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Expanding the donor pool in pancreas transplantation

Muthusamy, Anand SR; Vaidya, Anil

Current Opinion in Organ Transplantation: February 2011 - Volume 16 - Issue 1 - p 123–127
doi: 10.1097/MOT.0b013e328341b123
Pancreas transplantation: Edited by Jose Figueiro
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Purpose of review The current era of organ shortage has necessitated expansion of the currently available organ donor pool, to increase the number of pancreases available for transplant. This review summarizes the cumulative efforts of various centers in making this possible.

Recent findings Various centers are consistently reporting their experience with marginal donors; recent additions to the cohort have been increase in pancreases from donors after cardiac death (controlled and uncontrolled), update on long-term outcomes of live pancreas donors, as well as efforts at objectively assessing donor risk.

Summary It has become important for the transplanting surgeon to make difficult decisions on organ suitability and appropriateness depending upon the recipient's status. Further more, limiting further damage to these vulnerable grafts is important in improving utilization as well as successful transplantation.

Department of Transplant Surgery, Oxford Transplant Centre, Churchill Hospital, Headington, Oxford, UK

Correspondence to Mr Anil Vaidya, MD, Consultant Transplant Surgeon, Oxford Transplant Centre, Churchill Hospital, Roosevelt Drive, Headington, Oxford OX3 LJ, UK Tel: +44 1865 741841; fax: +44 1865 225616; e-mail: anil.vaidya@orh.nhs.uk

© 2011 Lippincott Williams & Wilkins, Inc.