Pancreatic autotransplantation in chronic pancreatitis

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dc.contributor.authorWatkins, JG
dc.contributor.authorKrebs, A
dc.contributor.authorRossi, RL
dc.date.accessioned2025-01-21T01:08:43Z
dc.date.available2025-01-21T01:08:43Z
dc.date.issued2003
dc.description.abstractThe apancreatic state secondary to resective surgery for chronic pancreatitis is associated with a high rate of late morbidity and mortality that is due, in part, to endocrine insufficiency. Resective procedures should, therefore, be used very selectively. Over the last 2 decades we have seen a shift from extensive distal resections to limited proximal resections. This is because of the lowering of the operative mortality of pancreatic head resection and its better results in pain relief, while preserving in situ the body and tail of the gland with its metabolic functions. Islet autotransplantation and segmental pancreatic autotransplantation were introduced in 1977 and 1978, respectively. Over 150 and 25 cases of these operations have been reported, respectively. Both techniques are evolving with a goal to improve results. Procedures placing the graft in the iliac fossa and anastomosing the pancreatic duct to the jejunum are now favored over groin placement and duct occlusion. Islet autotransplants achieve a higher yield of islet cells and decrease the exocrine impurity of the preparation. Both methods can prevent or delay the onset of diabetes mellitus, and when diabetes mellitus does occur, it is frequently easier to manage. The long-term function of the grafts appears to be dependent on the beta-cell mass available in the diseased pancreas, the loss of cells related to the transplant procedure, and the characteristics of gradual loss of function from the type of transplant used. Although extensive pancreatic resections are occasionally required, the possibility of autotransplantation should be considered in those patients.
dc.fuente.origenWOS
dc.identifier.doi10.1007/s00268-003-7243-8
dc.identifier.issn0364-2313
dc.identifier.urihttps://doi.org/10.1007/s00268-003-7243-8
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/96501
dc.identifier.wosidWOS:000186776000011
dc.issue.numero11
dc.language.isoen
dc.pagina.final1240
dc.pagina.inicio1235
dc.revistaWorld journal of surgery
dc.rightsacceso restringido
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa03 Salud y bienestar
dc.titlePancreatic autotransplantation in chronic pancreatitis
dc.typeartículo
dc.volumen27
sipa.indexWOS
sipa.trazabilidadWOS;2025-01-12
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