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Journal of Intensive Care Medicine, Vol. 19, No. 3, 127-139 (2004)
DOI: 10.1177/0885066604263916

Pancreatic Transplantation: Evaluation and Management

Fahim Zaman, MD

Department of Medicine, Louisiana State University Health Sciences Center, Shreveport, Louisiana, gzibari{at}lsuhsc.edu

Kenneth D. Abreo, MD

Department of Medicine, Louisiana State University Health Sciences Center, Shreveport, Louisiana

Steven Levine, MD

Department of Medicine, Louisiana State University Health Sciences Center, Shreveport, Louisiana

Warren Maley, MD

Department of Surgery, Louisiana State University Health Sciences Center, Shreveport, Louisiana

Gazi B. Zibari, MD, FACS

Department of Surgery, Louisiana State University Health Sciences Center, Shreveport, Louisiana

More than 2 million people in the United States have type 1 diabetes mellitus. Pancreatic transplantation has emerged as the single most effective means of achieving normal glucose homeostasis in this patient population. Newer immunosuppressive agents and surgical techniques continue to evolve, resulting in improved long-term graft and patient survival. Herein, an understanding of the evaluation, technical aspects, and perioperative management of pancreas transplantation is outlined.

Key Words: pancreas transplantation • human • perioperative management • postoperative complication


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