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Segmental auto-transplantation of the pancreas

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Abstract

A total pancreatectomy was performed in a 39-year-old man diabetic with diffuse calcification of the whole pancreas, a pseudocyst and intrapancreatic bile duct obstruction. The body of the excised pancreas was immediately transplanted into the left groin. The postoperative responses of plasma glucagon and insulin were not impaired compared with their preoperative responses. The patient was relieved of unremitting pain and is doing well six months after this operation.

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References

  1. White TT, Hart MJ. Pancreaticojejunostomy versus resection in the treatment of chronic pancreatitis. Am J Surg 1979; 138: 129–134.

    Article  PubMed  CAS  Google Scholar 

  2. Prinz RA, Greenlee HB. Pancreatic duct drainage in 100 patients with chronic pancreatitis. Ann Surg 1981; 194: 313–320.

    PubMed  CAS  Google Scholar 

  3. Brinton MH, Pellegrini CA, Stein SF, Way LW. Surgical treatment of chronic pancreatitis. Am J Surg 1984; 148: 754–759.

    Article  PubMed  CAS  Google Scholar 

  4. Kiviluoto T, Schroder T, Lempinen M. Elective operations in chronic alcoholic induced pancreatitis. Surg Gynecol Obstet 1984; 159: 70–74.

    PubMed  CAS  Google Scholar 

  5. Morrow CE, Cohen JI, Sutherland DER, Najarian JS. Chronic pancreatitis: Long-term surgical results of pancreatic duct drainage, pancreatic resection, and near-total pancreatectomy and autotransplantation. Surgery 1984; 96: 608–615.

    PubMed  CAS  Google Scholar 

  6. Warshow AL. Conservation of pancreatic tissue by combined gastric, biliary, and pancreatic duct drainage for pain from chronic pancreatitis. Am J Surg 1985; 149: 563–568.

    Google Scholar 

  7. Frey CF. Pancreatic pseudocyst—Operative strategy. Ann Surg 1978; 188: 652–662.

    PubMed  CAS  Google Scholar 

  8. Shatney CH, Lillehei RC. Surgical treatment of pancreatic pseudocysts. Analysis of 119 cases. Ann Surg 1979; 189: 386–394.

    PubMed  CAS  Google Scholar 

  9. Weinstein BR, Korn RJ, Zimmerman HJ. Obstructive jaundice as a complication of pancreatitis. Ann Inter Med 1963; 58: 245–258.

    CAS  Google Scholar 

  10. Warshow AL, Schapiro RH, Ferrucci JT, Jr, Caldavini JJ. Persistent obstructive jaundice, cholangitis, and biliary cirrhosis due to common bile duct stenosis in chronic pancreatitis. Gastroenterology 1976; 70: 562–567.

    Google Scholar 

  11. Lygidakis NJ. Biliary structure as complication of chronic relapsing pancreatitis. Am J Surg 1983; 145: 804–806.

    Article  PubMed  CAS  Google Scholar 

  12. Sato T, Noto N, Matsuno S, Miyakawa K. Follow-up results of surgical treatment for chronic pancreatitis. Am J Surg 1981; 142: 317–323.

    Article  PubMed  CAS  Google Scholar 

  13. Bradley EL, Nasrallah SM. Fat absorption after longitudinal pancreaticojejunostomy. Surgery 1984; 95: 640–642.

    PubMed  Google Scholar 

  14. Sutherland DER, Matas AJ, Goetz FC, Najarian JS. Transplantation of dispersed pancreatic islet tissue in humans. Autografts and allografts. Diabetes 1980; 29 (Suppl. 1): 31–44.

    PubMed  Google Scholar 

  15. Cameron J, Mehigan DG, Broe PJ, Zuidema GD. Distal pancreatectomy and islet autotransplantation for chronic pancreatitis. Ann Surg 1981; 193: 312–317.

    PubMed  CAS  Google Scholar 

  16. Du J-h, Wang X-h, Ma Y-p. Autotransplantation of pancreatic tail tissue to prevent carbohydrate metabolic disorder following total pancreatectomy. Chinese Med J 1982; 95: 481–482.

    CAS  Google Scholar 

  17. McDonald JC, Rohr MS, Tucker WY. Recent experiences with autotransplantation of the kidney, jejunum, and pancreas. Ann Surg 1983; 197: 678–687.

    PubMed  CAS  Google Scholar 

  18. Falluca F, Tersigni R, Giangrande L, del Balzo P, Zicari D, Marinelli M, Pimpinelli G, Ghirland, G, Stipa S. Insulin, C-peptide, glucagon, and somatostatin secretion in segmental pancreatic autotransplantation. Transpl Proc 1984; 16: 741–744.

    Google Scholar 

  19. Tosatti E, Valente U, Campisi C, Barabino C, Pozzati A. Segmental pancreas autotransplantation in man following total or near total pancreatectomy for serious recurrent chronic pancreatitis. Transpl Proc 1980; 12 (Suppl. 2): 15–18.

    CAS  Google Scholar 

  20. Miyata M, Izukura M, Hamaji M, Nakao K, Kawashima Y. Release of gastric inhibitory polypeptide in totally pancreatectomized patients. J Clin Endocrinol Metab 1985; 60: 1261–1264.

    Article  PubMed  CAS  Google Scholar 

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Miyata, M., Nakao, K., Izukura, M. et al. Segmental auto-transplantation of the pancreas. The Japanese Journal of Surgery 17, 41–46 (1987). https://doi.org/10.1007/BF02470584

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  • DOI: https://doi.org/10.1007/BF02470584

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