Clinical Gastroenterology Vol.16 No.13(2-2)

Theme Gastroenterological Diseases and Therapy with Transplantation
Title Pancreatic Transplantation
Publish Date 2001/12
Author Atsushi Sugitani Department of Surgery and Oncology, Graduate School of Medical Sciences, Kyushu University / The Kidny Cire Unit, Faculty of Medicine, Kyushu University
Author Hidehisa Kitada Department of Surgery and Oncology, Graduate School of Medical Sciences, Kyushu University
Author Hirofumi Yamamoto Department of Surgery and Oncology, Graduate School of Medical Sciences, Kyushu University
Author Naoki Otomo Department of Surgery and Oncology, Graduate School of Medical Sciences, Kyushu University
Author Yasuhiro Okabe Department of Surgery and Oncology, Graduate School of Medical Sciences, Kyushu University
Author Shigetaka Inoue Department of Surgery and Oncology, Graduate School of Medical Sciences, Kyushu University
Author Masao Tanaka Department of Surgery and Oncology, Graduate School of Medical Sciences, Kyushu University
[ Summary ] In many countries, transplantation of the pancreas has become an established treatment for patients with type one diabetes mellitus with the expectation of normalizing glucose metabolizm, preventing secondary complications, improving quality of life, and prolonging life span. The total number of pancreas transplants performed in the world has reached 13,917 with approximately 1,300 in 1999. Five year survival rates for patients, pancreas and kidney at the university of pittsburgh are 90%, 72% and 84%, respectively. In Japan, a nation wide support system, to register the recipients, to procure the organs from brain dead donors, and to transplant organs has been established in recent years. There have been 15 brain dead donors since the inception of the system and 4 simultaneous pancreas, kidney transplants have been performed in Japan. This paper discribed donor operations, bench surgery, recipient surgery, post-operation management and future prospects.
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