En bloc liver and pancreas transplantation after total pancreatectomy with autologous islet transplantation.

TPIAT Total Pancreatectomy with Autologous Islet Transplantation chronic pancreatitis liver and pancreas transplantation

Journal

European journal of translational and clinical medicine
ISSN: 2657-3156
Titre abrégé: Eur J Transl Clin Med
Pays: Poland
ID NLM: 101773778

Informations de publication

Date de publication:
2020
Historique:
entrez: 7 1 2021
pubmed: 8 1 2021
medline: 8 1 2021
Statut: ppublish

Résumé

We present a patient with intractable and debilitating pain secondary to chronic pancreatitis who was effectively treated with total pancreatectomy with islet autotransplantation (TPIAT). Islets engrafted into his liver significantly contributed to improved blood glucose control and quality of life. Subsequently, the patient developed alcohol related acute liver failure and en bloc liver and pancreas transplantation was performed to replace the failing liver with engrafted islets. Pancreas transplantation was required to resolve his life-threatening severe hypoglycemic episodes. Herein, we detail an innovative and multidisciplinary management of this complex medical problem.

Identifiants

pubmed: 33409500
doi: 10.31373/ejtcm/130187
pmc: PMC7785098
mid: NIHMS1649868
doi:

Types de publication

Journal Article

Langues

eng

Pagination

11-17

Subventions

Organisme : NIDDK NIH HHS
ID : P30 DK020595
Pays : United States

Déclaration de conflit d'intérêts

Disclosure The authors declare no conflict of interest.

Références

Transplant Proc. 2017 Dec;49(10):2333-2339
pubmed: 29198673
Am J Transplant. 2013 Dec;13(12):3183-91
pubmed: 24148548
Diabetes Care. 2020 Jan;43(Suppl 1):S98-S110
pubmed: 31862752
J Hepatol. 2019 Feb;70(2):328-334
pubmed: 30658734
J Am Coll Surg. 2012 Apr;214(4):409-24; discussion 424-6
pubmed: 22397977
J Am Coll Surg. 2014 Apr;218(4):530-43
pubmed: 24655839
Pancreas. 2019 Oct;48(9):1204-1211
pubmed: 31593020
Ann Surg. 2015 Oct;262(4):610-22
pubmed: 26366540
Am J Transplant. 2004 Nov;4(11):1921-7
pubmed: 15476496
Ann Surg. 2008 Nov;248(5):871-9
pubmed: 18948817
J Am Med Assoc. 1959 Mar 21;169(12):1281-3
pubmed: 13630751
Prz Gastroenterol. 2014;9(3):136-41
pubmed: 25097709
Dig Dis Sci. 2020 Jun;65(6):1608-1614
pubmed: 32107678
Hepatology. 2019 Jan;69(1):64-75
pubmed: 30019340

Auteurs

Gabriela S Generette (GS)

The Transplantation Institute, University of Chicago, USA.

Piotr J Bachul (PJ)

The Transplantation Institute, University of Chicago, USA.

Karolina Golab (K)

The Transplantation Institute, University of Chicago, USA.

Lindsay Basto (L)

The Transplantation Institute, University of Chicago, USA.

Jordan S Pyda (JS)

Department of Surgery, Beth Israel Deaconess Medical Center, Boston, USA.

Peter Borek (P)

The Transplantation Institute, University of Chicago, USA.

Martin Tibudan (M)

The Transplantation Institute, University of Chicago, USA.

Roi Anteby (R)

The Transplantation Institute, University of Chicago, USA.

Laurencia Perea (L)

The Transplantation Institute, University of Chicago, USA.

Michael Charlton (M)

The Transplantation Institute, University of Chicago, USA.

Angelica Perez-Gutierrez (A)

The Transplantation Institute, University of Chicago, USA.

Kumar Jayant (K)

The Transplantation Institute, University of Chicago, USA.

Aaron Lucander (A)

The Transplantation Institute, University of Chicago, USA.

Jeffrey B Matthews (JB)

Department of Surgery, University of Chicago, USA.

J Michael Millis (JM)

The Transplantation Institute, University of Chicago, USA.

John Fung (J)

The Transplantation Institute, University of Chicago, USA.

Piotr Witkowski (P)

The Transplantation Institute, University of Chicago, USA.

Classifications MeSH