Pancreas and islet transplantation in patients with diabetes mellitus |
| |
Authors: | Sá João Roberto de Gonzalez Adriano Miziara Melaragno Cláudio Santiago Saitovich David Franco Denise Reis Rangel Erika Bevilaqua Noronha Irene Lourdes Pestana José Osmar Medina Bertoluci Marcelo Casaccia Linhares Marcelo Miranda Marcelo Perosa de Monteagudo Patricia Genzini Tércio Eliaschewitz Freddy Goldberg |
| |
Affiliation: | Departamento de Cirurgia, Departamento de Medicina, Universidade Federal de S?o Paulo, SP, Brasil. jrsa@uoll.com.br |
| |
Abstract: | Pancreas and kidney transplants have specific indications, benefits and risks. The procedure has become more common and more often as long-term success has improved and risks have decreased. Compared with a patient being on dialysis, simultaneous pancreas-kidney transplant offers a distinct advantage when it comes to mortality, quality of life and diabetic complications. Since there can be a living-donor kidney transplant,, a possibly similar patient and graft survival by 10 years follow-up, this procedure should be considered. Pancreas after kidney transplants, when successful, can improve microvascular complications compared with kidney transplant alone, but immediate mortality may be higher. Solitary pancreas transplantation can improve the quality of life in selected patients, but it may also increase the immediate risk of mortality due to the complexity of the surgery and the risks of immunosupression. The results of Islet transplantation differ from the higher metabolic performance achieved by whole pancreas allotransplantation and its applicability is limited to selected adult diabetic patients. |
| |
Keywords: | |
本文献已被 PubMed 等数据库收录! |
|