Pancreatic transplantation: Beta cell replacement

被引:2
作者
Bigam D.L. [1 ]
Shapiro A.M.J. [1 ]
机构
[1] University of Alberta Hospital, Edmonton, Alta. T6G 287
关键词
Tacrolimus; Chronic Pancreatitis; Sirolimus; Main Drug Interaction; Islet Transplantation;
D O I
10.1007/s11938-004-0046-9
中图分类号
学科分类号
摘要
Diabetes is a leading cause of morbidity and mortality worldwide. Complications of diabetes including renal failure, retinopathy, neuropathy, and cardiovascular disease limit both survival and quality of life. Pancreatic transplantation can restore euglycemia thereby stabilizing or even reversing secondary complications of diabetes as well as improving quality of life particularly in patients with labile diabetes. Recent evidence also shows an improved survival in diabetic patients that undergo pancreatic transplantation when combined with a kidney transplant. Pancreatic transplantation should more properly be referred to as beta cell replacement as the field today encompasses both whole organ and islet cell transplantation. We have outlined herein the indications and contraindications to islet or whole organ pancreas transplantation and we have described periprocedure care and short- and long-term prognosis. Copyright © 2004 by Current Science Inc.
引用
收藏
页码:329 / 341
页数:12
相关论文
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