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Pancreas surgical complications

Goodman, Jeremya; Becker, Yolanda Taib

Current Opinion in Organ Transplantation: February 2009 - Volume 14 - Issue 1 - p 85–89
doi: 10.1097/MOT.0b013e328320a8ec
Pancreas transplantation: Edited by Bradley Collins
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Purpose of review Whole organ pancreas transplantation is the most durable cure for type 1 diabetes. Many advances have occurred that allow for long-term freedom from insulin and abrogation of the secondary complications of diabetes. However, pancreas allograft survival is dependant upon excellent technical success in the first month following transplantation.

Recent findings It is clear that prevention of surgical complications has implications not only for graft and patient survival but also significantly impacts the financial impact following transplantation. Although complications can occur, early appropriate management can limit morbidity. In addition, when pancreas and kidney transplantation occur simultaneously, delayed treatment of pancreas complications can lead to kidney allograft loss.

Summary This review concentrates on the diagnosis and management of early surgical complications following pancreas transplantation. The financial implications of surgical outcomes in pancreas transplantation are also discussed.

aUniversity of Alabama School of Medicine, Birmingham, Alabama, USA

bUniversity of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA

Correspondence to Yolanda Tai Becker, MD, University of Wisconsin School of Medicine and Public Health, 600 Highland Avenue 7375, Madison, WI 53792, USA Tel: +1 608 265 6471; e-mail: yolanda@surgery.wisc.edu

© 2009 Lippincott Williams & Wilkins, Inc.