Use of Small Donors (&lt;28 kg) for Pancreas Transplantation

Illanes, H.G.; Quarin, Carlos; Maurette, Rafael; Sánchez-Izquierdo, N.; Reniero, Liliana; Casadei, Domingo

doi:10.1016/j.transproceed.2009.05.025

Cited by 13 publications

(15 citation statements)

References 9 publications

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“…Similar results with smaller numbers of patients have been reported from other centers (64)(65)(66). The groups in Miami (U.S.) and Buenos Aires (Argentina) have further expanded their donor criteria and have utilized organs from 14-and 18-month-old donors weighing 10 kg using an en bloc transplant technique (67,68), which further underscores the capacity of very small pancreas grafts to reverse diabetes in adult patients.…”

Section: Pediatric Donors and En Bloc Graftssupporting

confidence: 79%

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Retrieval of the pancreas allograft for whole‐organ transplantation

Fridell

Powelson

Kubal

et al. 2014

Clinical Transplantation

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Proper pancreas retrieval during multi-organ recovery is one of the cornerstones of technically successful whole-organ pancreas transplantation. With evolving surgical approaches for organ retrieval and implantation, it has become standard to procure the pancreas in conjunction with other abdominal organs without compromising either vasculature, graft quality, or transplant outcomes. This review summarizes the major steps required for proper whole-organ retrieval of the pancreas allograft with suggestions and tips whenever alternative approaches are available.

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Section: Pediatric Donors and En Bloc Graftssupporting

confidence: 79%

“…21) (67,(69)(70)(71). When the liver is not recovered, a common aortic patch including the celiac artery, SMA, and renal artery (or arteries) can be anastomosed to the recipient as a single arterial inflow.…”

Section: Pediatric Donors and En Bloc Graftsmentioning

confidence: 99%

Retrieval of the pancreas allograft for whole‐organ transplantation

Fridell

Powelson

Kubal

et al. 2014

Clinical Transplantation

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show abstract

“…Analysis of national registries have enabled identification of donor factors that affect the outcomes of pancreas transplantation, the principal ones being donor age, BMI and cold ischaemic time, with only the latter being modifiable [42][43][44]. While increasing age is recognised as an adverse factor in pancreas graft survival, younger paediatric donors had also been considered a relative contraindication until recently [45].…”

Section: Donor Selectionmentioning

confidence: 99%

The current challenges for pancreas transplantation for diabetes mellitus

Watson

2015

Pharmacological Research

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“…A potenciális donorok alsó korhatárával kapcsolatosan eltérőek a vélemények. Négyévesnél fi atalabb donorokból már nem történik hasnyálmirigy-donáció a béta-sejtek éretlensége miatt, de vannak központok, amelyek csak 10 évesnél idősebb agyhalottakat fogadnak el hasnyálmirigydonornak [15].…”

Section: Donorkiválasztás Donációunclassified

Role of simultaneous pancreas-kidney transplantation in the treatment of diabetes mellitus

et al. 2013

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A veseelégtelenséggel szövődött 1-es típusú diabetes mellitus esetében a betegek életkilátása rosszabb, mint néhány rosszindulatú betegségben szenvedő betegé. A vesepótló kezelések minden formája közül a szimultán hasnyálmirigy-vese transzplantáció biztosítja a legjobb betegtúlélési eredményeket. A műtéti technika és az immunszuppressziós kezelés az elmúlt évtized során egyre inkább egységesült. Bár a transzplantálható szervek száma messze elmarad az igény mögött, a szimultán hasnyálmirigy-vese átültetés a legeredményesebb kezelési alternatívaként ajánlható az arra alkalmas betegeknek. A hazai két hasnyálmirigy-transzplantációs programban elvégzett több mint 100 szimultán hasnyálmirigy-vese transzplantáció eredményei összhangban vannak a nemzetközi eredményekkel. Orv. Hetil., 2013, 154, 850-856. Kulcsszavak: szimultán hasnyálmirigy-vese átültetés, 1-es típusú diabetes Role of simultaneous pancreas-kidney transplantation in the treatment of diabetes mellitusThe life expectancy of patients with type 1 diabetes mellitus is inferior to that of patients with some malignancies. Simultaneous pancreas-kidney transplantation is the procedure providing the best survival results among all options of renal replacement therapy. The operative techniques and immunosuppresion have been standardized in the last decade. Although the number of transplantable organs falls behind the need, simultaneous pancreas-kidney transplantation is the method of choice for the eligible patients. The results of the two Hungarian simultaneous pancreaskidney transplantation programs are in accordance with data published in the international literature. Orv. Hetil., 2013, 154, 850-856. Rövidítések ATG = anti thymocyta-globulin; CMV = cytomegalovirus; DCD = (donation after circulatory death) keringésmegszűnés utáni donáció; GFR = glomeruláris fi ltrációs ráta; HLA = humán leukocyta-antigén; KAP = (kidney after pancreas) = hasnyálmirigy-átültetés utáni vesetranszplantáció; mTOR = mammalian target of rapamycin; NHB = (non-heart beating) nem dobogó szívű; PAK = (pancreas after kidney) hasnyál-mirigy-átültetés veseátültetést követően; PTA = (pancreas transplant alone) szoliter hasnyálmirigy-átültetés; SPK = (simultaneous pancreas-kidney) szimultán hasnyálmirigy-vese transzplantáció; UW = University of Wisconsin

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Use of Small Donors (<28 kg) for Pancreas Transplantation

Cited by 13 publications

References 9 publications

Retrieval of the pancreas allograft for whole‐organ transplantation

Retrieval of the pancreas allograft for whole‐organ transplantation

The current challenges for pancreas transplantation for diabetes mellitus

Role of simultaneous pancreas-kidney transplantation in the treatment of diabetes mellitus

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