pancreas-kidney transplants.
Main Results:
- Total pancreas transplants remained stable (963 in 2021 vs. 962 in 2020).
- Proportion of transplants in type 2 diabetes patients increased (25.9% in 2021 vs. 21.3% in 2020).
- Transplants in older recipients (≥55 years) increased (13.5% in 2021 vs. 11.7% in 2020).
- Simultaneous pancreas-kidney transplants decreased slightly (820 vs. 827), while other categories increased.
- 1-year graft failure rates for 2020 simultaneous pancreas-kidney transplants were 5.7% for kidney and 10.5% for pancreas.
- Medium-volume centers performed a higher proportion of transplants (48.3% in 2021 vs. 35.1% in 2020).
Conclusions:
- Pancreas transplantation recovery lagged behind other organs post-pandemic.
- Shifting demographics include more type 2 diabetes patients and older recipients.
- Simultaneous pancreas-kidney transplants offer the best outcomes, despite a slight decrease in volume.
- There is a notable shift towards medium-volume centers performing pancreas transplants.
Related Concept Videos
01:29Chronic Pancreatitis II: Collaborative Care
120
The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
Assessment:
120
01:19Pancreas
873
The pancreas, an essential organ in the human body, is a pinkish-gray elongated structure located posterior to the stomach. It extends laterally from the duodenum towards the spleen and is firmly bound to the posterior wall of the abdominal cavity. The organ's surface has a lumpy, lobular texture that gives it a unique appearance.
The broad head of the pancreas lies within the loop formed by the duodenum, while its slender body reaches towards the spleen. The tail of the pancreas is short...
The broad head of the pancreas lies within the loop formed by the duodenum, while its slender body reaches towards the spleen. The tail of the pancreas is short...
873
01:27Acute Pancreatitis I: Introduction
426
Pancreatitis is inflammation of the pancreas, an organ located behind the stomach. It can be either acute or chronic.
Acute pancreatitis is characterized by rapid inflammation of the pancreas, often caused by factors like gallstone blockage or excessive alcohol consumption. Chronic pancreatitis, on the other hand, is a slow, progressive inflammation that may result from long-term alcohol abuse, obstructions in the pancreatic duct, or genetic factors.
The causes of acute pancreatitis include:
Acute pancreatitis is characterized by rapid inflammation of the pancreas, often caused by factors like gallstone blockage or excessive alcohol consumption. Chronic pancreatitis, on the other hand, is a slow, progressive inflammation that may result from long-term alcohol abuse, obstructions in the pancreatic duct, or genetic factors.
The causes of acute pancreatitis include:
426
01:24Chronic Pancreatitis I: Introduction
118
The pancreas, an elongated and flat gland situated behind the stomach, serves a vital function in digesting food and managing blood sugar levels.
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
118
01:26Pancreatic Juice and Secretion
1.1K
Pancreatic juice is a clear fluid produced by the pancreas, containing water, salts, sodium bicarbonate, and enzymes vital for digestion in the small intestine. It helps break down large molecules, facilitating nutrient absorption.
When acidic chyme from the stomach enters the duodenum, it triggers the release of secretin, a hormone that prompts pancreatic juice secretion. After a fatty meal, cholecystokinin, another hormone, stimulates gallbladder contraction and enhances enzyme-rich...
When acidic chyme from the stomach enters the duodenum, it triggers the release of secretin, a hormone that prompts pancreatic juice secretion. After a fatty meal, cholecystokinin, another hormone, stimulates gallbladder contraction and enhances enzyme-rich...
1.1K