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Related Experiment Video

Updated: Jul 17, 2025

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Current practices in islet cell autotransplantation.

Melissa E Chen1, Chirag S Desai1

  • 1Department of Surgery, University of North Carolina, Chapel Hill, NC, USA.

Expert Review of Endocrinology & Metabolism
|September 8, 2023
PubMed
Summary

Total pancreatectomy with islet cell autotransplantation offers significant benefits for chronic pancreatitis patients. This procedure improves quality of life and prevents difficult-to-manage diabetes, enhancing patient outcomes.

Keywords:
Chronic pancreatitisislet cell autotransplantationrecurrent acute pancreatitistotal pancreatectomy

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Area of Science:

  • Gastroenterology and Transplant Surgery
  • Endocrinology

Background:

  • Chronic pancreatitis leads to exocrine/endocrine insufficiency, chronic pain, and poor quality of life.
  • Medical and endoscopic therapies are primary treatments; surgery, especially total pancreatectomy, was historically limited due to managing resulting diabetes (type 3C).

Purpose of the Study:

  • To review current practices in islet cell autotransplantation following total pancreatectomy.
  • To detail patient selection, preoperative management, surgical techniques, and postoperative care.

Main Methods:

  • Review of current practices in islet cell autotransplantation.
  • Description of patient evaluation, surgical approach, and postoperative management.

Main Results:

  • Total pancreatectomy with islet cell autotransplantation can mitigate brittle type 3C diabetes.
  • The procedure helps prevent mortality from severe hypoglycemia and improves quality of life.

Conclusions:

  • Islet cell autotransplantation after total pancreatectomy is a viable option for select chronic pancreatitis patients.
  • Recent data support the safety and long-term benefits of this surgical approach.